882C Emerson Street
Palo Alto, CA 94301
Randall N. Inouye, D.D.S.
735 Cowper Street
Palo Alto, CA, 94301
Frank L Altick D.D.S. Apc
824 Bryant St
Palo Alto, CA, 94301
(650) 327-1787
Brilliant Smiles
750 Welch Rd Ste 118
Palo Alto, CA, 94304
Pyon, Scott S D.D.S.
405 Cambridge Ave
Palo Alto, CA, 94306-1614
Every science has its beginnings in myth and folklore. Early dental practices, in particular, are deeply tied to the mysticism surrounding the teeth and tongue. Because the mouth is the center of speech and nourishment, diverse cultures treat dental events in their lives with respect.
There is a universal human belief that teeth confer power. These remedies and practices were intended to cultivate that power-by keeping teeth for a lifetime. The same spirit-much refined-motivates modern dentistry.
For relief, boil earthworms in oil and pour into the ear on the side where there is pain (Pliny, 77 AD).
Pour juice of onions by drops into the mouth, bite a piece of wood struck by lightning (ibid.).
Put tobacco in the armpit; hold a heated root of a birch on the cheek; or hold a small frog against the cheek or lick a toad's abdomen (Norwegian folklore).
Lay roasted parings of turnips, as hot as they may be, behind the ear; keep the feet in warm water, and rub them well with bran, just before bedtime (John Wesley, 1747).
"Round the tooth to be drawn, he fastened a strong piece of catgut; to its other end he affixed a bullet. Then he charged a pistol with this bullet and a full measure of powder. The firing performed a speedy and effectual removal of the offending tooth" (Dr. Monsey, 1788).
In the US and Europe, the blacksmith did extractions, presumably because they had the "proper tools."
"If one had a tooth extracted, it must be burned, because, if a dog got it and swallowed it, one would have a dog's tooth come in its place" (Dr. Holmes, 1862).
To clean the teeth, rub them with the ashes of burnt bread (Poor Will's Almanack, 1780).
To stable and steadfast the teeth, and to keep the gummes in good case, it shall be very good every day in the morning to wash well the mouth with red wine (London, 1598).
In parts of England, the superstition persists: one prevents a toothache by "clothing one's right leg prior to the left" (G.P. Foley, 1972).
To make the teeth of children grow hastily, take the brain of a hen and rub the gums therewith. It shall make them grow without any sorrow or diseases or aching (London, 1934).
Roast the brains of a rabbit and rub a small amount on the gums (US, 1942).
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
There are many causes of toothache and pain in the area of the mouth. When experiencing pain and/or swelling, it is important to see your dentist to have the area evaluated. The pain and/or swelling is most often related to a disease process that originates within a particular tooth.
The pulpal tissue within the tooth can be irritated by bacteria, external traumatic events, repetitive or extensive dental care procedures, or even periodontal disease causing a toothache. When this irritation occurs, the pulpal tissue reacts by becoming inflamed.
Since the pulpal tissues and the tissues supporting the tooth have a rich supply of nerve fibers, the inflammatory process can cause pain as these nerve pathways are stimulated. Additionally, the pulp tissue is encased inside tooth structure and it cannot swell and expand in reaction to injury like tissues in other areas of the body.
When the injured pulp tissue attempts to swell within the confined root canal space, the pressure buildup can cause a significant toothache.
Pain originating from the dental pulp can be either "spontaneous" or "elicited." Spontaneous pain occurs without an identifiable stimulus, whereas elicited pain occurs only in specific situations. Elicited pain requires a specific stimulus such as drinking cold or hot fluids or biting on the tooth.
As is typical anywhere in the body, the initial stages of a disease process do not always cause symptoms. Millions of teeth have irreversible pulpal disease yet the patients have no clinical symptoms.
Most of these situations will become evident when the dentist obtains a thorough history, does a clinical examination, performs specific tooth tests, and takes a series of well-angulated radiographs. It is important to note that pulpal disease can refer pain to other areas within the head and neck.
If the results of the endodontic examination indicate that root canal disease is not the source of the patient's toothache, then the dentist must consider other possibilities. When attempting to identify the source or cause of facial pain and/or swelling, the dentist must consider that the symptoms could actually originate in a tooth (endodontic disease), the gum tissues (periodontal disease), the muscles (myofacial pain), the joints (TMJ), the sinuses (sinusitis), or even the surrounding vascular (blood vessels) or nerve tissues.
Facial pain requires an accurate diagnosis so that the proper treatment can be recommended. At times, various medical and dental specialists may need to be consulted before an accurate diagnosis can be determined.
By Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS
+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.
