BARODONTALGIA: A INDERMINATE PAINFUL CONDITION

Öz

Barodontalgia is an oral pain condition that appears as a result of the pressure changes which becomes evident during ascending in flying and descending in diving. It may has a dental origin or not. It may beevident not only during flight or diving, but also during the usage of the pressure for treatment and sport activities like mountain climbing. The mechanism of barodontalgia is still not well known. It may engender undesirable conditions which can compromise the flight. Barodontalgia comes into existence in the presence of the conditions like carious lesions, huge and defective restorations, pulpal inflammation, perapical pathologies, dental cyst, sinusitis, and recent surgical interventions. It is impossible to recreate barodontalgia in clinical conditions. In this review article it was aimed to introduce a pain condition which is infrequent but has a potential of encountering by dentists, and to present its clinical conditions, mechanism, diagnostic criteria, etiology, and treatment options

Anahtar Kelimeler

• Aerodontalgia, Barodontalgia

BARODONTALJİ: AZ BİLİNEN BİR AĞRI DURUMU

Öz

Barodontalji,  uçuş sırasında irtifa alma veya dalış sırasında irtifa kaybetme nedeniyle ortaya çıkan basınç değişimleri sonucugörülen (dental kaynaklı olan veya olmayan)   oral ağrı durumudur. Yalnız uçuş ve dalış gibi durumlarda değil, tedavi amaçlı basınç kullanımında ve dağtırmanışı gibi durumlarda da ortaya çıkabilir.

Barodontaljinin mekanizması tam olarak anlaşıl- mış değildir ve uçuşu tehlikeye sokabilecek durumların ortaya çıkmasına neden olabilir. Çürük, büyük veya defektli restorasyonlar, pulpitis, periapikal patolojiler, kist, sinüzitveya son zamanlarda yapılmış cerrahi girişimler gibi patolojilerin varlığında ortaya çıkar. Klinik şartlarda yeniden oluşturulması olanaksız bir durumdur.

       Bu makalede, çok nadir görülenbir durum da olsa dişhekimlerinin karşılaşabilecekleri bir ağrı durumunun tanıtılması, klinik durumu, mekanizması, etiyolojisi, tanı kriterleri ve tedavisi konusunda bilgi verilmek istenmiştir.

Anahtar Kelimeler

• Aerodontalji,Barodontalji,Barotravma,Diş ağrısı,Havacılık Tıbbı

Kaynakça

1. Holowatjy R. Barodontalgia Among Fiers. A Review of Seven Cases. J Can Dent Assoc 1996;62:578-84.
2. Zadik Y. Barodontalgia Due To Odontogenic Inflammation In The Jawbone. Aviation Space Environ Med 2006;77:864-6.
3. Zadik Y. Aviation Dentistry: Current Concepts and Practice. Br Dent J 2009;206:11-16.
4. Kollman W. Incidance and Possible Causes of Dental Pain During Simulated High Altitude Flights. J Endod 1993;19:154-9.
5. Zadik Y. Barodontalgia: What Have We Learned in the Past Decade? OralSurg Oral Med Oral Pathol Oral Radiol Endod 2010;109:e65-e69.
6. Senia ES, Cunningham KW, Marx RE. The Diagnostic Dilemma of Barodontalgia. Oral Surg Oral Med Oral Pathol 1985;60:218-23.
7. Hodges FR. Barodontalgia At 12.000 Feet. J Am Dent Assoc 1978;97:66-8.
8. Zadik. Y. Barodontalgia. J Endod 2009;35:481–5.

9. Goethe WH, Bater H, Laban C. Barodontalgia and Barotrauma in the Human Teeth: Findings in Navy Divers, Frogmen, and Submariners of the Federal Republic of Germany. Mil Med 1989;154:491-5.
10. Lyons KM, Roda JC, Hood JA. Barodontalgia: A Review and the Influence of Simulated Diving on Microleakage and On Retention of Full Cast Crowns. Mil Med 1999;164:221-7.
11. Hanna HH. Otolaryngology in Aerospace Medicine. In. Fundementals of Aerospace Medicine. Editör: De Hart RL. 2 ed. Baltimore; Williams&Wilkins: 1996. p. 580-2.
12. Rausch JW. Barodontalgia- Dental Pain Related to Ambient Pressure Change. Gen Dent 1985;33:313- 5. İçinde: Zadik Y. Barodontalgia Due to Odontogenic Inflammation in the Jawbone. Aviation Space Environ Med 2006;77:864-6.
13. Ferjentsik E, Aker F. Barodontalgia: A System of Classification. Mil Med 1982;147:299–304.
14. Gonzalez Santiago Mdel M, Martinez-Sahuquillo MA, Barodontalgia and Their Relation to Oral/Dental Condition in Personel With Responsibility in Military Flight. Med Oral 2004;9:98-105. Incidance of
15. Sipahi C, Kar MS, Durmaz C, Dikicier E, Bengi U. Türk HavaKuvvetleri Uçucu Personelinde Görülen Barodontalji Prevalansı. Gülhane Tıp Dergisi 2007;49:1-4.
16. Al-Hajri W, Al- Madi E. Prevalance of Barodontalgia Among Pilots and Divers in Saudi Arabia and Kuwait. Saudi Dent J 2006;18:134-40.
17. Rai B, Kaur J, Catalina M, Anand SC. Prevalance of Barodontalgia in Indian Origin Pilots: a survey. J Stomat Occ Med 2010;3:115-7.
18. Kieser J, Holborow D. The Prevention and Management of Oral Barotrauma. NZ Dent J 1997; 93.114-6.
19. Robichaud R, McNally ME. Barodontalgia As A Differential Diagnosis: Symptoms and Findings. J Can Dent Assoc 2005;71:39-42.
20. Orban B, Ritchey BT. Tootache Under Conditions Simulating High-Altitude Flight. J Am Dent Assoc 1945;32:145.
21. Adler HF. Dysbarism. USAFSAM Aeromedical Review 1964:1: 64-6
22. Stoetzer M, Kuehlhorn C, Ruecker M, Ziebolz D, Gellrich NC, von See C. Pathophysiology of barodontalgia: A Case and Review of the Literature. Case Rep Dent 2012;201:453-5.
23. Kennebeck R, Knudtzon KF, Goldhush AA: Symposium on Problems of Aviation Dentistry. J Am Dent Assoc 1946;33:827-44. İçinde: Zadik Y. Barodontalgia Due to Odontogenic Inflammation in the Jaw Bone. Aviation Space Environ Med 2006;77: 864-6.
24. Halm T, Saghy E. The Effect of Changes in Air Pressure During Flight On Teeth and Jaw Bones. Int Dent J 1963;13:569-72. İçinde: Zadik Y. Barodontalgia Due to Odontogenic Inflammation in the Jaw Bone. Aviation Space Environ Med 2006;77: 864-6.
25. Rausch JW. Barodontalgia- Dental Pain Related to Ambient Pressure Change. Gen Dent 1985; 33: 318-23.
26. Boggia R. The Ups and Downs of Barodontalgia. Br Dent J 1998;184:99.
27. Acar Ö, Erkut S. Diş Preparasyonu ve Pulpal Cevap: Literatür Derlemesi. Atatürk Üniv Diş Hek Fak Der 2013;23:282-8. 28. Zadik Y. Dental Barotravma. Int J Prosthodont. 2009;22:354-7.
28. Köroğlu A, Ekren O, Kurtoğlu C. Geleneksel ve Adeziv Simanlar Hakkında Bir Derleme Çalışması. Atatürk Üniv Diş Hek Fak Der 2012;22:206-17.