Materiały źródłowe

• #1

  https://link.springer.com/article/10.1007/s40368-020-00545-7

  We aimed to evaluate the pooled prevalence of dental pain amongst children and adolescents. […] The prevalence of dental pain ranged from 1.33 to 87.8% in the included publications for quantitative synthesis (n=97). […] Overall pooled prevalence of dental pain was 32.7 (CI=29.6-35.9). […] Two out of ten children below five years, four out of ten children between 6 and 12 years and three out of ten adolescents between 13 and 18 years would have experienced pain in the past. Overall, three out of ten children or adolescents might have experienced dental pain in the past. […] Studies from Africa reported highest pooled prevalence (50.1%) with least being from Australia (20.7%). Studies from India (40.4%), China (41.3%) and Iran (42.6%) reported high pooled prevalence estimates of dental pain.

• #2 Prevalence of toothache and associated factors in children and adolescents: a systematic review and meta-analysis – PubMed

  https://pubmed.ncbi.nlm.nih.gov/34791550/

  Objectives: This systematic review aimed to determine the pooled prevalence of toothache in children and adolescents and to verify its association with sociodemographic characteristics and dental caries experience. […] The overall pooled prevalence of toothache in children and adolescents was 36.2% (95%CI: 33.0-39.42; I2: 99.72%; P 0.001). […] The certainty of the evidence was very low. […] Sociodemographic characteristics (sex and caregivers’ educational level) and previous dental caries experience were significantly associated with toothache reports. […] Toothache is still a recurrent issue in many countries. Thus, it is essential to understand its possible associated factors to reduce the occurrence of new episodes.

• #3

  https://link.springer.com/article/10.1007/s40368-020-00545-7

  We aimed to evaluate the pooled prevalence of dental pain amongst children and adolescents. […] The prevalence of dental pain ranged from 1.33 to 87.8% in the included publications for quantitative synthesis (n=97). […] Overall pooled prevalence of dental pain was 32.7 (CI=29.6-35.9). […] Two out of ten children below five years, four out of ten children between 6 and 12 years and three out of ten adolescents between 13 and 18 years would have experienced pain in the past. Overall, three out of ten children or adolescents might have experienced dental pain in the past. […] Studies from Africa reported highest pooled prevalence (50.1%) with least being from Australia (20.7%). Studies from India (40.4%), China (41.3%) and Iran (42.6%) reported high pooled prevalence estimates of dental pain.

• #4 2. Epidemiology of Orofacial Pain: Prevalence, Incidence, and Risk Factors | Pocket Dentistry

  https://pocketdentistry.com/2-epidemiology-of-orofacial-pain-prevalence-incidence-and-risk-factors/

  Epidemiology of Orofacial Pain: Prevalence, Incidence, and Risk Factors […] The aim is to provide an understanding of how epidemiologic data can contribute to clinical practice as well as to provide information on the rates of and risk factors for specific orofacial pain problems. […] Most of the epidemiologic data on chronic orofacial pain are prevalence data. […] Because caries is the most common cause of pain in the teeth, the prevalence of toothache in a population depends on the rate of caries and the factors that influence that rate, such as diet, social class, and levels of fluoride in the water supply. One US national study found an overall prevalence of 12.2% among adults for toothache in the preceding 6 months, with little difference in prevalence rates for men and women. […] A slightly higher prevalence was found in a survey of Toronto residents, where 14.1% of adults reported experiencing toothache in the previous 4 weeks. […] Toothache is likely the most common cause of orofacial pain among children; for example, a study of Australian schoolchildren found that about 12% had experienced at least one toothache before their fifth birthday, and almost one-third (31.8%) had experienced toothache by the age of 12 years.

• #5 Toothache and associated factors in Brazilian adults: a cross-sectional population-based study | BMC Oral Health | Full Text

  https://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-9-7

  Toothache is a dental public health problem and one of the predictors of dental attendance and it is strongly associated with the life quality of individuals. […] The prevalence of toothache was 18.0% (95% CI 16.0; 20.1). […] The prevalence of toothache in adults of Lages can be considered a major problem of dental public health. […] In Brazil (20023), toothache was reported by 35.7%, 34.8% and 22.2% of adolescents, adults and the elderly, respectively. […] Although toothache is a common symptom of dental diseases, significantly affecting individuals and the community, few population-based epidemiological studies have been carried out on this theme. […] The prevalence of toothache was associated with low per capita family income, consistent with other Brazilian studies which showed the association of dental problems with economic disadvantages.

• #6

  https://link.springer.com/article/10.1007/s40368-020-00545-7

  We aimed to evaluate the pooled prevalence of dental pain amongst children and adolescents. […] The prevalence of dental pain ranged from 1.33 to 87.8% in the included publications for quantitative synthesis (n=97). […] Overall pooled prevalence of dental pain was 32.7 (CI=29.6-35.9). […] Two out of ten children below five years, four out of ten children between 6 and 12 years and three out of ten adolescents between 13 and 18 years would have experienced pain in the past. Overall, three out of ten children or adolescents might have experienced dental pain in the past. […] Studies from Africa reported highest pooled prevalence (50.1%) with least being from Australia (20.7%). Studies from India (40.4%), China (41.3%) and Iran (42.6%) reported high pooled prevalence estimates of dental pain.

• #7 Toothache and its Determinants in 12-Year-Old Iranian Children: A Cross-sectional Study

  https://brieflands.com/articles/ijp-137363

  Toothache is a common condition among children that often leads to school absenteeism. However, there is limited information on the prevalence of toothache and its associated factors in Iranian children. […] This study aimed to assess the prevalence of toothache and related factors in 12-year-old Iranian children. […] The prevalence of toothache in children was high, with 41% (95% CI = 38.4, 43.5) of the children reporting toothache. Of the children who had a toothache, 12.8% missed 1 to 7 school days. The prevalence of toothache was significantly higher in children living in cities compared to those living in towns (P 0.001). Additionally, toothache prevalence had a significant association with the fathers educational level (P = 0.003) and the childrens toothbrushing and flossing practices (P 0.001).

• #8 Toothaches in the Daily Lives of Brazilian Adults

  https://www.mdpi.com/1660-4601/9/8/2587

  Toothache is one of the most frequent sources of pain in humans; because of failures to manage the social determinants and materials used to promote oral health, millions of people suffer from toothaches and an associated low quality of life. […] In Brazil, toothache is one of the main reasons people seek dental care. The most recent national data shows a 27% prevalence of toothache among Brazilian adults 35 to 44 years. […] The toothache prevalence was 24.3%, Confidence Interval (CI) was 21.1 to 27.9%. […] Regarding the components of toothache, 68.0% of the subjects had low access to emergency oral health care services through public, private, or health insurance providers. Regarding pain severity, 39.7% of the studied subjects had experienced intense pain and a higher number of days with toothaches compared with the other participants. Forty-seven percent (47.3%) of respondents reported that toothache had a high impact on their social/functional abilities. […] This study found a significant prevalence of toothaches (24.3%) in the studied population. Sixty-eight percent of the participants reported low access to dental service, 39.7% reported high pain severity, and 47.3% reported a high impact in social/functional abilities.

• #9 Managing tooth pain in general practice | SMJ

  http://www.smj.org.sg/article/managing-tooth-pain-general-practice

  Tooth pain is a common presentation in primary care, with 32.4% of Singaporeans experiencing pain from dental caries in their lifetime. […] Globally, up to 35% of people have untreated dental caries, and an estimated 32.4% of the Singapore population will experience pain from symptomatic dental caries in their lifetime. […] Oral disease is ranked 16th in terms of years lost to disability and has been an important cause of functional and social impairment. […] Primary care physicians need to keep in mind how chronic conditions and lifestyle factors may relate to oral conditions. […] This bidirectional relationship underscores the pivotal role that primary care physicians play in the prompt diagnosis, investigation and management of patients with oral conditions. […] The key decision point in managing patients with tooth pain is determining whether the pain is odontogenic or non-odontogenic in origin.

• #10 1 in 6 adults are affected by toothache | CBS

  https://www.cbs.nl/en-gb/news/2025/12/1-in-6-adults-are-affected-by-toothache

  1 in 6 adults are affected by toothache. In 2024, 16 percent of respondents said they had been affected by toothache in the previous 12 months. Adults who said they brush their teeth twice or more a day were less likely to be affected by toothache than those who brush once a day or less. Among people who perceive their oral health as poor or very poor, toothaches were five times more likely to occur than among those who perceive their oral health as good or very good: 50 percent versus 10 percent. Adults who brush their teeth twice or more a day were less likely to have experienced toothaches in the previous 12 months than adults who brush their teeth once a day: 15 versus 22 percent. People who wear dentures were less likely to report experiencing bleeding gums and tooth pain than those not using dentures. Among adults who have their own teeth, 75 percent rated their oral health as good or very good.

• #11

  https://link.springer.com/article/10.1007/s40368-020-00545-7

  We aimed to evaluate the pooled prevalence of dental pain amongst children and adolescents. […] The prevalence of dental pain ranged from 1.33 to 87.8% in the included publications for quantitative synthesis (n=97). […] Overall pooled prevalence of dental pain was 32.7 (CI=29.6-35.9). […] Two out of ten children below five years, four out of ten children between 6 and 12 years and three out of ten adolescents between 13 and 18 years would have experienced pain in the past. Overall, three out of ten children or adolescents might have experienced dental pain in the past. […] Studies from Africa reported highest pooled prevalence (50.1%) with least being from Australia (20.7%). Studies from India (40.4%), China (41.3%) and Iran (42.6%) reported high pooled prevalence estimates of dental pain.

• #12 Toothache – Wikipedia

  https://en.wikipedia.org/wiki/Toothache

  In the United States, an estimated 12% of people reported that they had a toothache at some point in the six months before questioning. […] Individuals aged 18-34 reported much higher rates toothache than those aged 75 or over. […] In a survey of Australian schoolchildren, 12% had experienced toothache before the age of five, and 32% by the age of 12. […] Toothache may occur at any age, in any gender and in any geographic region. […] Diagnosing and relieving toothache is considered one of the main responsibilities of dentists. […] Irreversible pulpitis is thought to be the most common reason that people seek emergency dental treatment. […] Since dental caries associated with pulpitis is the most common cause, toothache is more common in populations that are at higher risk of dental caries. […] The prevalence of caries in a population is dependent upon factors such as diet (refined sugars), socioeconomic status, and exposure to fluoride (such as areas without water fluoridation).

• #13 Toothache – Wikipedia

  https://en.wikipedia.org/wiki/Toothache

  In the United States, an estimated 12% of people reported that they had a toothache at some point in the six months before questioning. […] Individuals aged 18-34 reported much higher rates toothache than those aged 75 or over. […] In a survey of Australian schoolchildren, 12% had experienced toothache before the age of five, and 32% by the age of 12. […] Toothache may occur at any age, in any gender and in any geographic region. […] Diagnosing and relieving toothache is considered one of the main responsibilities of dentists. […] Irreversible pulpitis is thought to be the most common reason that people seek emergency dental treatment. […] Since dental caries associated with pulpitis is the most common cause, toothache is more common in populations that are at higher risk of dental caries. […] The prevalence of caries in a population is dependent upon factors such as diet (refined sugars), socioeconomic status, and exposure to fluoride (such as areas without water fluoridation).

• #14 2. Epidemiology of Orofacial Pain: Prevalence, Incidence, and Risk Factors | Pocket Dentistry

  https://pocketdentistry.com/2-epidemiology-of-orofacial-pain-prevalence-incidence-and-risk-factors/

  Epidemiology of Orofacial Pain: Prevalence, Incidence, and Risk Factors […] The aim is to provide an understanding of how epidemiologic data can contribute to clinical practice as well as to provide information on the rates of and risk factors for specific orofacial pain problems. […] Most of the epidemiologic data on chronic orofacial pain are prevalence data. […] Because caries is the most common cause of pain in the teeth, the prevalence of toothache in a population depends on the rate of caries and the factors that influence that rate, such as diet, social class, and levels of fluoride in the water supply. One US national study found an overall prevalence of 12.2% among adults for toothache in the preceding 6 months, with little difference in prevalence rates for men and women. […] A slightly higher prevalence was found in a survey of Toronto residents, where 14.1% of adults reported experiencing toothache in the previous 4 weeks. […] Toothache is likely the most common cause of orofacial pain among children; for example, a study of Australian schoolchildren found that about 12% had experienced at least one toothache before their fifth birthday, and almost one-third (31.8%) had experienced toothache by the age of 12 years.

• #15 Toothache – Wikipedia

  https://en.wikipedia.org/wiki/Toothache

  In the United States, an estimated 12% of people reported that they had a toothache at some point in the six months before questioning. […] Individuals aged 18-34 reported much higher rates toothache than those aged 75 or over. […] In a survey of Australian schoolchildren, 12% had experienced toothache before the age of five, and 32% by the age of 12. […] Toothache may occur at any age, in any gender and in any geographic region. […] Diagnosing and relieving toothache is considered one of the main responsibilities of dentists. […] Irreversible pulpitis is thought to be the most common reason that people seek emergency dental treatment. […] Since dental caries associated with pulpitis is the most common cause, toothache is more common in populations that are at higher risk of dental caries. […] The prevalence of caries in a population is dependent upon factors such as diet (refined sugars), socioeconomic status, and exposure to fluoride (such as areas without water fluoridation).

• #16 Classification and Epidemiology of Orofacial Pain | Pocket Dentistry

  https://pocketdentistry.com/classification-and-epidemiology-of-orofacial-pain/

  It is also reported that tooth-related disease and pain in children are inversely associated with educational levels of parents as well as educational levels of individuals. […] Gender association of toothache is difficult to conclude, with the association being inconsistent. […] Cracked or fractured tooth may be the reason for unexplained pain in a vital, amalgam-restored tooth. […] Among patients suffering from gum/periodontal diseases pain levels are minimum in those with gingivitis (6 %) and gradually increase as the disease progresses, manifesting periodontal pockets/loss of attachment (25 %). […] Acute periapical abscess as well as acute exacerbation of chronic periapical abscess resulting as a sequel of pulp necrosis invariably induce pain; pain may or may not be accompanied by swelling.

• #17 Dental Abscess: Practice Essentials, Pathophysiology, Etiology

  https://emedicine.medscape.com/article/909373-overview

  No race predilection is observed. […] No sex predilection is noted. […] Dental abscess is rare in infants because abscesses do not form until teeth erupt. In children, periapical abscess is the most common type of dental abscess. This is because of the combination of poor hygiene, thinner enamel, and the primary dentition having more abundant blood supply, which allows for an increased inflammatory response. In adults, periodontal abscess is more common than periapical abscess.

• #18

  https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2022/national-dental-epidemiology-programme-ndep-for-england-oral-health-survey-of-5-year-old-children-2022

  This report presents the results of the sixth National Dental Epidemiology Programme survey of 5 year old children in England, 2022. […] The survey reported here provides information on the prevalence of enamel caries and the prevalence and severity of experience of dentinal decay in 5 year old children attending mainstream, state-funded schools. […] In England, 23.7% of 5 year old children surveyed had experience of dentinal decay. […] The prevalence of experience of dentinal decay in 5 year olds in the most deprived 20% of areas of the country (35.1%) was 2.5 times as likely to have experience of dentinal decay as those in the least deprived 20% of areas (13.5%). […] The prevalence of experience of dentinal decay in 5 year olds varied by ethnic group and was significantly higher in the other ethnic group (44.8%) and the Asian or Asian British ethnic group (37.7%) than for other groups.

• #19 Toothache and associated factors in Brazilian adults: a cross-sectional population-based study | BMC Oral Health | Full Text

  https://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-9-7

  Toothache is a dental public health problem and one of the predictors of dental attendance and it is strongly associated with the life quality of individuals. […] The prevalence of toothache was 18.0% (95% CI 16.0; 20.1). […] The prevalence of toothache in adults of Lages can be considered a major problem of dental public health. […] In Brazil (20023), toothache was reported by 35.7%, 34.8% and 22.2% of adolescents, adults and the elderly, respectively. […] Although toothache is a common symptom of dental diseases, significantly affecting individuals and the community, few population-based epidemiological studies have been carried out on this theme. […] The prevalence of toothache was associated with low per capita family income, consistent with other Brazilian studies which showed the association of dental problems with economic disadvantages.

• #20 Toothache and associated factors in Brazilian adults: a cross-sectional population-based study | BMC Oral Health | Full Text

  https://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-9-7

  Visiting a dentist in the past 12 months was the protection factor for toothache, in agreement with other studies. […] The prevalence of toothache found in this study was 18.0%, very similar to the prevalence of 17.7% obtained in a population-based study carried out in Pelotas, Rio Grande do Sul State, Brazil. […] The association observed between toothache and problems with alcohol is consistent with other studies. […] The prevalence of toothache was associated with low per capita family income, consistent with other Brazilian studies which showed the association of dental problems with economic disadvantages.

• #21

  https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2022/national-dental-epidemiology-programme-ndep-for-england-oral-health-survey-of-5-year-old-children-2022

  This report presents the results of the sixth National Dental Epidemiology Programme survey of 5 year old children in England, 2022. […] The survey reported here provides information on the prevalence of enamel caries and the prevalence and severity of experience of dentinal decay in 5 year old children attending mainstream, state-funded schools. […] In England, 23.7% of 5 year old children surveyed had experience of dentinal decay. […] The prevalence of experience of dentinal decay in 5 year olds in the most deprived 20% of areas of the country (35.1%) was 2.5 times as likely to have experience of dentinal decay as those in the least deprived 20% of areas (13.5%). […] The prevalence of experience of dentinal decay in 5 year olds varied by ethnic group and was significantly higher in the other ethnic group (44.8%) and the Asian or Asian British ethnic group (37.7%) than for other groups.

• #22 Toothache and its Determinants in 12-Year-Old Iranian Children: A Cross-sectional Study

  https://brieflands.com/articles/ijp-137363

  Toothache is a common condition among children that often leads to school absenteeism. However, there is limited information on the prevalence of toothache and its associated factors in Iranian children. […] This study aimed to assess the prevalence of toothache and related factors in 12-year-old Iranian children. […] The prevalence of toothache in children was high, with 41% (95% CI = 38.4, 43.5) of the children reporting toothache. Of the children who had a toothache, 12.8% missed 1 to 7 school days. The prevalence of toothache was significantly higher in children living in cities compared to those living in towns (P 0.001). Additionally, toothache prevalence had a significant association with the fathers educational level (P = 0.003) and the childrens toothbrushing and flossing practices (P 0.001).

• #23 Classification and Epidemiology of Orofacial Pain | Pocket Dentistry

  https://pocketdentistry.com/classification-and-epidemiology-of-orofacial-pain/

  It is also reported that tooth-related disease and pain in children are inversely associated with educational levels of parents as well as educational levels of individuals. […] Gender association of toothache is difficult to conclude, with the association being inconsistent. […] Cracked or fractured tooth may be the reason for unexplained pain in a vital, amalgam-restored tooth. […] Among patients suffering from gum/periodontal diseases pain levels are minimum in those with gingivitis (6 %) and gradually increase as the disease progresses, manifesting periodontal pockets/loss of attachment (25 %). […] Acute periapical abscess as well as acute exacerbation of chronic periapical abscess resulting as a sequel of pulp necrosis invariably induce pain; pain may or may not be accompanied by swelling.

• #24 Toothache – Wikipedia

  https://en.wikipedia.org/wiki/Toothache

  In the United States, an estimated 12% of people reported that they had a toothache at some point in the six months before questioning. […] Individuals aged 18-34 reported much higher rates toothache than those aged 75 or over. […] In a survey of Australian schoolchildren, 12% had experienced toothache before the age of five, and 32% by the age of 12. […] Toothache may occur at any age, in any gender and in any geographic region. […] Diagnosing and relieving toothache is considered one of the main responsibilities of dentists. […] Irreversible pulpitis is thought to be the most common reason that people seek emergency dental treatment. […] Since dental caries associated with pulpitis is the most common cause, toothache is more common in populations that are at higher risk of dental caries. […] The prevalence of caries in a population is dependent upon factors such as diet (refined sugars), socioeconomic status, and exposure to fluoride (such as areas without water fluoridation).

• #25 Classification and Epidemiology of Orofacial Pain | Pocket Dentistry

  https://pocketdentistry.com/classification-and-epidemiology-of-orofacial-pain/

  Toothache (dental pain) is the most common amongst the causes of pain symptoms in the mouth, and this invariably affects quality of life. […] Epidemiological studies about dental pain are few, and hence it is difficult to infer its patterns. […] Dental pain is highly prevalent among children and is consistently associated with population levels of caries experience, the association being most apparent in lower socioeconomic groups with reduced access to care. […] Tooth-related pain is strongly correlated with untreated dental disease (dental decay); in addition, fractured teeth and exposed dentin due to attrition, erosion, and abrasion may also cause pain. […] Impacted third molars also cause pain; 23 % of partially erupted impacted third molars develop pain symptoms compared to 10 % of unerupted.

• #26 SciELO Brazil – Determinant factors of toothache in 8- and 9-year-old schoolchildren, Belo Horizonte, MG, Brazil Determinant factors of toothache in 8- and 9-year-old schoolchildren, Belo Horizonte, MG, Brazil

  https://www.scielo.br/j/bor/a/99LWfGJcxkX8J64KnHBPtrD/?lang=en

  The experience of toothache was associated with some pathological causes, principally dental and periodontal ones, or in other words, with a poor clinical oral condition. […] Children with these alterations presented a higher chance of having toothache than those without them. […] This study showed that a great group of children aged eight and nine years, in Belo Horizonte, MG, Brazil, has a high prevalence and impact of toothache, associated to social determinants and poorer conditions of oral health, suggesting the presence of a significant public health problem in the city.

• #27 Toothache and its Determinants in 12-Year-Old Iranian Children: A Cross-sectional Study

  https://brieflands.com/articles/ijp-137363

  Toothache is a common condition among children that often leads to school absenteeism. However, there is limited information on the prevalence of toothache and its associated factors in Iranian children. […] This study aimed to assess the prevalence of toothache and related factors in 12-year-old Iranian children. […] The prevalence of toothache in children was high, with 41% (95% CI = 38.4, 43.5) of the children reporting toothache. Of the children who had a toothache, 12.8% missed 1 to 7 school days. The prevalence of toothache was significantly higher in children living in cities compared to those living in towns (P 0.001). Additionally, toothache prevalence had a significant association with the fathers educational level (P = 0.003) and the childrens toothbrushing and flossing practices (P 0.001).

• #28 1 in 6 adults are affected by toothache | CBS

  https://www.cbs.nl/en-gb/news/2025/12/1-in-6-adults-are-affected-by-toothache

  1 in 6 adults are affected by toothache. In 2024, 16 percent of respondents said they had been affected by toothache in the previous 12 months. Adults who said they brush their teeth twice or more a day were less likely to be affected by toothache than those who brush once a day or less. Among people who perceive their oral health as poor or very poor, toothaches were five times more likely to occur than among those who perceive their oral health as good or very good: 50 percent versus 10 percent. Adults who brush their teeth twice or more a day were less likely to have experienced toothaches in the previous 12 months than adults who brush their teeth once a day: 15 versus 22 percent. People who wear dentures were less likely to report experiencing bleeding gums and tooth pain than those not using dentures. Among adults who have their own teeth, 75 percent rated their oral health as good or very good.

• #29 Toothache and associated factors in Brazilian adults: a cross-sectional population-based study | BMC Oral Health | Full Text

  https://bmcoralhealth.biomedcentral.com/articles/10.1186/1472-6831-9-7

  Visiting a dentist in the past 12 months was the protection factor for toothache, in agreement with other studies. […] The prevalence of toothache found in this study was 18.0%, very similar to the prevalence of 17.7% obtained in a population-based study carried out in Pelotas, Rio Grande do Sul State, Brazil. […] The association observed between toothache and problems with alcohol is consistent with other studies. […] The prevalence of toothache was associated with low per capita family income, consistent with other Brazilian studies which showed the association of dental problems with economic disadvantages.

• #30 Toothache Causes, Symptoms, Diagnosis and Treatment – Cura4U

  https://cura4u.com/conditions/toothache

  Poor oral hygiene is a significant factor that can affect your teeth in more than one way. […] Patients with diabetes, xerostomia, or immunocompromising diseases are at a high risk of developing tooth-related problems. […] Although toothache can be experienced at any age, research indicates that it is more commonly observed in individuals aged 18-35 years.

• #31

  https://revista.uepb.edu.br/PBOCI/article/view/1077

  Objective: To investigate the impacts of toothache on the daily activities of children aged 5 to 9 years. […] The prevalence of reported dental pain increased by increasing the number of reported dental visits and more strongly among those having dmft1. […] Toothache in children caused to stop eating (73.3%) and to sleep (63.8.1%) and provoked a dental visit in more than 40%. […] The toothache stopped many children eating and sleeping and provoked a dental visit in more than 40%. Among the children under study, 55.9% had to miss school.

• #32 Toothache and its Determinants in 12-Year-Old Iranian Children: A Cross-sectional Study

  https://brieflands.com/articles/ijp-137363

  Toothache is a common condition among children that often leads to school absenteeism. However, there is limited information on the prevalence of toothache and its associated factors in Iranian children. […] This study aimed to assess the prevalence of toothache and related factors in 12-year-old Iranian children. […] The prevalence of toothache in children was high, with 41% (95% CI = 38.4, 43.5) of the children reporting toothache. Of the children who had a toothache, 12.8% missed 1 to 7 school days. The prevalence of toothache was significantly higher in children living in cities compared to those living in towns (P 0.001). Additionally, toothache prevalence had a significant association with the fathers educational level (P = 0.003) and the childrens toothbrushing and flossing practices (P 0.001).

• #33 Common Dental Emergencies | AAFP

  https://www.aafp.org/pubs/afp/issues/2003/0201/p511.html

  Dental emergencies are extremely common in America. In one recent survey, 22 percent of the general population had experienced orofacial pain in the preceding six months, and 12 percent experienced toothache. […] In 1996, American students missed 1,611,000 school days because of acute dental problems.

• #34 Analysis of the interests of Google users on toothache information | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186059

  The World Health Organization (WHO) and the World Dental Federation (FDI) recommended the reduction of toothache as one of the priority issues in the Global Oral Health Promotion Agenda. […] Toothache is defined as an orofacial pain originated from a dental element and/or adjacent structures in consequence of several diseases or conditions, such as dental caries, periodontal disease, trauma, occlusal dysfunction, and abscess. […] It is more prevalent among socioeconomic deprived groups, affecting the sleep, feeding, school/work performance, and productivity; consequently, toothache negatively impacts the individuals quality of life. […] For these reasons, people suffering with toothache may access the Internet searching for useful advices for the self-management of pain, such as medication, home remedies and emergency dental care.

• #35 Toothaches in the Daily Lives of Brazilian Adults

  https://www.mdpi.com/1660-4601/9/8/2587

  Toothache is one of the most frequent sources of pain in humans; because of failures to manage the social determinants and materials used to promote oral health, millions of people suffer from toothaches and an associated low quality of life. […] In Brazil, toothache is one of the main reasons people seek dental care. The most recent national data shows a 27% prevalence of toothache among Brazilian adults 35 to 44 years. […] The toothache prevalence was 24.3%, Confidence Interval (CI) was 21.1 to 27.9%. […] Regarding the components of toothache, 68.0% of the subjects had low access to emergency oral health care services through public, private, or health insurance providers. Regarding pain severity, 39.7% of the studied subjects had experienced intense pain and a higher number of days with toothaches compared with the other participants. Forty-seven percent (47.3%) of respondents reported that toothache had a high impact on their social/functional abilities. […] This study found a significant prevalence of toothaches (24.3%) in the studied population. Sixty-eight percent of the participants reported low access to dental service, 39.7% reported high pain severity, and 47.3% reported a high impact in social/functional abilities.

• #36

  https://www.brjp.org.br/article/doi/10.63231/2595-0118.20250006-en

  Toothache is a marker of failure in care and resolution, and therefore it is an indicator of oral health surveillance in Primary Health Care (PHC). […] The objective of the present study was to analyze the toothache notification in PHC among the Brazilian states and geographic regions over ten years. […] The ecological study used secondary data extracted in April 2024 on toothache surveillance, through the Health Information System for Primary Care, referring to the annual data (January-December) from 2014 to 2023. […] In ten years, pain was reported in 46,514,494 teeth. […] The lowest annual rate was 2.63 teeth per 1,000 inhabitants/year in 2014, and the highest 35.81, in 2023. […] There was a percentage increase in toothache in Brazil, with the exception of 2020 (-23.3%). […] Toothache had a high rate of occurrence and an annual increase in PHC in Brazil, except for 2020, with marked disparities between states and Brazilian regions.

• #37 Prevalence estimates and associated factors for dental pain: a review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/15641499/

  Purpose: To assess the methodological quality of epidemiological studies on dental pain and review the published literature for its prevalence, and association with age, gender and socio-economic status. […] Results: 422 studies were identified, and 23 selected for review. Inter-rater agreement was high for all 8 criteria used (kappa 0.6). Methodological quality was poor with the number of criteria fulfilled by each study ranging from 1 to 6, median score 3. The prevalence estimates for 5 case definitions identified were: 'toothache’ 7-32%, 'pain in teeth with hot, cold or sweet things’ 25-38%, 'pain and discomfort needing medication or treatment’ 7-9%, 'pain or discomfort in the mouth, teeth or gums’ 19-66%, and 'oral and facial pain’ 40-44%. Younger subjects and those from lower socio-economic groups were more likely to report pain. Gender was not associated with dental pain. […] Conclusion: Epidemiological data on dental pain are sparse and of poor quality. There is a need for well-designed surveys using randomly selected community samples and standardized measurement criteria to fill this knowledge gap.

• #38 Prevalence estimates and associated factors for dental pain: a review – PubMed

  https://pubmed.ncbi.nlm.nih.gov/15641499/

  Purpose: To assess the methodological quality of epidemiological studies on dental pain and review the published literature for its prevalence, and association with age, gender and socio-economic status. […] Results: 422 studies were identified, and 23 selected for review. Inter-rater agreement was high for all 8 criteria used (kappa 0.6). Methodological quality was poor with the number of criteria fulfilled by each study ranging from 1 to 6, median score 3. The prevalence estimates for 5 case definitions identified were: 'toothache’ 7-32%, 'pain in teeth with hot, cold or sweet things’ 25-38%, 'pain and discomfort needing medication or treatment’ 7-9%, 'pain or discomfort in the mouth, teeth or gums’ 19-66%, and 'oral and facial pain’ 40-44%. Younger subjects and those from lower socio-economic groups were more likely to report pain. Gender was not associated with dental pain. […] Conclusion: Epidemiological data on dental pain are sparse and of poor quality. There is a need for well-designed surveys using randomly selected community samples and standardized measurement criteria to fill this knowledge gap.

• #39

  https://www.brjp.org.br/article/doi/10.63231/2595-0118.20250006-en

  Toothache is a marker of failure in care and resolution, and therefore it is an indicator of oral health surveillance in Primary Health Care (PHC). […] The objective of the present study was to analyze the toothache notification in PHC among the Brazilian states and geographic regions over ten years. […] The ecological study used secondary data extracted in April 2024 on toothache surveillance, through the Health Information System for Primary Care, referring to the annual data (January-December) from 2014 to 2023. […] In ten years, pain was reported in 46,514,494 teeth. […] The lowest annual rate was 2.63 teeth per 1,000 inhabitants/year in 2014, and the highest 35.81, in 2023. […] There was a percentage increase in toothache in Brazil, with the exception of 2020 (-23.3%). […] Toothache had a high rate of occurrence and an annual increase in PHC in Brazil, except for 2020, with marked disparities between states and Brazilian regions.

• #40 NCBI ROFL: Public health surveillance of dental pain via Twitter. | Discover Magazine

  https://www.discovermagazine.com/the-sciences/ncbi-rofl-public-health-surveillance-of-dental-pain-via-twitter

  „On Twitter, people answer the question, „What are you doing right now?” in no more than 140 characters. We investigated the content of Twitter posts meeting search criteria relating to dental pain. A set of 1000 tweets was randomly selected from 4859 tweets over 7 non-consecutive days. The content was coded using pre-established, non-mutually-exclusive categories, including the experience of dental pain, actions taken or contemplated in response to a toothache, impact on daily life, and advice sought from the Twitter community. After excluding ambiguous tweets, spam, and repeat users, we analyzed 772 tweets and calculated frequencies. Of the sample of 772 tweets, 83% (n = 640) were primarily categorized as a general statement of dental pain, 22% (n = 170) as an action taken or contemplated, and 15% (n = 112) as describing an impact on daily activities. Among the actions taken or contemplated, 44% (n = 74) reported seeing a dentist, 43% (n = 73) took an analgesic or antibiotic medication, and 14% (n = 24) actively sought advice from the Twitter community. Twitter users extensively share health information relating to dental pain, including actions taken to relieve pain and the impact of pain. This new medium may provide an opportunity for dental professionals to disseminate health information.”

• #41 'I’ve got #toothache’ | British Dental Journal

  https://www.nature.com/articles/sj.bdj.2011.735

  A new study published in the Journal of Dental Research (JDR) demonstrates that users of the social networking website Twitter are using the site to share experiences of toothache and seek advice from other 'tweeters’. […] The study, titled Public health surveillance of dental pain via Twitter, conducted by researchers from the University of California San Francisco (UCSF), investigated the content of Twitter posts meeting search criteria relating to dental pain. […] Eighty-three percent of 772 tweets analysed (ambiguous tweets, spam and repeat users were excluded) were primarily categorised as a statement of dental pain; 22% as an action taken or contemplated; and 15% as describing an impact on daily activities. […] 'This paper highlights the potential of using social media to collect public health data for research purposes,’ said JDR Editor-in-Chief William Giannobile. 'Utilising Twitter is an interesting, early state approach with potential impact in the assessment of large sets of population information.’

• #42 NCBI ROFL: Public health surveillance of dental pain via Twitter. | Discover Magazine

  https://www.discovermagazine.com/the-sciences/ncbi-rofl-public-health-surveillance-of-dental-pain-via-twitter

  „On Twitter, people answer the question, „What are you doing right now?” in no more than 140 characters. We investigated the content of Twitter posts meeting search criteria relating to dental pain. A set of 1000 tweets was randomly selected from 4859 tweets over 7 non-consecutive days. The content was coded using pre-established, non-mutually-exclusive categories, including the experience of dental pain, actions taken or contemplated in response to a toothache, impact on daily life, and advice sought from the Twitter community. After excluding ambiguous tweets, spam, and repeat users, we analyzed 772 tweets and calculated frequencies. Of the sample of 772 tweets, 83% (n = 640) were primarily categorized as a general statement of dental pain, 22% (n = 170) as an action taken or contemplated, and 15% (n = 112) as describing an impact on daily activities. Among the actions taken or contemplated, 44% (n = 74) reported seeing a dentist, 43% (n = 73) took an analgesic or antibiotic medication, and 14% (n = 24) actively sought advice from the Twitter community. Twitter users extensively share health information relating to dental pain, including actions taken to relieve pain and the impact of pain. This new medium may provide an opportunity for dental professionals to disseminate health information.”

• #43 Dental Challenges and the Needs of the Population during the Covid-19 Pandemic Period. Real-Time Surveillance Using Google Trends

  https://www.mdpi.com/1660-4601/17/23/8999

  During the lockdown, correlation analysis indicates the lowest public interest in the word “dentist” one week preceding the peak for “toothache”, followed by an increase in the word search for “dentist”. […] The surveillance shows significant changes in queries for dental-related terms during the course of the COVID-19 pandemic. […] This is the first study that has used the Google Trends queries concerning the subject of dental treatment needs during COVID-19 pandemic. […] The authors find this aspect very concerning. […] The figures clearly show the large impact of lockdown on reducing dental visits and amplify differences between countries, which are certainly related to the strategy of combating COVID-19. […] The evidence shows how dental-related queries changed significantly during the ongoing pandemic.

• #44 Dental Challenges and the Needs of the Population during the Covid-19 Pandemic Period. Real-Time Surveillance Using Google Trends

  https://ideas.repec.org/a/gam/jijerp/v17y2020i23p8999-d455393.html

  Background: The outbreak of the COVID-19 pandemic may lead to changes in the dental needs of the population and new challenges concerning oral health care. […] The surveillance shows significant changes in queries for dental-related terms during the course of the COVID-19 pandemic. […] Decrease in dentist queries during lockdown followed by an increase in toothache search predicts greater dental needs in the post-pandemic period.

• #45 Dental Challenges and the Needs of the Population during the Covid-19 Pandemic Period. Real-Time Surveillance Using Google Trends

  https://www.mdpi.com/1660-4601/17/23/8999

  During the lockdown, correlation analysis indicates the lowest public interest in the word “dentist” one week preceding the peak for “toothache”, followed by an increase in the word search for “dentist”. […] The surveillance shows significant changes in queries for dental-related terms during the course of the COVID-19 pandemic. […] This is the first study that has used the Google Trends queries concerning the subject of dental treatment needs during COVID-19 pandemic. […] The authors find this aspect very concerning. […] The figures clearly show the large impact of lockdown on reducing dental visits and amplify differences between countries, which are certainly related to the strategy of combating COVID-19. […] The evidence shows how dental-related queries changed significantly during the ongoing pandemic.

• #46 Analysis of the interests of Google users on toothache information | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186059

  The knowledge on health interests of a given population of Internet users might contribute to the increase of evidence on communitys dental needs, and consequently, to the improvement of public health planning. […] In this study, we aimed to characterize the interests on toothache information of Google users from the United States, United Kingdom, Australia and Brazil. […] The annual variation of observed and fitted RSV values was directly associated with the increase of toothache visits in the U.S. and urgent dental treatments in the U.K. […] Therefore, these findings indicate an increasing interest of Google users on toothache-related topics, regardless of country and season. The Internet activity can be used by policy makers as a complementary source of data for the development and implementation of strategies to control and prevent toothache complications.

• #47 Analysis of the interests of Google users on toothache information | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186059

  The knowledge on health interests of a given population of Internet users might contribute to the increase of evidence on communitys dental needs, and consequently, to the improvement of public health planning. […] In this study, we aimed to characterize the interests on toothache information of Google users from the United States, United Kingdom, Australia and Brazil. […] The annual variation of observed and fitted RSV values was directly associated with the increase of toothache visits in the U.S. and urgent dental treatments in the U.K. […] Therefore, these findings indicate an increasing interest of Google users on toothache-related topics, regardless of country and season. The Internet activity can be used by policy makers as a complementary source of data for the development and implementation of strategies to control and prevent toothache complications.

• #48 Dental Challenges and the Needs of the Population during the Covid-19 Pandemic Period. Real-Time Surveillance Using Google Trends

  https://www.mdpi.com/1660-4601/17/23/8999

  The SARS-CoV-2 pandemic has drastically affected dental practices all over the world. […] The transmission of the virus is relatively high in aerosols; these conditions are met at dental office. […] According to studies, thirty-eight percent fewer patients visited the dental urgent dental needs at the beginning of the COVID-19 pandemic than before. […] The fact that in the United States, from 1999 to 2015, the incidence of oral cancer increased by six percent may be alarming. […] Teledentistry should be taken into account as a possible solution to dental visits. […] Further studies with online search queries using Google Trends should be performed in order to investigate real time dental treatment needs during the ongoing worldwide pandemic.

• #49 Dental Challenges and the Needs of the Population during the Covid-19 Pandemic Period. Real-Time Surveillance Using Google Trends

  https://www.mdpi.com/1660-4601/17/23/8999

  The SARS-CoV-2 pandemic has drastically affected dental practices all over the world. […] The transmission of the virus is relatively high in aerosols; these conditions are met at dental office. […] According to studies, thirty-eight percent fewer patients visited the dental urgent dental needs at the beginning of the COVID-19 pandemic than before. […] The fact that in the United States, from 1999 to 2015, the incidence of oral cancer increased by six percent may be alarming. […] Teledentistry should be taken into account as a possible solution to dental visits. […] Further studies with online search queries using Google Trends should be performed in order to investigate real time dental treatment needs during the ongoing worldwide pandemic.

• #50 Dental Challenges and the Needs of the Population during the Covid-19 Pandemic Period. Real-Time Surveillance Using Google Trends

  https://www.mdpi.com/1660-4601/17/23/8999

  The SARS-CoV-2 pandemic has drastically affected dental practices all over the world. […] The transmission of the virus is relatively high in aerosols; these conditions are met at dental office. […] According to studies, thirty-eight percent fewer patients visited the dental urgent dental needs at the beginning of the COVID-19 pandemic than before. […] The fact that in the United States, from 1999 to 2015, the incidence of oral cancer increased by six percent may be alarming. […] Teledentistry should be taken into account as a possible solution to dental visits. […] Further studies with online search queries using Google Trends should be performed in order to investigate real time dental treatment needs during the ongoing worldwide pandemic.

• #51 The association between COVID-19-imposed lockdowns and online searches for toothache using Google Trends | medRxiv

  https://www.medrxiv.org/content/10.1101/2020.08.01.20157065v1.full-text

  Objective To assess the association between the lockdowns due to COVID-19 and global online searches for toothache using Google Trends (GT). […] The results of worldwide RSVs for toothache and tooth pain also showed significantly higher values in 2020 compared to the previous four years. Of 23 included countries in our study, 16 showed significantly increased RSVs during the lockdown period compared to the same periods in the past four years. […] Generally, the interest in toothache and tooth pain has significantly increased in 2020 compared to the last four years. This could implicitly reinforce the importance of dental care, as urgent medical care worldwide. […] Our study aimed to evaluate the association between COVID-19-imposed lockdowns and global online searches for toothache using GT.

• #52 The association between COVID-19-imposed lockdowns and online searches for toothache using Google Trends | medRxiv

  https://www.medrxiv.org/content/10.1101/2020.08.01.20157065v1.full-text

  Objective To assess the association between the lockdowns due to COVID-19 and global online searches for toothache using Google Trends (GT). […] The results of worldwide RSVs for toothache and tooth pain also showed significantly higher values in 2020 compared to the previous four years. Of 23 included countries in our study, 16 showed significantly increased RSVs during the lockdown period compared to the same periods in the past four years. […] Generally, the interest in toothache and tooth pain has significantly increased in 2020 compared to the last four years. This could implicitly reinforce the importance of dental care, as urgent medical care worldwide. […] Our study aimed to evaluate the association between COVID-19-imposed lockdowns and global online searches for toothache using GT.

• #53 Dental Challenges and the Needs of the Population during the Covid-19 Pandemic Period. Real-Time Surveillance Using Google Trends

  https://ideas.repec.org/a/gam/jijerp/v17y2020i23p8999-d455393.html

  Background: The outbreak of the COVID-19 pandemic may lead to changes in the dental needs of the population and new challenges concerning oral health care. […] The surveillance shows significant changes in queries for dental-related terms during the course of the COVID-19 pandemic. […] Decrease in dentist queries during lockdown followed by an increase in toothache search predicts greater dental needs in the post-pandemic period.

• #54 The association between COVID-19-imposed lockdowns and online searches for toothache using Google Trends | medRxiv

  https://www.medrxiv.org/content/10.1101/2020.08.01.20157065v1.full-text

  Among the primary set of 23 countries in our analyses, 16 presented statistically significant higher RSV values (with regard to our keywords) in 2020 compared to the mean RSV in the past 4 years. These results partly reinforce our hypothesis about the major role of COVID-19 pandemic on accessibility to dental service during the government-imposed curfews and lockdowns. […] Significant differences in online search terms relating to dental problems during COVID-19 pandemic compared to the recent years could ultimately express a necessity for a further online contribution of all oral healthcare professionals. Addressing dental healthcare provision as a highly-sought-after medical need would be another critical aspect of this study. Additionally, the governments expenditures on oral healthcare and the urban residency rate could be considered as essential factors affecting the care-seeking behaviour of the general population regarding toothache and/or tooth pain.

• #55 Toothache and its Determinants in 12-Year-Old Iranian Children: A Cross-sectional Study

  https://brieflands.com/articles/ijp-137363

  The high prevalence of toothache among Iranian children highlights the need for effective health interventions to control this condition. These interventions can focus on improving oral hygiene practices and increasing access to dental care in both urban and rural areas. […] Studies on the prevalence of toothache have identified some factors associated with toothache prevalence in 12-year-old children. These factors include dental caries, socioeconomic status, and parental awareness of childrens health conditions. […] In Iran, toothache is highly prevalent among children. […] The present study found that 41% [95%CI = (38.4, 43.5)] of 12-year-old students had experienced toothache in the past 6 months. This result highlights the high prevalence of toothache among schoolchildren in Iran, with a significant association with demographic, socioeconomic, and behavioral factors.

• #56 Analysis of the interests of Google users on toothache information | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186059

  The World Health Organization (WHO) and the World Dental Federation (FDI) recommended the reduction of toothache as one of the priority issues in the Global Oral Health Promotion Agenda. […] Toothache is defined as an orofacial pain originated from a dental element and/or adjacent structures in consequence of several diseases or conditions, such as dental caries, periodontal disease, trauma, occlusal dysfunction, and abscess. […] It is more prevalent among socioeconomic deprived groups, affecting the sleep, feeding, school/work performance, and productivity; consequently, toothache negatively impacts the individuals quality of life. […] For these reasons, people suffering with toothache may access the Internet searching for useful advices for the self-management of pain, such as medication, home remedies and emergency dental care.

• #57 Prevalence of toothache and associated factors in children and adolescents: a systematic review and meta-analysis – PubMed

  https://pubmed.ncbi.nlm.nih.gov/34791550/

  Objectives: This systematic review aimed to determine the pooled prevalence of toothache in children and adolescents and to verify its association with sociodemographic characteristics and dental caries experience. […] The overall pooled prevalence of toothache in children and adolescents was 36.2% (95%CI: 33.0-39.42; I2: 99.72%; P 0.001). […] The certainty of the evidence was very low. […] Sociodemographic characteristics (sex and caregivers’ educational level) and previous dental caries experience were significantly associated with toothache reports. […] Toothache is still a recurrent issue in many countries. Thus, it is essential to understand its possible associated factors to reduce the occurrence of new episodes.

• #58 SciELO Brazil – Determinant factors of toothache in 8- and 9-year-old schoolchildren, Belo Horizonte, MG, Brazil Determinant factors of toothache in 8- and 9-year-old schoolchildren, Belo Horizonte, MG, Brazil

  https://www.scielo.br/j/bor/a/99LWfGJcxkX8J64KnHBPtrD/?lang=en

  A cross-sectional study was carried out to determine the prevalence, severity and impact of toothache among schoolchildren associated with socio-demographic variables (gender, degree of maternal schooling, economic group, and oral health status). […] The prevalence of toothache was 45.9% (276/601), of which 15.6% (94/601) had occurred during the previous month. […] The prevalence of toothache found in the age group between 8 and 9 years is very high and associated to social determinants and poorer conditions of oral health. […] The majority of the children who were woken up at night because of pain were in less privileged economic situations, but its impact on their lives, measured as the ability to perform daily activities, was the same irrespective of economic status. […] This study showed that children aged eight and nine years, in Belo Horizonte, have a high prevalence of toothache, representing a significant public health problem for the city.

• #59

  https://www.gov.uk/government/statistics/oral-health-survey-of-5-year-old-children-2022/national-dental-epidemiology-programme-ndep-for-england-oral-health-survey-of-5-year-old-children-2022

  The oral health of 5 year olds did not change significantly from 2019 to 2022 in terms of prevalence (23.4% and 23.7% respectively), severity of experience of dentinal decay in all children (0.8 and 0.8) and severity of experience of dentinal decay in those children with any decay experience (3.4 and 3.5 teeth). […] The care index had worsened from 10.3% to 7.4%. […] Data from this survey will be used to update the dental indicator (percentage of 5 year olds with visually obvious dentinal decay) in the Public Health Outcomes Framework.

• #60 Paracetamol misusing to dental pain: a case-report and recommandations for treatment | Journal of Oral Medicine and Oral Surgery

  https://www.jomos.org/articles/mbcb/full_html/2021/04/mbcb210095/mbcb210095.html

  Patients self-medicating with paracetamol for dental pain had 12.8 more times lead to overdose than patients with other pains. […] The aim of this paper is to discuss the epidemiology, triggers, clinical and biological symptoms, as well as the treatment in order to propose a treatment regimen of acute paracetamol overdosing in dentistry. […] In the United Kingdom, paracetamol overdose is one of the leading causes of liver failure. […] It appears there is a significant lack of knowledge among practitioners about the critical threshold for paracetamol ingestion and drug combinations containing paracetamol, as well as among the general population about the risks of overdose. […] Information campaigns and warning articles on overdosing risk must be continued in order to strengthen the prevention message for the population.

• #61 Paracetamol misusing to dental pain: a case-report and recommandations for treatment | Journal of Oral Medicine and Oral Surgery

  https://www.jomos.org/articles/mbcb/full_html/2021/04/mbcb210095/mbcb210095.html

  Patients self-medicating with paracetamol for dental pain had 12.8 more times lead to overdose than patients with other pains. […] The aim of this paper is to discuss the epidemiology, triggers, clinical and biological symptoms, as well as the treatment in order to propose a treatment regimen of acute paracetamol overdosing in dentistry. […] In the United Kingdom, paracetamol overdose is one of the leading causes of liver failure. […] It appears there is a significant lack of knowledge among practitioners about the critical threshold for paracetamol ingestion and drug combinations containing paracetamol, as well as among the general population about the risks of overdose. […] Information campaigns and warning articles on overdosing risk must be continued in order to strengthen the prevention message for the population.

• #62 Paracetamol misusing to dental pain: a case-report and recommandations for treatment | Journal of Oral Medicine and Oral Surgery

  https://www.jomos.org/articles/mbcb/full_html/2021/04/mbcb210095/mbcb210095.html

  Patients self-medicating with paracetamol for dental pain had 12.8 more times lead to overdose than patients with other pains. […] The aim of this paper is to discuss the epidemiology, triggers, clinical and biological symptoms, as well as the treatment in order to propose a treatment regimen of acute paracetamol overdosing in dentistry. […] In the United Kingdom, paracetamol overdose is one of the leading causes of liver failure. […] It appears there is a significant lack of knowledge among practitioners about the critical threshold for paracetamol ingestion and drug combinations containing paracetamol, as well as among the general population about the risks of overdose. […] Information campaigns and warning articles on overdosing risk must be continued in order to strengthen the prevention message for the population.

• #63 Paracetamol misusing to dental pain: a case-report and recommandations for treatment | Journal of Oral Medicine and Oral Surgery

  https://www.jomos.org/articles/mbcb/full_html/2021/04/mbcb210095/mbcb210095.html

  Patients self-medicating with paracetamol for dental pain had 12.8 more times lead to overdose than patients with other pains. […] The aim of this paper is to discuss the epidemiology, triggers, clinical and biological symptoms, as well as the treatment in order to propose a treatment regimen of acute paracetamol overdosing in dentistry. […] In the United Kingdom, paracetamol overdose is one of the leading causes of liver failure. […] It appears there is a significant lack of knowledge among practitioners about the critical threshold for paracetamol ingestion and drug combinations containing paracetamol, as well as among the general population about the risks of overdose. […] Information campaigns and warning articles on overdosing risk must be continued in order to strengthen the prevention message for the population.

• #64 Managing tooth pain in general practice | SMJ

  http://www.smj.org.sg/article/managing-tooth-pain-general-practice

  A Cochrane review recommends that antibiotics are indicated when there is clinical evidence of systemic (e.g. fever or malaise) or local spread of dental infection (e.g. cellulitis, lymphadenopathy or diffused swelling). […] Antibiotics have a limited role in the treatment of dental infection without spread: the evidence has not shown that antibiotics reduce pain or prevent subsequent dental infections when there is no evidence of spread. […] Despite this, the reported rate of antibiotic prescription in primary care patients with odontogenic pain in the United Kingdom has been disproportionately high at 57%.

• #65 Managing tooth pain in general practice | SMJ

  http://www.smj.org.sg/article/managing-tooth-pain-general-practice

  A Cochrane review recommends that antibiotics are indicated when there is clinical evidence of systemic (e.g. fever or malaise) or local spread of dental infection (e.g. cellulitis, lymphadenopathy or diffused swelling). […] Antibiotics have a limited role in the treatment of dental infection without spread: the evidence has not shown that antibiotics reduce pain or prevent subsequent dental infections when there is no evidence of spread. […] Despite this, the reported rate of antibiotic prescription in primary care patients with odontogenic pain in the United Kingdom has been disproportionately high at 57%.

• #66 Managing tooth pain in general practice | SMJ

  http://www.smj.org.sg/article/managing-tooth-pain-general-practice

  A Cochrane review recommends that antibiotics are indicated when there is clinical evidence of systemic (e.g. fever or malaise) or local spread of dental infection (e.g. cellulitis, lymphadenopathy or diffused swelling). […] Antibiotics have a limited role in the treatment of dental infection without spread: the evidence has not shown that antibiotics reduce pain or prevent subsequent dental infections when there is no evidence of spread. […] Despite this, the reported rate of antibiotic prescription in primary care patients with odontogenic pain in the United Kingdom has been disproportionately high at 57%.

• #67 Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be? | JCDA

  https://jcda.ca/o2

  Patients with recurrent or persistent dentoalveolar pain usually believe that endodontic treatment or extracting a tooth will alleviate it, and most cannot conceive that the pain might not be tooth related. […] The decision to provide dental treatment is justified only when definitive peripheral mechanisms driving the pain are uncovered and the multitude of factors that might contribute to the various presentations of persistent dental pain have been considered. […] The failure of dentoalveolar pain to respond to multiple dental treatments suggests that another dental procedure is not likely to relieve it. A non-dental etiology should then be suspected, whether it is from a proximal or distal source. […] About 1 in 15-20 patients receiving endodontic treatment is at risk of persistent tooth pain despite adequate endodontic treatment, with at least half thought to have a nonodontogenic source.

• #68 Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be? | JCDA

  https://jcda.ca/o2

  Patients with recurrent or persistent dentoalveolar pain usually believe that endodontic treatment or extracting a tooth will alleviate it, and most cannot conceive that the pain might not be tooth related. […] The decision to provide dental treatment is justified only when definitive peripheral mechanisms driving the pain are uncovered and the multitude of factors that might contribute to the various presentations of persistent dental pain have been considered. […] The failure of dentoalveolar pain to respond to multiple dental treatments suggests that another dental procedure is not likely to relieve it. A non-dental etiology should then be suspected, whether it is from a proximal or distal source. […] About 1 in 15-20 patients receiving endodontic treatment is at risk of persistent tooth pain despite adequate endodontic treatment, with at least half thought to have a nonodontogenic source.

• #69 Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be? | JCDA

  https://jcda.ca/o2

  Patients with recurrent or persistent dentoalveolar pain usually believe that endodontic treatment or extracting a tooth will alleviate it, and most cannot conceive that the pain might not be tooth related. […] The decision to provide dental treatment is justified only when definitive peripheral mechanisms driving the pain are uncovered and the multitude of factors that might contribute to the various presentations of persistent dental pain have been considered. […] The failure of dentoalveolar pain to respond to multiple dental treatments suggests that another dental procedure is not likely to relieve it. A non-dental etiology should then be suspected, whether it is from a proximal or distal source. […] About 1 in 15-20 patients receiving endodontic treatment is at risk of persistent tooth pain despite adequate endodontic treatment, with at least half thought to have a nonodontogenic source.

• #70 Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be? | JCDA

  https://jcda.ca/o2

  Patients with recurrent or persistent dentoalveolar pain usually believe that endodontic treatment or extracting a tooth will alleviate it, and most cannot conceive that the pain might not be tooth related. […] The decision to provide dental treatment is justified only when definitive peripheral mechanisms driving the pain are uncovered and the multitude of factors that might contribute to the various presentations of persistent dental pain have been considered. […] The failure of dentoalveolar pain to respond to multiple dental treatments suggests that another dental procedure is not likely to relieve it. A non-dental etiology should then be suspected, whether it is from a proximal or distal source. […] About 1 in 15-20 patients receiving endodontic treatment is at risk of persistent tooth pain despite adequate endodontic treatment, with at least half thought to have a nonodontogenic source.

• #71 Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be? | JCDA

  https://jcda.ca/o2

  Nonodontogenic toothaches can result from a variety of disorders or conditions, including musculoskeletal disorders of the masticatory or neck muscles, neurovascular/primary headache disorders, pathologic processes outside the immediate dentoalveolar or facial regions that refer or project pain to the teeth, and trigeminal neuropathic pain disorders. […] The lack of evidence for a dental source should prompt the dentist to consider a secondary dental pain (heterotopic toothache) from non-dental sources. […] Among the clues suggesting a non-dental persistent toothache are a history of multiple unsuccessful treatments, tooth pain persisting 3 months and ominous unusual presenting symptoms. […] Patients with persistent dentoalveolar pain in the absence of a dental cause, and more specifically patients with post-traumatic trigeminal neuropathic pain or persistent idiopathic dentoalveolar pain, require a multidisciplinary approach that addresses such comorbidities as depression, anxiety, somatic awareness, pain catastrophizing and poor sleep.

• #72 Persistent Toothache Despite Multiple Dental-related Treatments: How Could this Be? | JCDA

  https://jcda.ca/o2

  Nonodontogenic toothaches can result from a variety of disorders or conditions, including musculoskeletal disorders of the masticatory or neck muscles, neurovascular/primary headache disorders, pathologic processes outside the immediate dentoalveolar or facial regions that refer or project pain to the teeth, and trigeminal neuropathic pain disorders. […] The lack of evidence for a dental source should prompt the dentist to consider a secondary dental pain (heterotopic toothache) from non-dental sources. […] Among the clues suggesting a non-dental persistent toothache are a history of multiple unsuccessful treatments, tooth pain persisting 3 months and ominous unusual presenting symptoms. […] Patients with persistent dentoalveolar pain in the absence of a dental cause, and more specifically patients with post-traumatic trigeminal neuropathic pain or persistent idiopathic dentoalveolar pain, require a multidisciplinary approach that addresses such comorbidities as depression, anxiety, somatic awareness, pain catastrophizing and poor sleep.

• #73 Orofacial Pain and Toothache as the Sole Symptom of an Acute Myocardial Infarction Entails a Major Risk of Misdiagnosisand Death

  https://www.jofph.com/articles/10.11607/ofph.2480

  Patients with myocardial infarction presenting without chest pain run a higher risk of death due to missed diagnosis and subsequently a significantly greater delay between the onset of symptoms and arrival at the hospital. […] Up to 4% of myocardial infarction patients experience pain solely in the orofacial structures, women more often than men. […] Health care professionals and the general public should be aware of the possibility of myocardial infarction presenting with orofacial pain, toothache, or ear/temporomandibular joint pain as the only symptom.

• #74 Orofacial Pain and Toothache as the Sole Symptom of an Acute Myocardial Infarction Entails a Major Risk of Misdiagnosisand Death

  https://www.jofph.com/articles/10.11607/ofph.2480

  Patients with myocardial infarction presenting without chest pain run a higher risk of death due to missed diagnosis and subsequently a significantly greater delay between the onset of symptoms and arrival at the hospital. […] Up to 4% of myocardial infarction patients experience pain solely in the orofacial structures, women more often than men. […] Health care professionals and the general public should be aware of the possibility of myocardial infarction presenting with orofacial pain, toothache, or ear/temporomandibular joint pain as the only symptom.

• #75 Orofacial Pain and Toothache as the Sole Symptom of an Acute Myocardial Infarction Entails a Major Risk of Misdiagnosisand Death

  https://www.jofph.com/articles/10.11607/ofph.2480

  Patients with myocardial infarction presenting without chest pain run a higher risk of death due to missed diagnosis and subsequently a significantly greater delay between the onset of symptoms and arrival at the hospital. […] Up to 4% of myocardial infarction patients experience pain solely in the orofacial structures, women more often than men. […] Health care professionals and the general public should be aware of the possibility of myocardial infarction presenting with orofacial pain, toothache, or ear/temporomandibular joint pain as the only symptom.

• #76 Analysis of the interests of Google users on toothache information | PLOS One

  https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0186059

  The preliminary 12-month forecasts displayed significant increments of RSV toothache values in the U.S. (6.04%), U.K. (4.56%), Australia (3.26%) and Brazil (7.10%). […] The toothache statistics presented for the total population of the U.S. and adult population of the U.S. and U.K. were stronger correlated with RSV toothache values than other population groups. […] The abundance of Google Trends data enables the development of good fitted forecasting models for the prediction of health interests of specific populations in a near future, overcoming the expected delay for the production and publication of dental statistics. […] In conclusion, Google users from the U.S., U.K., Australia and Brazil demonstrated an increasing interest for toothache information, despite of media influence.

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