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Correlation between bruxism and pain of endodontic origin: a case report

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Bibliographic Details
Summary:The objective was to report a case of endodontic treatment in a patient diagnosed with irreversible pulpitis presenting as a causative and aggravating factor severe bruxism. Patient G. L. A., a 55-year-old, military police officer, attended the clinic complaining of “toothache”, characterized by being localized, of long duration, moderate intensity and caused by thermal and masticatory stimuli. During the anamnesis, the patient reported to be allergic to dipyrone sodium and hypertensive, making use of Captopril®. During the intra-oral physical examination, was observed that the complaint was regarding the element 34, which did not present fistula. The patient had a history of severe bruxism, presenting extensive occlusal wear of all the dental elements and made use of a myorelaxing plate. Percussion and pulpar vitality tests were performed, reaching a final diagnosis of irreversible pulpitis, making it necessary to perform conventional pulpectomy as treatment. The endodontic treatment performed successfully attended the patient’s needs, starting with the pain relief and, so that the stomatognathic system could also be restored, he was referred to the clinic for oral rehabilitation.
Main Authors:Nogueira, Paula Lima
Other Authors:Lima, Filipe de Oliveira; Santos, Thallita Alves dos; Dantas, Maria Vitoria Oliveira; Araújo, Amanda da Silva; Silva, Quemuel Pereira da; Medeiros, Luanna Abílio Diniz Melquíades de; Penha, Elizandra Silva da; Rosendo, Rosana Araújo
Subject:Endodoncia Bruxismo Pulpite. Endodontia Bruxismo Pulpite. Endodontics Bruxism Pulpitis.
Year:2020
Country:Brazil
Document type:article
Access type:unknown
Associated institution:IBICT
Language:Portuguese
Origin:Oasisbr
Description
Summary:The objective was to report a case of endodontic treatment in a patient diagnosed with irreversible pulpitis presenting as a causative and aggravating factor severe bruxism. Patient G. L. A., a 55-year-old, military police officer, attended the clinic complaining of “toothache”, characterized by being localized, of long duration, moderate intensity and caused by thermal and masticatory stimuli. During the anamnesis, the patient reported to be allergic to dipyrone sodium and hypertensive, making use of Captopril®. During the intra-oral physical examination, was observed that the complaint was regarding the element 34, which did not present fistula. The patient had a history of severe bruxism, presenting extensive occlusal wear of all the dental elements and made use of a myorelaxing plate. Percussion and pulpar vitality tests were performed, reaching a final diagnosis of irreversible pulpitis, making it necessary to perform conventional pulpectomy as treatment. The endodontic treatment performed successfully attended the patient’s needs, starting with the pain relief and, so that the stomatognathic system could also be restored, he was referred to the clinic for oral rehabilitation.

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