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Benign paroxysmal positional vertigo after dental surgery.

Giuseppe Chiarella1, Gianluca Leopardi, Luca De Fazio

  • 1Department of Experimental and Clinical Medicine, Magna Graecia University, Catanzaro, Italy. pinochiarella@tiscali.it

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|July 25, 2007
PubMed
Summary

Dental surgery, particularly the extraction of impacted teeth using rotating tools, may be a risk factor for developing benign paroxysmal positional vertigo (BPPV). This study highlights a potential link between this common dental procedure and the onset of vertigo.

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Area of Science:

  • Otolaryngology
  • Neurology
  • Dental Surgery

Background:

  • Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo originating from the inner ear.
  • BPPV has been documented after various surgical procedures, with its origin potentially linked to surgical trauma, anatomical site, and technique.
  • A temporal relationship between symptom onset and surgical intervention, along with clinical presentation, often supports a iatrogenic cause.

Purpose of the Study:

  • To investigate the potential association between dental and maxillofacial surgery and the development of benign paroxysmal positional vertigo (BPPV).
  • To evaluate dental surgery, specifically the extraction of impacted teeth with rotating tools, as a potential risk factor for iatrogenic BPPV.

Main Methods:

  • Retrospective analysis of eight cases of BPPV with suspected iatrogenic origin.
  • Focus on patients who underwent dental surgery, particularly the surgical extraction of impacted teeth using rotating instruments.
  • Exclusion criteria included pre-existing inner ear conditions and other known risk factors for BPPV.

Main Results:

  • Eight cases of BPPV were identified with a suspected link to dental surgical procedures.
  • The clinical data suggested a temporal correlation between the dental interventions and the onset of BPPV symptoms.
  • No other inner ear diseases or BPPV risk indicators were present in the evaluated cases, strengthening the hypothesis of a surgical link.

Conclusions:

  • Dental surgery, especially the use of rotating tools for impacted tooth extraction, is identified as a potential risk factor for benign paroxysmal positional vertigo (BPPV).
  • The findings suggest that dental procedures should be considered in the differential diagnosis of BPPV, particularly when there is a history of recent dental surgery.