title: Pathophysiology of barodontalgia: a case report and review of the literature.
abstract: Changes in ambient pressure occur during flying, diving, or hyperbaric oxygen therapy and can cause different types of pathophysiological conditions and pain including toothache (barodontalgia). We report the case of a patient with severe pain in the region of his mandibular left first molar, which had been satisfactorily restored with a conservative restoration. Pain occurred during an airplane flight and persisted after landing. Radiology revealed a periapical radiolucency in the region of the distal root apex. Pain relief was achieved only after endodontic treatment. On the basis of this paper, we investigated the aetiology and management of barodontalgia. Dentists should advise patients to avoid exposure to pressure changes until all necessary surgical, conservative, and prosthetic procedures have been completed. The influence of pressure divergences should be noted at any time. Under changed environment pressures may be the changing perception of pathologies.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Hanover Medical School, Carl-Neuberg-Straße 1, 30625 Hanover, Germany.
authors.forename: Marcus
authors.initials: M
authors.lastname: Stoetzer
authors.forename: Christoph
authors.initials: C
authors.lastname: Kuehlhorn
authors.forename: Martin
authors.initials: M
authors.lastname: Ruecker
authors.forename: Dirk
authors.initials: D
authors.lastname: Ziebolz
authors.forename: Nils Claudius
authors.initials: NC
authors.lastname: Gellrich
authors.forename: Constantin
authors.initials: C
authors.lastname: von See