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4.4 Pain from Other Causes
Lymphadenopathy
Lymphadenopathy is common in young children. The lymph nodes may
simply be sensitive to the touch or may be associated with some edematous
areas around the jaw and face, suggesting a dental cellulitis. In
50 percent of cases, lymphadenopathy is idiopathic, and the cause
is never discovered. Bilateral sensitive nodes suggest an infectious
origin.
Acetaminophen Use
Young children often present at the dental office after several
days of pain. Over-the-counter acetaminophen is commonly used,
and risk of liver toxicity is high. The dentist should assess use
of this medication and counsel parents on controlling the amount
given to children.
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