Zadik Yehuda
Zrifin Central Dental Clinic, Medical Corps, Israel Defense Forces, Jerusalem, Israel.
Aviat Space Environ Med. 2006 Aug;77(8):864-6.
A case is presented of severe anterior mandibular pain, which first appeared during descent of a long commercial flight, and lasted 3 d for a 28-yr-old military helicopter pilot. Apical periodontitis due to pulpal necrosis of the #31 tooth was diagnosed as the causative pathology of the pain. This pain was not ever felt in his daily routine helicopter flights, up to 6000 ft, only in the pressurized chamber of a commercial flight to 7000-ft conditions. Although barodontalgia, dental pain evoked by barometric pressure change in an otherwise asymptomatic tooth, has relatively low prevalence nowadays, it seems that periodic dental vitality tests and panoramic imaging of the jaws are worthwhile for aircrew members.
本文报告了一例严重的下颌前部疼痛病例，疼痛首次出现在一次长途商业航班下降过程中，一名28岁的军用直升机飞行员的疼痛持续了3天。31号牙牙髓坏死导致的根尖周炎被诊断为疼痛的病因。在他日常高达6000英尺的直升机飞行中从未感到过这种疼痛，只有在一次飞往7000英尺高度的商业航班增压舱中才出现。尽管气压性牙痛（即在原本无症状的牙齿中由气压变化引起的牙痛）如今患病率相对较低，但对于机组人员而言，定期进行牙齿活力测试和颌骨全景成像似乎是值得的。
