Please use this identifier to cite or link to this item: https://doi.org/10.11622/smedj.2019044
Title: Managing tooth pain in general practice
Authors: Koh, Sky Wei Chee
Li, Chun Fai
LOH SER PHENG JOHN 
WONG MUN LOKE 
LOH WENG KEONG VICTOR 
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
dental care
facial pain
general practice
primary health care
toothache
MEDICATION-RELATED OSTEONECROSIS
MANAGEMENT
Issue Date: 1-May-2019
Publisher: SINGAPORE MEDICAL ASSOC
Citation: Koh, Sky Wei Chee, Li, Chun Fai, LOH SER PHENG JOHN, WONG MUN LOKE, LOH WENG KEONG VICTOR (2019-05-01). Managing tooth pain in general practice. SINGAPORE MEDICAL JOURNAL 60 (5) : 224-227. ScholarBank@NUS Repository. https://doi.org/10.11622/smedj.2019044
Abstract: Tooth pain is a common presentation in primary care, with 32.4% of Singaporeans experiencing pain from dental caries in their lifetime. Some systemic conditions can have oral presentations, and oral conditions may be associated with chronic disease. A good history and examination is key in delineating odontogenic from non-odontogenic causes of tooth pain. Primary care physicians should accurately diagnose and assess common dental conditions and make appropriate referrals to the dentist. Common non-odontogenic causes of orofacial pain can be mostly managed in primary care, but important diagnoses such as acute coronary syndrome, peritonsillar abscess and temporal arteritis must not be missed. Ibuprofen has been shown to be effacious, safe and cost-effective in managing odontogenic pain. Antibiotics are indicated when there is systemic or local spread of dental infection. Without evidence of spread, antibiotics have not been shown to reduce pain or prevent subsequent dental infections.
Source Title: SINGAPORE MEDICAL JOURNAL
URI: https://scholarbank.nus.edu.sg/handle/10635/162768
ISSN: 0037-5675
DOI: 10.11622/smedj.2019044
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