🌸Case report :
A 42-year-old female patient presents with
✨chief complaint of:
low-level, intermittent pain, of 6 months duration.
She states that she can isolate the pain to the mandibular right first molar.
✨Medical history : normal
✨Dental history :
Numerous composite restorations, and she has good oral hygiene and no serious periodontal disease.
The mandibular right first molar has a class 2 composite restoration of moderate depth.
She is able to masticate without difficulty.
A previous extraction of the maxillary right first molar occurred 2 years ago due to failed root canal treatment. The root canal therapy on that tooth was done in an attempt to alleviate pain in that area.
🌟🌟Despite the extraction the patient describes continuing pain in that area as well as the opposing mandibular tooth.🌟🌟 .
✨Chief complain history :
She describes the current pain as intense burning that starts in her tooth but then causes a severe headache. When asked what provokes the pain, the patient responds that it occurs spontaneously
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