Holowatyj R E
Department of oral medicine and pathology, faculty of dentistry, University of Toronto.
J Can Dent Assoc. 1996 Jul;62(7):578-84.
Once referred to as "flyer's toothache," barodontalgia is defined as tooth pain occurring with changes in ambient pressure. It usually occurs in people who fly or dive. It can develop in conjunction with sinusitis, and in teeth experiencing pulpitis after restorative treatment, new and recurrent caries, intra-treatment endodontic symptoms, dental and periodontal cysts, or abscesses. Although the causal process of barodontalgia is not well understood, it may be related to pulpal hyperemia, or to gases that are trapped in the teeth following incomplete root canal treatment. Patients who are frequently exposed to changes in ambient pressure should be encouraged to follow good oral health practices, attend regularly-scheduled dental recall examinations and accept the timely completion of restorative treatment to minimize the possibility of developing barodontalgia. By employing a classification system to document cases of barodontalgia, dentists will be better prepared to provide appropriate and successful treatment. Seven case reports of barodontalgia are presented and compared to previously documented cases. The author also reviews the reasons why military flyers are more likely to develop barodontalgia than others, although the passengers and crews of commercial airliners may also suffer from this condition.
气压性牙痛曾被称为“飞行员牙痛”，其定义为随环境压力变化而出现的牙痛。它通常发生在飞行或潜水的人群中。它可能与鼻窦炎同时发生，也可能出现在经过修复治疗后出现牙髓炎、新发和复发性龋齿、治疗期间牙髓症状、牙囊肿和牙周囊肿或脓肿的牙齿上。尽管气压性牙痛的病因尚未完全明确，但可能与牙髓充血有关，或者与根管治疗不完全后滞留在牙齿中的气体有关。应鼓励经常暴露于环境压力变化的患者保持良好的口腔卫生习惯，定期进行牙科复查，并及时完成修复治疗，以尽量减少发生气压性牙痛的可能性。通过采用分类系统记录气压性牙痛病例，牙医将能更好地准备提供适当且成功的治疗。本文呈现了7例气压性牙痛病例报告，并与之前记录的病例进行了比较。作者还回顾了军事飞行员比其他人更容易患气压性牙痛的原因，尽管商业客机的乘客和机组人员也可能患有这种疾病。
