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Lyme disease: considerations for dentistry

G M Heir¹, L A Fein

¹TMD and Orofacial Pain Center, University of Medicine and Dentistry, New Jersey Dental School, Newark, USA.

Journal of Orofacial Pain

|January 1, 1996

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Lyme disease, a rapidly spreading illness, presents with diverse symptoms like facial pain and nerve palsy, often overlooked in dental literature. Dentists must recognize these signs for accurate diagnosis and appropriate patient care.

Area of Science:

Dentistry
Infectious Diseases
Neurology

Background:

Lyme disease is a rapidly expanding tick-borne illness with significant systemic effects.
Dental literature inadequately addresses Lyme disease, despite its potential oral and neurological manifestations.

Observation:

Clinical signs include facial and dental pain, facial nerve palsy, headaches, and temporomandibular joint dysfunction.
Dental practitioners may encounter patients with undiagnosed Lyme disease, necessitating awareness of its varied presentation.

Findings:

The study reviews Lyme disease epidemiology, diagnosis, prevention, and differential diagnosis considerations.
It highlights the importance of recognizing systemic Lyme disease symptoms in dental settings.
Three case reports illustrate the dental implications of Lyme disease.

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Implications:

Dental professionals need to be aware of Lyme disease's potential oral manifestations for early detection.
Understanding Lyme disease is crucial for managing dental procedures in affected patients.
This review aims to bridge the knowledge gap regarding Lyme disease in dental practice.