26/12/2025
From postoperative till preoperative
๐ฅ๐๐ง, #๐๐ ๐ฐ๐ข๐ญ๐ก ๐๐๐, ๐๐,๐๐ ( ๐๐ฎ๐ซ๐ฏ๐๐ ) & ๐๐ ๐ฆท๐จโ๐จ
A 22-year-old male presented with severe pain in the lower left jaw. The pain started spontaneously without any clear trigger and gradually became constant. It was intense, sharp, and worse at night, preventing the patient from sleeping. Hot and cold stimuli increased the pain, and the discomfort persisted even after the stimulus was removed. Chewing on the left side made the pain stronger.
After a few days, the pain began to radiate toward the ear and jaw, making it difficult for the patient to identify the exact tooth at first. Swelling then appeared in the area, followed by a bad taste in the mouth. The patient later noticed pus discharge near the tooth. Analgesics provided only temporary relief, with the pain returning more severe each time.
Clinical examination confirmed irreversible pulpitis with acute infection in tooth 36, the lower left first molar. This case highlights how untreated dental pain can quickly progress from pulp inflammation to active infection.
fyp