• Title/Summary/Keyword: toothache

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근막동통으로 인한 하악 구치부 연관통의 임상증례 (A Case Report of Referral Pain on Mandibular Toothache Originated from Myofascial Pain)

  • 강진규
    • Journal of Oral Medicine and Pain
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    • 제32권4호
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    • pp.455-460
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    • 2007
  • 치아의 통증을 호소하는 환자 중 임상검사 및 방사선학적 검사소견에서 특기할 병적 소견이 관찰되지 않는 경우 비치성 치통을 의심해보아야 하며, 근육질환, 상악동염, 신경병성 통증, 신경혈관 질환 등의 원인으로 치통이 유발될 수 있다. 이러한 비치성 치통의 경우 진성 치통과 구별하기 위하여 철저한 병력 조사 및 전반적인 임상검사가 시행되어야 하며, 진단용 국소마취를 통하여 보다 정확한 진단을 확립할 수 있다. 이러한 비치성 치통의 가장 흔한 원인 중의 하나인 근막동통은 근육조직을 촉진 시 단단한 띠가 만져지는 것이 특징적이며 이것이 발통점으로 작용하여 근육이 뻣뻣한 느낌과 피로감, 연관통, 치아에 전이되는 통증, 근긴장성 두통, 통각과민 등의 증상을 유발할 수 있으며, 특히 교근은 상악 구치부 및 하악 구치부의 통증을 유발한다. 본 증례는 우측 교근부의 근막동통에 기인한 하악 우측 구치부의 치통 양상을 운동요법, 물리치료, 약물치료 등의 통상적이고 가역적인 근육질환의 치료법을 통해 증상의 호전을 보인 증례이다. 비치성 치통은 정확하게 진단되지 않을 경우 근관치료, 치주치료, 발치 등의 불필요한 치과치료가 시행될 수 있으며, 이러한 치료를 통하여도 환자의 통증은 경감되지 않기 때문에 치과치료가 시행되기 전에 반드시 정확한 감별진단이 필요하리라 사료된다.

A Primary Sjögren's Syndrome Patient Presented with Severe General Toothache

  • Lee, Yeon-Hee;Kho, Hong-Seop
    • Journal of Oral Medicine and Pain
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    • 제40권3호
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    • pp.130-134
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    • 2015
  • $Sj{\ddot{o}}gren's$ syndrome (SS) is an autoimmune disease characterized by an autoimmune exocrinopathy involving mainly salivary and lacrimal glands. Apart from manifestations due to involvement of exocrine glands, patients with SS can present with muscular and neurological manifestations. Here, we report a rare case of a 59-year-old woman with primary SS, who presented with severe general toothache and masticatory muscle myalgia successfully treated with clonazepam. Although it was not certain that these symptoms could be originated from focal muscle dystonia or neurological changes that are associated with primary SS, our case suggested that comprehensive evaluation including neuromuscular examinations in the oral and maxillofacial area is needed in patients with SS.

Toothache associated with ankylosing spondylitis

  • Kang, Jin-Kyu;Ryu, Ji Won
    • 구강생물연구
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    • 제42권4호
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    • pp.269-271
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    • 2018
  • Ankylosing spondylitis (AS) is a chronic inflammatory joint disorder characterized by sacroiliitis, spondylitis and enthesitis. Patients suffering from AS may also have extra-articular symptoms, such as uveitis, bowl disease, heart, lung, skin, bone and kidney involvement, but vary widely in severity and prevalence. Facial manifestation of AS include eye involvement and temporomandibular joint involvement. In this study, a case of an AS that mimicked dental pain was presented.

치통(齒痛)의 처방(處方)에 대한 문헌고찰(文獻考察) (A Study on the Herb Medicine of Toothache)

  • 박용호;유미경;김대수;강문여;이명진;이준헌;최정화
    • 대한한의학방제학회지
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    • 제14권1호
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    • pp.52-73
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    • 2006
  • Objective & Methods: Toothache is occurred frequently in daily life. Nevertheless, medical treatment of the toothache is almost dependent on western cure. So we chose the oriental medicine textbook that were dealing with the internal herb medicine and external treatment. we got this result. Result were as follows : 1. The internal medication of toothache was the most used 15times Chungwesan(淸胃散) and 8times Palmihwan(八味丸). 2. Chungwesan (淸胃散) was used to remove the stomach heat. the intestin stomach heat and the stomach blood heat. etc. 3. The pill and powder form in external treatment was much used. 4. The most many used herb were Asari herba cum Radice(細辛), Cimicifugae Rhizoma( 升麻) and Angelicae dahurcae Radix(白芷), etc. 5. The most herb used for external treatment were the spicy warm and the spicy hot medication.

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Does Rain Really Cause Toothache? Statistical Analysis Based on Google Trends

  • Jeon, Se-Jeong
    • 치위생과학회지
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    • 제21권2호
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    • pp.104-110
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    • 2021
  • Background: Regardless of countries, the myth that rain makes the body ache has been worded in various forms, and a number of studies have been reported to investigate this. However, these studies, which depended on the patient's experience or memory, had obvious limitations. Google Trends is a big data analysis service based on search terms and viewing videos provided by Google LLC, and attempts to use it in various fields are continuing. In this study, we endeavored to introduce the 'value as a research tool' of the Google Trends, that has emerged along with technological advancements, through research on 'whether toothaches really occur frequently on rainy days'. Methods: Keywords were selected as objectively as possible by applying web crawling and text mining techniques, and the keyword "bi" meaning rain in Korean was added to verify the reliability of Google Trends data. The correlation was statistically analyzed using precipitation and temperature data provided by the Korea Meteorological Agency and daily search volume data provided by Google Trends. Results: Keywords "chi-gwa", "chi-tong", and "chung-chi" were selected, which in Korean mean 'dental clinic', 'toothache', and 'tooth decay' respectively. A significant correlation was found between the amount of precipitation and the search volume of tooth decay. No correlation was found between precipitation and other keywords or other combinations. It was natural that a very significant correlation was found between the amount of precipitation, temperature, and the search volume of "bi". Conclusion: Rain seems to actually be a cause of toothache, and if objective keyword selection is premised, Google Trends is considered to be very useful as a research tool in the future.

Mimicking Odontogenic Pain Caused by Burkitt's Lymphoma: A Case Report

  • Kim, Eui-Joo;Kim, Soung-Min;Park, Hee-Kyung
    • Journal of Oral Medicine and Pain
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    • 제42권3호
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    • pp.85-88
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    • 2017
  • Burkitt's lymphoma is a malignant monoclonal proliferation of early B-lymphocyte. Since Burkitt's lymphoma is a highly aggressive disease, early detection is a crucial. This disease often involves jaw and mandibular mass or swelling may also be seen, but in the early phase of Burkitt's lymphoma these symptoms cannot be observed. A rare case of Burkitt's lymphoma without any mandibular mass and the general symptoms was present. The excruciating toothache led the patient to visit the dental clinic and misdiagnosis of chronic periodontal abscess was made initially. Dentists should consider the oral manifestations of systemic disease when the multiple periodontal ligament space widening is observed and the dental treatment for mimicking odontogenic pain has no effect.

지속적인 치통으로 나타난 상악동 악성 림프종 1예

  • 윤정훈;육종인;김진
    • 대한치과의사협회지
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    • 제38권6호통권373호
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    • pp.567-569
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    • 2000
  • Many teeth have been mistakenly extracted or endodontically treated because of an incorrect diagnosis of orofacial pain including toothache, A case report of persistent toothache originating from a malignant lymphoma of left maxilary sinus is presented. Root canal therapy and extraction of left upper quadrant teeth from canine to second molar did not resolve the chief complaint. The patient was referred to a neurologist and was diagnosed with a malignant lymphoma, a rare lesion of the maxillary sinus. The case stresses the importance of malignant neoplasms of maxillary sinus as a potential etiologic factor in the differential diagnosis of orofacial pain.

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노인의 주관적 구강건강상태가 사회적 효능감에 미치는 영향 (Subjective Oral Health Status of the Elderly and Social Impact Efficacy)

  • 노은미;백종욱
    • 치위생과학회지
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    • 제10권4호
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    • pp.233-239
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    • 2010
  • The study of the elderly and poor oral status interpersonal relationships and smooth social life limited to give is the social alienation and isolation, promoting to having problems with a sense of the elderly subjective oral health status and social efficacy affects whether analyzed. 1. Subjective oral health status authoring feel healthy food disorders, toothache, periodontal problems, tmj pain, dry mouth, bad breath symptoms such as 'sometimes' 'often' than a 'no' if you appear to be a highly subjective and social efficacy Efficacy of oral health status and social influence were more (p<0.01). 2. Subjective oral health status of the seven kinds of sub-variable that oral health status, food authoring disorders, toothache, gum disease, jaw joint or more, dry mouth, bad breath instantly and look at the relationship between social efficacy oral health status, ability of mastication, pain in oral, gum disease, tmj pain, dry mouth, presence of halitosis than positive (+) was correlated.

Toothache Caused by Sialolithiasis of the Submandibular Gland

  • Kim, Jae-Jeong;Lee, Hee Jin;Kim, Young-Gun;Kwon, Jeong-Seung;Choi, Jong-Hoon;Ahn, Hyung-Joon
    • Journal of Oral Medicine and Pain
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    • 제43권3호
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    • pp.87-91
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    • 2018
  • Sialolithiasis is the most frequent disease of the salivary glands, causing swelling and/or pain of the affected site. We report a 44-year-old woman who presented with severe pain in the lower left second molar region without swelling. Sialoliths on her left submandibular gland were confirmed by radiographic examinations. After robot-assisted sialoadenectomy, the pain did not recur but remained facial paralysis and unaesthetic scar.