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Toothache of cardiac origin.

M Kreiner¹, J P Okeson

¹Department of General and Oral Physiology, Faculty of Odontology, University of Uruguay, Montevideo, Uruguay. mkreiner@netgate.com.uy

Journal of Orofacial Pain

|May 24, 2000

Summary

Orofacial pain can mimic dental issues, sometimes masking serious cardiac conditions like angina pectoris. Dentists must differentiate referred cardiac pain from dental pain to prevent delayed treatment and potential myocardial infarction.

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Area of Science:

Dentistry
Cardiology
Pain Management

Background:

Orofacial pain can present diagnostic challenges, with some tooth pain originating from non-dental sources.
Cardiac pain, such as angina pectoris, can rarely manifest as dental pain, complicating diagnosis.
Accurate diagnosis is crucial to avoid unnecessary dental procedures and delays in critical cardiac treatment.

Observation:

Patients may report tooth pain unrelated to dental pathology.
Angina pectoris is a rare but significant cause of referred dental pain.
Misdiagnosis can lead to inappropriate dental interventions or delayed recognition of myocardial infarction.

Findings:

Referred cardiac pain can mimic odontogenic pain, posing a diagnostic dilemma.
Prompt identification of cardiac origin is essential for appropriate patient management.
Failure to diagnose referred cardiac pain can result in adverse cardiovascular events.

Implications:

Dentists play a vital role in recognizing referred cardiac pain.
Early detection of cardiac pain presenting as toothache can prevent myocardial infarction.
This highlights the importance of interdisciplinary collaboration between dentistry and cardiology.

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