Barodontalgia

Infobox_Disease
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ICD10 = W94
ICD9 = ICD9|993.2
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Barodontalgia, commonly known as tooth squeeze and previously known as aerodontalgia, is a pain in tooth caused by a change in atmospheric pressure. The pain usually ceases at ground level.cite journal |author=Robichaud R, McNally ME |title=Barodontalgia as a differential diagnosis: symptoms and findings |journal=J Can Dent Assoc |volume=71 |issue=1 |pages=39–42 |year=2005 |month=January |pmid=15649340 |doi= |url=http://www.cda-adc.ca/jcda/vol-71/issue-1/39.html |accessdate=2008-07-19] [cite journal |author=Rauch JW |title=Barodontalgia--dental pain related to ambient pressure change |journal=Gen Dent |volume=33 |issue=4 |pages=313–5 |year=1985 |pmid=2863194 |doi= |url= |accessdate=] [cite journal |author=Weiner R |title=Barodontalgia: caught between the clouds and the waves |journal=J Mass Dent Soc |volume=51 |issue=3 |pages=46–9 |year=2002 |pmid=12380041 |doi= |url= |accessdate=] The most common victims are SCUBA divers (because in deep dives pressures can increase by several atmospheres) and military pilots (because of rapid changes).cite book |title=Bennett and Elliott's physiology and medicine of diving, 5th Rev ed. |last=Brubakk |first=A. O. |coauthors=T. S. Neuman |year=2003 |publisher=Saunders Ltd. |location=United States |isbn=0702025712 |pages=800 ] [cite journal |author=Lyons KM, Rodda JC, Hood JA |title=Barodontalgia: a review, and the influence of simulated diving on microleakage and on the retention of full cast crowns |journal=Mil Med |volume=164 |issue=3 |pages=221–7 |year=1999 |month=March |pmid=10091498 |doi= |url= |accessdate=] cite book |title=Fundamentals Of Aerospace Medicine: Translating Research Into Clinical Applications, 3rd Rev Ed. |last=Dehart |first=R. L. |coauthors=J. R. Davis |year=2002 |publisher=Lippincott Williams And Wilkins |location=United States |isbn=9780781728980 |pages=720 ] [cite journal |author=Gonzalez Santiago Mdel M, Martinez-Sahuquillo Marquez A, Bullón-Fernández P |title=Incidence of barodontalgias and their relation to oral/ dental condition in personnel with responsibility in military flight |journal=Med Oral |volume=9 |issue=2 |pages=98–105, 92–8 |year=2004 |pmid=14990875 |doi= |url=http://www.medicinaoral.com/medoralfree/v9i2/medoralv9i2p98.pdf |accessdate=2008-07-19] In pilots, barodontalgia may be severe enough to cause premature cessation of flights.cite journal |author=Zadik Y, Chapnik L, Goldstein L |title=In-flight barodontalgia: analysis of 29 cases in military aircrew |journal=Aviat Space Environ Med |volume=78 |issue=6 |pages=593–6 |year=2007 |month=June |pmid=17571660 |doi= |url=http://docserver.ingentaconnect.com/deliver/connect/asma/00956562/v78n6/s9.pdf?expires=1220610157&id=45798670&titleid=8218&accname=Guest+User&checksum=C005DA5CE0649803952CB0147F841704 |accessdate=2008-07-16] Most of the available data regarding barodontalgia is derived from high-altitude chamber simulations rather than actual flights. Barodontalgia prevalence was between 0.7% and 2% in the 1940s, and 0.3% in the 1960s.

Similarly, cases of barodontalgia were reported in 0.3% of high altitude-chamber simulations in the German Luftwaffe. [cite journal |author=Goethe WH, Bäter H, Laban C |title=Barodontalgia and barotrauma in the human teeth: findings in navy divers, frogmen, and submariners of the Federal Republic of Germany |journal=Mil Med |volume=154 |issue=10 |pages=491–5 |year=1989 |month=October |pmid=2515472 |doi= |url= |accessdate=]

The rate of barodontalgia was about 1 case per 100 flight-years in the Israeli Air Force. During War World II, about one-tenth of American aircrews had one or more episodes of barodontalgia.^{Reference needed} In a recent study, 8.2% of 331 Israeli Air Force aircrews, reported at least one episode of barodontalgia.

Barodontalgia is a symptom of dental disease, for example inflammatory cyst in the mandible. [cite journal |author=Zadik Y |title=Barodontalgia due to odontogenic inflammation in the jawbone |journal=Aviat Space Environ Med |volume=77 |issue=8 |pages=864–6 |year=2006 |month=August |pmid=16909883 |doi= |url=http://docserver.ingentaconnect.com/deliver/connect/asma/00956562/v77n8/s13.pdf?expires=1220610132&id=45798666&titleid=8218&accname=Guest+User&checksum=05AC4B2C3B5F80F385A9997C7E48BE9E |accessdate=2008-07-16]

Classification

The Fédération dentaire internationale describes 4 classes of barodontalgia. The classes are based on signs and symptoms. They also provide specific and valuable recommendations for therapeutic intervention.

See also

* Barotrauma
* Toothache

References