In conclusion, referring to the high value of the medical profession, it should be reminded to novice doctors or students that this activity is difficult both in terms of the possibilities of success and the environment in which a doctor will have to live. Hippocrates (published in 1936) eloquently wrote about some of the difficulties of our labor: “There are some of the arts that are difficult for those who possess them, but for those who use them they are beneficial and for ordinary people - a blessing that brings help, and for those who practice them - sorrow. Among these arts is that which the Hellenes call medicine.

After all, the doctor sees the terrible, touches that which is disgusting, and out of the misfortunes of others he reaps sorrow for himself; the sick, thanks to art, are freed from the greatest evils, diseases, suffering, from sorrow, from death, for against all this medicine is a healer. But the weaknesses of this art are difficult to recognize, and the strengths are easy, and these weaknesses are known to some doctors ... "

Almost everything that Hippocrates said is worthy of attention, careful thought, although this speech, apparently, is more addressed to fellow citizens than to doctors. Nevertheless, the future doctor must weigh his possibilities - the natural movement of helping the suffering, the inevitable atmosphere of difficult spectacles and experiences.

The difficulties of the medical profession were vividly described by A.P. Chekhov, V.V. Veresaev, M.A. Bulgakov; their experiences are useful for every doctor to think over - they complement the dry exposition of textbooks. Familiarity with artistic descriptions of medical topics is essential for enhancing the culture of the doctor; E.I. Liechtenstein (1978) has provided a good summary of what writers say about this side of our lives. Fortunately, in the Soviet Union, a doctor is not a “lone handicraftsman” dependent on the police or Russian tyrants, but is a worker, a rather respected member of the state health care system.

Acute toothache is a manifestation of tooth diseases (caries, pulpitis, periodontitis). With caries, acute pain occurs from eating cold or hot, sweet or sour foods and disappears if the irritant is eliminated. With pulpitis, the nature of the pain is paroxysmal, radiating along the trigeminal nerve to the temple or ear. Periodontitis is accompanied by constant, localized, throbbing toothache, aggravated by touching a diseased tooth. Toothache worsens overall health, negatively affects performance, sleep and nutrition.

Deep caries with the penetration of infection into the tooth tissue can cause acute toothache, which occurs only when exposed to irritants. Cracked teeth, improperly filled teeth, exposed dentin in the area of ​​the tooth neck are the main causes of acute toothache. Spontaneous toothache can occur due to pulpitis. Moreover, it appears both during meals, under the influence of irritants on the affected dentin, and at rest, usually at night. The pain is usually constant aching or paroxysmal in nature. A characteristic sign of pulpitisThe first pain is irradiation to the ear or temple area, while it is almost impossible to endure pulpitis toothache for a long time.