🌸Case report:
The patient is a 36-year-old man in good health with a chief complaint of intermittent severe pain that started suddenly 3 days ago 🌟following dinner🌟. He has excellent oral hygiene and numerous satisfactory dental restorations. The patient points to posterior teeth on the left side of the mandible while describing the pain. Pain is provoked by 🌟finger pressure🌟 against the left mandibular first molar. It has a deep composite restoration. There are no significant extra or intraoral findings.
هذه مفاتيح تعطينا انطباع ان الالم بسبب كسر 🌟fracture🌟
🌷Clues :
✨ Sudden onset of severe pain following mastication.
✨ Acute sensitivity to pressure
لاحظوا هذه المفاتيح👆👆👆
وكيف تم استخدام ادوات تشخيص مناسبة للتأكد 👇👇👇👇
After Periapical and bitewing radiographs and clinical and sensibility tests in the left mandibular and maxillary quadrants and using
✨✨trransillumination with a fiber optic light source test in this situation ✨✨
✨ Staining with methylene blue may indicate fracture line. ✨
✨✨A wooden bite block can be used to evaluate the possibility of a fracture✨✨
مثل ماشرحنا من قبل انه bite pressure test
يستخدم في حال هناك الم وقت المضغ
واثناء هذا الاختبار لاحظوا 👇
sharp pain on closure or release of the bite is a symptom
وتم التأكد من ذلك 👇
🌟 cone beam radiograph may reveal a fracture .⭐️
>>Click here to continue<<