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[Severe odontalgic pain preceding migraine attacks].
M J M Wetselaar-Glas1, A de Wijer, M H Steenks
1Uit de Zorglijn Gnathologie van het Universitair Medisch Centrum St Radboud Nijmegen. wetselaar@wetselaarglas.nI
Nederlands Tijdschrift Voor Tandheelkunde
|November 3, 2011
Summary
Bruxism, or teeth grinding, can cause severe dental pain and trigger migraine attacks. Treating bruxism effectively reduced both the dental pain and the intensity of migraine episodes in a patient.
Area of Science:
- Gnathology
- Neurology
- Rheumatology
Background:
- Migraine attacks can be debilitating, significantly impacting quality of life.
- Co-occurrence of autoimmune diseases and tension headaches presents complex patient cases.
- Odontalgic pain, often prolonged, requires thorough differential diagnosis.
Observation:
- A 30-year-old female patient presented with recurrent migraine attacks preceded by severe, prolonged odontalgic pain.
- The patient had a history of an autoimmune disease and tension headaches.
- The gnathology department suspected bruxism as the etiology of the odontalgic pain.
Findings:
- Treatment targeting bruxism led to a notable reduction in the patient's odontalgic pain.
- The severity and frequency of migraine attacks decreased following bruxism treatment.
- A direct correlation was observed between bruxism management and symptom alleviation.
Implications:
- This case highlights the potential link between bruxism and migraine, suggesting orofacial factors can influence neurological symptoms.
- Effective diagnosis and management of bruxism may offer a novel therapeutic avenue for patients with co-existing dental pain and migraines.
- Further research into the pathophysiology connecting bruxism, dental pain, and migraines is warranted.
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