Yesterdays one true patient story of severe pain to share it as a blog for Dentists & patient Education
Sharing one new case of a patient who experienced sleepless night due to severe tooth pain on his left side of his face but, not able to locate which tooth & not able to diagnose the cause of pain as well. He had already taken 3 painkillers in the night but there was no relief!
Next morning he showed to a local dentist who took his multiple dental X rays but found no decay or infection & told him there is no problem with the teeth & your teeth were absolutely perfect! Dentist prescribed him a stronger painkiller & surprisingly pain intensity aggravated instead of getting relief!
After hearing his symptoms, Dr Prakash Patil suspected acute pulpitis due to "C.T.S."! He checked his teeth with MICROLUX, a special equipment to detect "C.T.S." (Cracked Tooth Syndrome).
His upper left second molar was found with deep vertical fracture (CTS) & it was causing him severe pulsatile facial pain which was wandering since yesterday. There was a history of severe sensitivity & pain 3 months back in the same area while eating, But it was relieved with analgesic that time. The doctor gave him a confirmatory diagnostic block with local anesthesia & patient got a sudden relief!
Once the accurate cause of pain was diagnosed he insisted to do extraction of the offending tooth on an emergency basis!
Surgical extraction of the offending tooth was carried out to give him full relief from pain !
C.T.S. condition is difficult to diagnose for dentists as well & such cracks are invisible & very deceptive. It may be as a result of trauma from biting on hard substance such as betelnut, small stone in food or severe biting forces on brittle teeth. Such a tooth doesn't respond to painkillers, antibiotics or root canal treatment as well.
Eventually, it needs surgical extraction. Such teeth will come out in parts & not as an intact whole tooth!
Patient-reported severe unbearable pain
But on RVG (X-Ray) all seems to be normal to a dentist
Using MICROLUX
MICROLUX to detect fractured tooth (C.T.S.)
While removing the tooth fracture line giving way! 
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