ΤΟ PAIN OR NOT TO PAIN ? IS PAIN THE CRITERION OF SEVERITY IN ORAL DISEASES.
Pain is an unpleasant sensation and emotional experience usually associated with tissue damage. Its purpose is to activate the human organism to react and to prevent further tissue damage. Pain is very closely connected with Dentistry and elimination of this is aim of all of us.
Dental decay and periodontal diseases are most common intraoral diseases associated with different level of pain, intense or chronic. In oral mucosa there are a variety of lesions and diseases, that express recognizable signs and symptoms, whereas other oral diseases which are asymptomatic and cause a difficulty in recognition by the dentist.
Oral ulceration of different causes, vesiculobullous lesions such as herpetic stomatitis, multiform erythema, pemphigus, bullus pemphigoid, systemic diseases such as Crohn’s disease, oral candidiasis, allergies and syndromes as Adamantiadis-Behcet’s scare patient and guide to dentist s chair.
On the other hand oral pigmentation black or brown lesions of the oral mucosa , such as malignant melanoma, and precancerous lesions such as red lesions like erythroplakia and white lesions like leucoplakia many times are not recognized from patients and as a result the above mentioned conditions represent a real danger for their lifes.
Our purpose is to describe the severity of lesions that can potentially have as a result malignant changes, with common characteristic the absence of pain in early stage at least.
As a conclusion, despite the fact that pain is many times beneficial for patient because it guides to dentist, the absence of pain does not mean absolutely, that everything is all right for patient’s health.
It s our responsibility to be well educated and well updated and to inform our patients for the need of self examination weekly and for twice a year examination in their Dentist, in order to avoid situations that can be develop dangerous for their health.