Apical surgery as cystic lesion treatment for Barodontalgia prevention: a case report


  • Marilia Fagury Videira Marceliano-Alves Universidad Federal de Río de Janeiro
  • Carlos Vieira Andrade-Junior Bahia State Western University
  • Flávio Rodrigues Ferreira-Alves Estacio de Sa University
  • Alejandro Ron Perez Bhabha College of Dental Sciences
  • Sankalp Verma Bhabha college of dental sciences, Bhopal, MP, India




Apical pathology, Atmospheric pressure, Barodontalgia, Dental pain


Barodontalgia is not a pathology but a symptom of a subclinical oral problem that, although rare, may affect patients subjected to atmospheric pressure changes and have an influence on flights. This paper aims to discuss the clinical characteristics of pathologies related to the etiology of barodontalgia, as well as differential diagnoses, treatments, and prevention. This paper reports a case of a Brazilian air force officer who went to the Santos Dumont Air Force Dental Clinic reporting pain in the anterior maxillary during a flight. An endodontic treatment followed by periradicular surgery was performed, in order to quickly seal the bone lesion and to avoid new cases of barodontalgia. This work demonstrated a successful approach of a periradicular lesion solved by surgical treatment in order to avoid new cases of barodontalgia during flights. In addition, this paper highlights the importance of deepening knowledge on this event and the need for periodic oral and dental assessment, as well as conclusive treatment in aircrew members in order to prevent aircraft accidents.

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Author Biographies

Marilia Fagury Videira Marceliano-Alves, Universidad Federal de Río de Janeiro

DDS, MSc, PhD in Endodontics, Professor of Endodontics at the Rio de Janeiro Federal University and at the Specialization Course in Endodontics at the Santos Dumont Air Force Dental Clinic – Rio de Janeiro - Brazil

Carlos Vieira Andrade-Junior, Bahia State Western University

Doctoral student at Post Graduation Program at Estacio de Sa University - Rio de Janeiro – Brazil

Flávio Rodrigues Ferreira-Alves, Estacio de Sa University

DDS, MSc, PhD Doctor in Endodontics; Adjunct Coordinator at the Post Graduation Program at Estacio de Sa University - Rio de Janeiro – Brazil

Alejandro Ron Perez, Bhabha College of Dental Sciences

MSc Post-Graduation Program in Endodontics, Estácio de Sá University, Rio de Janeiro, Brazil

Sankalp Verma, Bhabha college of dental sciences, Bhopal, MP, India

DDS, MSc in Oral medicine and radiology. MSc Post-Graduation Program in Endodontics, Estácio de Sá University, Rio de Janeiro, Brazil


Zadik Y. Barodontalgia: what have we learned in the past decade? Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010; 109(4): e65-e69. DOI: https://doi.org/10.1016/j.tripleo.2009.12.001

Marceliano-Alves MFV, Medeiros UV, Fidel SR, Fidel RAS, 2011. Barodontalgia em voo e diagnóstico diferencial de dor odontogênica. Full Dent Sci. 2011; 2(8): 449-454.

Ferjentsik E, Aker F. Barodontalgia: a system of classification. Mil Med. 1982; 147(4): 299-304.

Kollmann W. Incidence and possible causes of dental pain during simulated high altitude flights. J Endod. 1993; 19(3):154-159. DOI: https://doi.org/10.1016/S0099-2399(06)80512-1

Laval-Meunier F, Bertran PE, Arrivé E, Paris JF, Monteil M, Nguyen S et al. Frequency of barodontalgia among military or civilian pilots and aircrew members. Aviat Space Environ Med. 2013; 84(10): 1055-1060.

Stoetzer M, Kuehlhorn C, Ruecker M, Ziebolz D, Gellrich NC, Von-See C. Pathophysiology of barodontalgia: a case report and review of the literature. Case Rep Dent. 2012; 2012: 1-4. DOI: http://dx.doi.org/10.1155/2012/453415

Senia ES, Cunningham KW, Marx RE. The diagnostic dilemma of barodontalgia: report of two cases. Oral Surg Oral Med Pathol. 1985; 60(2): 212-217.

Zadik Y. Barodontalgia. J Endod. 2009; 35(4): 481-485. DOI: https://doi.org/10.1016/j.joen.2008.12.004

Robichaud R, McNally ME. Barodontalgia as a differential diagnosis: symptoms and findings. J Can Dent Assoc. 2005; 71(1): 39-42.

Kennebeck R, Knudtzon KF, Goldhush AA, et al. Symposium on problems of aviation dentistry. J Am Dent Assoc. 1946; 33:827-44.

Harvey W. Dental pain while flying or during decompression tests. Br Dent J. 1947; 82: 113-118.

Rossi DG. Health Policy Directive no. 411: aviation and diving–dental considerations. Camberra: Surgeon General, Australian Defence Force; 1995.

Zadik Y. Barodontalgia due to odontogenic inflammation in the jawbone. Aviat Space Environ Med. 2006; 77(8): 864-866.

Gonzalez-Santiago M del M, Martinez-Sahuquillo-Marquez A, Bullon-Fernandez P. Incidence of barodontalgias and their relation to oral/dental condition in personnel with responsibility in military flight. Med Oral. 2004; 9(2): 98-98.

Shivashankar VY, Johns DA, Vidyanath S, Sam G. Combination of platelet rich fibrin, hydroxyapatite and PRF membrane in the management of large inflammatory periradicular lesion. J Conserv Dent. 2013; 16(3): 261-264. https://doi.org/10.4103/0972-0707.111329.

Lakshmi, Sakthi DS. Aviation dentistry. J Clin Diagn Res. 2014; 8(3): 288-290. DOI: https://doi.org/10.7860/JCDR/2014/7232.4189

Murray PE, Windsor LJ, Smyth TW, Hafez AA, Cox CF. Analysis of pulpal reactions to restorative procedures, materials, pulp capping and future therapies. Crit Rev Oral Biol Med. 2002;13: 509-520.

Zadik Y, Chapnick L, Goldstein L. In-flight barodontalgia: analysis of 29 cases in military aircrew. Aviat Space Environ Med. 2007;78: 593-596.




How to Cite

Marceliano-Alves, M. F. V., Andrade-Junior, C. V., Ferreira-Alves, F. R., Perez, A. R., & Verma, S. (2018). Apical surgery as cystic lesion treatment for Barodontalgia prevention: a case report. Revista Facultad De Odontología Universidad De Antioquia, 29(2), 420–430. https://doi.org/10.17533/udea.rfo.v29n2a10