Patient in pain

Question 1

First things to check when patient is in acute pain?

Answer 1

Atypical jaw pain, signs of MI and if they have exceeded dose of painkillers

Question 2

What are the next things to check after atypical pain, MI or overdose?

Answer 2

trauma? - trauma pathway

Swelling? - swelling pathway

Question 3

If pain is not in tooth, what should be done?

Answer 3

advise analgesia, good OH and avoid smoking

If pain in face, is there visual disturbance or temporal arteritis? Yes = emergency, no = urgent dental care

Question 4

What if pain is in the mouth?

Answer 4

If related to orthodontic appliance, advise analgesia, chlorhexadine mouthwash and wax to sharp areas.

If related to ulcer then ulcer pathway

If no ulcer, advise analgesia and avoid stimuli

Question 5

What if pain is in erupting tooth?

Answer 5

is it in erupting tooth?

If yes and ADULT, advise chlorhexadine, analgesia and if infections consider prescription

IF CHILD, an Analgesia, soft food and brushing after food.

Question 6

Pain not in erupting tooth?

Answer 6

has analgesia been taken? If no, advise analgesia

If yes, has it helped?

If yes, non urgent care,
If no, urgent dental care