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Case Reports in Dentistry
Volume 2012, Article ID 453415, 4 pages
Case Report

Pathophysiology of Barodontalgia: A Case Report and Review of the Literature

1Department of Oral and Maxillofacial Surgery, Hanover Medical School, Carl-Neuberg-Straße 1, 30625 Hanover, Germany
2Munster Military Medical Center, Munster, Germany
3Department of Preventive Dentistry, Periodontology and Cariology, University of Goettingen Medical Centre, Goettingen, Germany

Received 4 September 2012; Accepted 13 November 2012

Academic Editors: M. Darling, C. Farah, A. Kasaj, L. N. De. Souza, and P. I. Varela-Centelles

Copyright © 2012 Marcus Stoetzer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Changes in ambient pressure occur during flying, diving, or hyperbaric oxygen therapy and can cause different types of pathophysiological conditions and pain including toothache (barodontalgia). We report the case of a patient with severe pain in the region of his mandibular left first molar, which had been satisfactorily restored with a conservative restoration. Pain occurred during an airplane flight and persisted after landing. Radiology revealed a periapical radiolucency in the region of the distal root apex. Pain relief was achieved only after endodontic treatment. On the basis of this paper, we investigated the aetiology and management of barodontalgia. Dentists should advise patients to avoid exposure to pressure changes until all necessary surgical, conservative, and prosthetic procedures have been completed. The influence of pressure divergences should be noted at any time. Under changed environment pressures may be the changing perception of pathologies.