1/12. Enigmatic pain referred to the teeth and jaws.A number of obscure syndromes can mimic dental or jaw pain in the absence of pathosis within these structures. This enigmatic dental pain includes conditions such as pretrigeminal neuralgia, complex regional pain syndrome, temporal tendinitis, and carotodynia. Each of these syndromes is described through a pertinent case report to illustrate appropriate diagnosis and treatment.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
2/12. Temporal arteritis: a cough, toothache, and tongue infarction.Temporal arteritis, the most common form of systemic vasculitis in adults, is a panarteritis that chiefly involves the extracranial branches of the carotid artery. The condition is illustrated in this article by the case of a 79-year-old woman with a dry cough, toothache, tongue infarction, and vision loss. The mean age of onset is 72 years and the disease rarely occurs in persons younger than 50 years. The most common presenting manifestations are headache, jaw claudication, polymyalgia rheumatica, and visual symptoms. Eighty-nine percent of patients have an erythrocyte sedimentation rate greater than 50 mm/h. However, about 40% of patients present with atypical manifestations, including fever of unknown origin, respiratory tract symptoms (especially dry cough), and large artery involvement. Familiarity with such unusual manifestations of temporal arteritis facilitates early diagnosis and treatment, thereby reducing the risk of vision loss.- - - - - - - - - - ranking = 0.2keywords = jaw (Clic here for more details about this article) |
3/12. Myofascial pain syndrome misdiagnosed as odontogenic pain: a case report.The aim of this report is to illustrate the case of a patient whose myofascial pain syndrome was misdiagnosed as odontogenic pain, and who was treated using irreversible dental procedures. Even if dental pain commonly has an odontogenic etiology, it is also possible that pain arising from different orofacial sites such as jaw muscles, maxillary sinus, or nervous structures can be referred to the teeth. When the etiology of a dental pain condition cannot be clearly identified, it is necessary to consider all possible causes of dental pain, which may also be nonodontogenic. The need for comprehensive examination and careful diagnosis before irreversible dental treatment is emphasized.- - - - - - - - - - ranking = 0.2keywords = jaw (Clic here for more details about this article) |
4/12. Orofacial pain of cardiac origin: a case report.It is the responsibility of the dentist to make the differential diagnosis of pain in the region of the oral cavity. Cardiac pain most commonly radiates to the left arm, shoulder, neck and face. In rare instances the pain may present as dental pain. In this case report, the patient presented with complaints of intense bilateral pain in the jaws which was diagnosed as pain of cardiac origin.- - - - - - - - - - ranking = 0.2keywords = jaw (Clic here for more details about this article) |
5/12. toothache of nonodontogenic origin: a case report.This article describes the diagnosis and treatment of a patient exhibiting nonodontogenic tooth pain. A 25-yr-old female patient presented to postgraduate endodontics, SUNY at Stony Brook, for evaluation and treatment of pain associated with the upper and lower left quadrants. After thorough intraoral and extraoral examinations, it was determined that the pain was referred to the dentition from a trigger point in the masseter muscle. An extraoral injection of 3% Carbocaine was administered into the trigger point, and the pain abated within 5 min. The patient has experienced no recurrence of this pain for 12 months. Consideration of nonodontogenic dental pain should be included in a differential diagnosis.- - - - - - - - - - ranking = 0.00076729642147912keywords = lower (Clic here for more details about this article) |
6/12. Barodontalgia due to odontogenic inflammation in the jawbone.A case is presented of severe anterior mandibular pain, which first appeared during descent of a long commercial flight, and lasted 3 d for a 28-yr-old military helicopter pilot. Apical periodontitis due to pulpal necrosis of the #31 tooth was diagnosed as the causative pathology of the pain. This pain was not ever felt in his daily routine helicopter flights, up to 6000 ft, only in the pressurized chamber of a commercial flight to 7000-ft conditions. Although barodontalgia, dental pain evoked by barometric pressure change in an otherwise asymptomatic tooth, has relatively low prevalence nowadays, it seems that periodic dental vitality tests and panoramic imaging of the jaws are worthwhile for aircrew members.- - - - - - - - - - ranking = 1keywords = jaw (Clic here for more details about this article) |
7/12. Case series of four different headache types presenting as tooth pain.case reports in the literature discuss various headache disorders that present as pain in the face. The current understanding of neuroanatomy and headache mechanisms suggests that headache pain originates within intracranial structures and is then referred to the face, jaws, and teeth. This case series describes four patients, one each with migraine headache, cluster headache, paroxysmal hemicrania, and hemicrania continua, all of which who presented to dentists with the chief complaint of tooth pain. This is the first report of hemicrania continua presenting as tooth pain. It is important that dentists be cognizant of headache disorders so that they may be able to identify headache pains masquerading as toothache.- - - - - - - - - - ranking = 0.2keywords = jaw (Clic here for more details about this article) |
8/12. Oral myiasis: a case report and literature review.myiasis is the infestation of tissues and organs of animals and humans by certain Dipteran fly larvae. This phenomenon is well documented in the skin, especially among animals and people in tropical and subtropical areas. Oral myiasis is a rare condition and can be caused by several species of Dipteran fly larvae and may be secondary to serious medical conditions. Upon removal of the larvae, the tissues seem to recover with no subsequent complications and with no need for further treatment. Here we describe a case of oral myiasis within the gingiva of a healthy young man caused by the larvae of Wohlfahrtia magnifica (family sarcophagidae), in which infection may have been due to ingestion of infested flesh. Reviewing the literature revealed that most cases of oral myiasis tend to be multiple and to occur in anterior segments of the jaws rather than in posterior segments as in the case we describe here.- - - - - - - - - - ranking = 0.2keywords = jaw (Clic here for more details about this article) |
9/12. An unusual cause of bilateral mental neuropathy in an AIDS patient. Report of a case.A case is reported of a patient with sudden onset, generalized toothache accompanied with a numb chin and lower lip. A thorough oral examination was negative. A complete medical evaluation revealed a positive HTLV-III antibody titer and acute lymphoblastic leukemia (Burkitt's-type). An unexplained trigeminal neuropathy should prompt the dentist to refer the patient for complete medical evaluation. A high index of suspicion of a malignant process should be maintained in all cases of unexplained numb lower lip and/or chin.- - - - - - - - - - ranking = 0.0015345928429582keywords = lower (Clic here for more details about this article) |
10/12. Undiagnosed benign cementoblastoma in a patient with a 6-year pain condition. Report of a case.Symptoms in the lower first molar developed in a 15-year-old girl. The problems started with tenderness during occlusion. The first radiographic examination revealed a radiopacity at the distal root, which was considered in the radiographic report to be a cementoma. Therapy commenced with occlusal adjustment, but this was followed 20 months later by endodontic therapy, which was undertaken because of the suspicion of partial pulpal necrosis with condensing osteitis. A painful condition developed and led first to apicoectomy and then to extraction 2 1/2 years after the start of the endodontic therapy. light microscopic examination of adjacent hard tissue revealed signs of chronic inflammation on both occasions, and a diagnosis of diffuse sclerosing osteomyelitis was made. The pain was not relieved but remained at a tolerable level for 18 months. Then a reexamination of the first radiographs led to a strong suspicion of a benign cementoblastoma. A thorough third operation revealed a small piece of hard tissue in a lacuna of the lingual part of the mandible covered buccally by granulation tissue and inflammatory affected bone. The final histopathologic diagnosis was benign cementoblastoma combined with chronic inflammation.- - - - - - - - - - ranking = 0.00076729642147912keywords = lower (Clic here for more details about this article) |
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