Barodontalgia
| Barodontalgia | |
|---|---|
| Classification and external resources | |
 | |
| ICD-10 | W94 |
| ICD-9 | 993.2 |
Barodontalgia, commonly known as tooth squeeze and previously known as aerodontalgia, is a pain in tooth caused by a change in atmospheric pressure. The pain usually ceases at ground level.[1][2][3] The most common victims are SCUBA divers because in deep dives pressures can increase by several atmospheres,[4] and military pilots because of rapid changes.[5][6][7][8] In pilots, barodontalgia may be severe enough to cause premature cessation of flights.[9]
Most of the available data regarding barodontalgia is derived from high-altitude chamber simulations rather than actual flights. Barodontalgia prevalence was between 0.7% and 2% in the 1940s, and 0.3% in the 1960s.[7]
Similarly, cases of barodontalgia were reported in 0.3% of high altitude-chamber simulations in the Luftwaffe.[10]
The rate of barodontalgia was about 1 case per 100 flight-years in the Israeli Air Force.[11] During World War II, about one-tenth of American aircrews had one or more episodes of barodontalgia.[9] In a recent study, 8.2% of 331 Israeli Air Force aircrews, reported at least one episode of barodontalgia.[11]
Barodontalgia is a symptom of dental disease, for example inflammatory cyst in the mandible.[12] Indeed, most of the common oral pathologies have been reported as possible sources of barodontalgia: dental caries, defective tooth restoration, pulpitis, pulp necrosis, apical periodontitis, periodontal pockets, impacted teeth, and mucous retention cysts. One exception is barodontalgia manifested as referred pain from barosinusitis or barotitis-media. The latter two conditions are generated from pressure changes rather than pressure-related flare-up of pre-existing conditions.[13] A meta-analysis of studies conducted between 2001 and 2010[14] reveled a rate of 5 episodes/1,000 flight-years. Maxillary and mandibular dentitions were affected equally in flight, but in diving, maxillary dentition was affected more than the mandibular dentition, which can indicate a greater role for maxillary sinus pathology in diving barodontalgia.[14] Surprisingly, despite the cabin pressurization - the current in-flight barodontalgia incidence is similar to the incidence in the first half of the 20th century; despite the more fluctuation in divers' pressures - the weighted incidence of barodontalgia among aircrews are similar to the weighted incidence among divers; and as opposed to a common belief, and in contrast to diving conditions - the role of facial barotrauma in the etiology of in-flight barodontalgia is only minor (about one-tenth of cases).[14]
Classification
The Fédération dentaire internationale describes 4 classes of barodontalgia.[1] The classes are based on signs and symptoms. They also provide specific and valuable recommendations for therapeutic intervention.[1]
See also
References
- ↑ 1.0 1.1 1.2 Robichaud, R; McNally, ME (January 2005). "Barodontalgia as a differential diagnosis: symptoms and findings". J Can Dent Assoc 71 (1): 39–42. PMID 15649340. Retrieved 2008-07-19.
- ↑ Rauch, JW (1985). "Barodontalgia--dental pain related to ambient pressure change". Gen Dent 33 (4): 313–5. PMID 2863194.
- ↑ Weiner, R (2002). "Barodontalgia: caught between the clouds and the waves". J Mass Dent Soc 51 (3): 46–9. PMID 12380041.
- ↑ Zadik, Yehuda; Drucker Scott (September 2011). "Diving dentistry: a review of the dental implications of scuba diving". Aust Dent J. 56 (3): 265–71. doi:10.1111/j.1834-7819.2011.01340.x. PMID 21884141. Retrieved 15 December 2011.
- ↑ Brubakk, Alf O; Neuman, Tom S (2003). Bennett and Elliott's physiology and medicine of diving, 5th Rev ed. United States: Saunders Ltd. p. 800. ISBN 0-7020-2571-2.
- ↑ Lyons, KM; Rodda, JC; Hood, JA (March 1999). "Barodontalgia: a review, and the influence of simulated diving on microleakage and on the retention of full cast crowns". Mil Med 164 (3): 221–7. PMID 10091498.
- ↑ 7.0 7.1 Dehart, RL; Davis, JR (2002). Fundamentals Of Aerospace Medicine: Translating Research Into Clinical Applications, 3rd Rev Ed. United States: Lippincott Williams And Wilkins. p. 720. ISBN 978-0-7817-2898-0.
- ↑ Gonzalez Santiago, Maria del Mar; Martinez-Sahuquillo Marquez, Angel; Bullón-Fernández, Pedro (2004). "Incidence of barodontalgias and their relation to oral/ dental condition in personnel with responsibility in military flight" (PDF). Med Oral 9 (2): 98–105, 92–8. PMID 14990875. Retrieved 2008-07-19.
- ↑ 9.0 9.1 Zadik, Yehuda (January 2009). "Aviation dentistry: current concepts and practice". British Dental Journal 206 (1): 11–6. doi:10.1038/sj.bdj.2008.1121. PMID 19132029. Retrieved 2009-01-26.
- ↑ Goethe, WH; Bäter, H; Laban, C (October 1989). "Barodontalgia and barotrauma in the human teeth: findings in navy divers, frogmen, and submariners of the Federal Republic of Germany". Mil Med 154 (10): 491–5. PMID 2515472.
- ↑ 11.0 11.1 Zadik, Yehuda; Chapnik, L; Goldstein, L (June 2007). "In-flight barodontalgia: analysis of 29 cases in military aircrew". Aviat Space Environ Med 78 (6): 593–6. PMID 17571660. Retrieved 2009-01-27.
- ↑ Zadik, Yehuda (August 2006). "Barodontalgia due to odontogenic inflammation in the jawbone". Aviat Space Environ Med 77 (8): 864–6. PMID 16909883. Retrieved 2009-01-27.
- ↑ Zadik, Yehuda (April 2009). "Barodontalgia". J Endod 35 (4): 481–5. doi:10.1016/j.joen.2008.12.004. PMID 19345791. Retrieved 2009-06-01.
- ↑ 14.0 14.1 14.2 Zadik, Yehuda (April 2010). "Barodontalgia: what have we learned in the past decade?". Oral Surg Oral Med Oral Pathol Oral Radiol Endod 109 (4): e65–9. doi:10.1016/j.tripleo.2009.12.001. PMID 20303049.
