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首页> 外文期刊>Journal - Canadian Dental Association >Barodontalgia as a differential diagnosis: symptoms and findings.
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Barodontalgia as a differential diagnosis: symptoms and findings.

机译：气压牙齿作为鉴别诊断：症状和发现。

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摘要

This paper provides a review of the literature concerning the etiology and manifestations of barodontalgia, as well as important clinical considerations for its management. Barodontalgia is characterized by exposure to a pressure gradient, such as that experienced by underwater divers, aviation personnel and air travellers. This form of dental pain is generally marked by a predisposing dental pathology such as acute or chronic periapical infection, caries, deep or failing restorations, residual dental cysts, sinusitis or a history of recent surgery. Studies indicate that severity of barodontalgia and the resulting deterioration of dental health correlates with duration of barometric stress. Restorative materials are also affected by pressure gradients. Resin is indicated as a luting agent of choice for cementing fixed prostheses in populations at risk for barodontalgia. Under the influence of pressure gradients, resin cements maintain original bond strength and demonstrate the least amount of microleakage compared with other cements. The key to avoiding barodontalgia is good oral health. Clinicians must pay close attention to areas of dentin exposure, caries, fractured cusps, the integrity of restorations and periapical pathology in those at risk. The Federation dentaire internationale describes 4 classes of barodontalgia based on signs and symptoms and provides specific and valuable recommendations for therapeutic intervention.
机译：本文综述了有关气压牙痛的病因和表现的文献，以及对其治疗的重要临床考虑。齿龈痛的特征在于暴露于压力梯度下，例如水下潜水员，航空人员和航空旅行者所经历的压力梯度。这种形式的牙痛通常以易患的牙病为特征，例如急性或慢性根尖周感染，龋齿，深部或衰竭修复体，残留的牙囊肿，鼻窦炎或近期手术史。研究表明，气压过大的严重程度以及由此导致的牙齿健康恶化与气压持续时间有关。修复材料也受压力梯度的影响。树脂被指示为在有牙大牙痛风险的人群中固定固定假体的首选诱剂。在压力梯度的影响下，与其他水泥相比，树脂水泥保持了原始的粘结强度，并显示出最小的微渗漏量。避免气压不足的关键是保持口腔健康。临床医生必须密切注意高危人群的牙本质暴露，龋齿，尖瓣断裂，修复体的完整性和根尖周病理学领域。国际牙科联合会根据体征和症状描述了4种类型的气压牙痛，并为治疗干预提供了具体而有价值的建议。

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