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- Dec 26, 2023
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I translated this story from German. Download pdf here: https://www.audioreviews.org/wp-content/uploads/2024/03/The-Hollow-Tooth-1.pdf
Diagnosis by Türp et al. (2014):
Typical toothache symptoms described in fiction (here: Wilhelm Busch: "Der hohle Zahn". Münchener Bilderbogen, 1862): 1. pain trigger: chewing (biting down on a "hard lump"); 2. pain duration: long-lasting; 3. Pain intensity: furious, presumably due to irritation of C-fibers, the affected person writhes in pain, it is not possible to continue eating, instead there is an urge to move; 4. cause of pain/local previous damage: presumably caries ("hollow tooth"); 5. other symptoms: swelling of the cheek. The symptoms lead to the suspected diagnosis of "pulp necrosis with progressing apical periodontitis or apical abscess".
Diagnosis by Türp et al. (2014):
Typical toothache symptoms described in fiction (here: Wilhelm Busch: "Der hohle Zahn". Münchener Bilderbogen, 1862): 1. pain trigger: chewing (biting down on a "hard lump"); 2. pain duration: long-lasting; 3. Pain intensity: furious, presumably due to irritation of C-fibers, the affected person writhes in pain, it is not possible to continue eating, instead there is an urge to move; 4. cause of pain/local previous damage: presumably caries ("hollow tooth"); 5. other symptoms: swelling of the cheek. The symptoms lead to the suspected diagnosis of "pulp necrosis with progressing apical periodontitis or apical abscess".