Unnecessary Tooth Extractions in Patients


Journal of Orofacial Pain
Fall 2010
Volume 24 , Issue 4
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Unnecessary Extractions in Patients with Hemicrania Continua: Case Reports and Implication for Dentistry

Sanjay Prakash, DM/Nilima D. Shah, MD/Bhavna V. Chavda, MD

Headache and facial pain are both very high in the general population. Headache has been identified as one of the associated conditions in patients with chronic orofacial pain. The interrelation between the two has not been explored in the literature. Patients with facial pain often initially seek the care of a dentist. Misdiagnosis and multiple failed treatments (including invasive procedures) are very common in this population. This case report describes four patients whose condition fulfilled the International Headache Society’s criteria for hemicrania continua but whose teeth were extracted because their pain was suspected to be of odontogenic origin. Each patient’s records and the literature were reviewed for possible reasons for the unnecessary extractions. The findings suggest that initial treatment with drugs specific for primary headache disorders should be instituted before subjecting patients to invasive procedures.

J OROFAC PAIN 2010;24:408–411

Dr. Stan Farrell has extensive training in the treatment of TMJ and Migraine Headaches. At AZ TMJ, we focus on conservative treatment methods that have been proven to be successful. TMJ disorders, tooth pain, facial pain and headaches can all be inter-related, meaning an issue with your TMJ could trigger pain in a tooth or manifest itself as a headache. This is why it’s important to see a doctor who has extensive training in evaluating not only the teeth, but your joints, muscles and nerves, as well. www.headpaininstitute.com