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🌸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 .⭐️

🌸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 .⭐️


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