Barodontalgia is commonly referred to as a state of teething and pain, often caused by a change in ambient air pressure. This pain is usually felt above or below the ground level and disappears on the ground level. Changes in barometric pressure during this condition can cause damage to the teeth. It is also called aerodynamic trauma or bronchial trauma.
Sometimes, this external pressure not only causes pain but also damages the teeth. When the external pressure is low or high, the system inside the body fails to balance this external pressure, resulting in opportunities for the tooth mold to break or be affected. This condition is more common in divers or aviators who experience pressure changes during their activity.
Rapid changes can increase this pressure. In pilots, the flight may be affected due to barodontalgia. In such a situation, pre-flight prevention and precautionary measures are necessary. Identifying pain during a change in pressure makes the diagnosis easier for the physician.
Barodontalgia is actually a symptom of various dental diseases.
For example (inflammatory cyst in the mandible), dental caries, defective tooth,
Restoration of teeth, inflammation of the brain (pulpitis), pulp necrosis,
Apical periodontitis, periodontal pockets, impacted teeth, mucous retention cysts.
There are a few diseases that can cause barodentalgia.
One hypothesis is that barodontalgia is the pain of barosinusitis or barotitis-media, which is felt in the teeth as referral pain. Both of these diseases are actually caused by changes in external pressure. If the overall statistics of Barodentalgia are examined, there is a lack of actual flight data, and the data available are derived from high-altitude flights. According to these figures, the rate was between 0.7% and 2% in the 1940s, and 0.3% in the 1960s.
Similarly, Luftwaffe, a welfare branch of the Combined German Air Force during World War II. It reported 0.3% of cases of barodontogenia in high-altitude chambers. One case was reported in the Israeli Air Force for every 100 flights. Thus, during World War II, one in ten U.S. Air Force pilots experienced more than one symptom of barodentalgia.
In a recent study, 8.2% of pilots in the Israeli Air Force’s 331 air crews experienced symptoms of barodontalgia at least once. Another international study of in-flight damage due to in-flight barodynamic pain was conducted in France in 2010. The purpose was to test the frequency of barodontilgia in the French military and civilian aircraft.
In this regard, a questionnaire was given to the pilots, crew, and 5 civilian pilots and aircrew of 10 medical units of the French Air Force and Navy. 1184 out of 1475 people answered. Of these, 6.6% (74) had this problem at least once in their careers. Among them were 43 Air Force members and 31 civilians. 5.5% of 10 people noted moderate-intensity barodontalgia.
This discomfort was mostly felt during landing. Below 8,000 meters, there was a further increase in intensity. 13.5 percent, the pilots said, during bardontelgia, they can fly safely. Procedure devised to evaluate the statistics of Barodentology. As a result, the study was conducted on civilian as well as military pilots.
Not all participants in this survey were sick. Questionnaires were given to all participants. Which contained these questions,
- Do you complain of toothache during the flight?
- What is the severity of the pain?
- Has pain ever been treated in the past?
- Does the pain occur during each flight?
When the results of this survey were reviewed, the fact came to light that all civilian and military Pilots had been diagnosed with barodontalgia at least once during their careers, and a total of 88% of pilots complained of a toothache. They were civilians. But when they consulted a physician, they were not diagnosed as having a case of barodontalgia.