Patient presents with chief complaint of tooth pain, toothache, dental pain, or odontalgia.  Onset, duration, location, character, aggravating and alleviating factors of the tooth pain were documented.  Pain quality described as sharp, dull, throbbing, aching, constant, or intermittent.  Patient reports associated symptoms including sensitivity to hot or cold, sweet or sour, chewing or biting pressure, as well as possible swelling, gum pain, facial pain, headache, jaw pain, ear pain, or fever.  Clinical examination included visual inspection, palpation, percussion, and mobility testing of the affected tooth and surrounding tissues.  Findings may include caries, fracture, abscess, periodontal disease, inflammation, or temporomandibular joint disorder (TMJ).  Radiographic imaging, such as dental x-rays or panoramic radiographs, may be obtained for further evaluation.  Diagnosis of dental caries, pulpitis, periapical abscess, periodontal abscess, cracked tooth syndrome, or impacted tooth was considered.  Treatment plan discussed with patient and may include pain management with analgesics such as ibuprofen or acetaminophen, dental restoration, root canal therapy, extraction, antibiotics, referral to specialist such as endodontist, periodontist, or oral surgeon, or follow-up care as needed.  Patient education provided regarding oral hygiene, dietary recommendations, and prevention of future dental problems.  Patient expressed understanding of the diagnosis, treatment plan, and potential risks and benefits.