Schwartz S, Cohen S
University of Texas Health Science Center, San Antonio.
Dent Clin North Am. 1992 Apr;36(2):279-92.
The mere complaint of "toothache" pain does not always indicate the need for endodontic treatment. As pointed out in this paper, there are many entities, both odontogenic and nonodontogenic, that can give rise to or mimic pulpal-periapical pain. Conventional and appropriate diagnostic tests should be performed routinely no matter how obvious the preliminary diagnosis may seem. This habit of gathering all pertinent data provides the foundation for accurate diagnosis and avoids the embarrassment and unnecessary treatment associated with a quick, presumptive, and at times, incorrect diagnosis.
仅仅抱怨“牙痛”并不总是意味着需要进行牙髓治疗。正如本文所指出的，有许多牙源性和非牙源性的情况都可能引起或模拟牙髓-根尖周疼痛。无论初步诊断看起来多么明显，都应常规进行传统且合适的诊断测试。收集所有相关数据的这种习惯为准确诊断奠定了基础，并避免了因快速、推测性且有时错误的诊断而带来的尴尬和不必要的治疗。
