Bilateral facial pain from cardiac origin. A case report

Franco, Ana Carolina de Oliveira; Siqueira, J T de; Mansur, Alfredo José

doi:10.1038/sj.bdj.4812380

Cited by 19 publications

(27 citation statements)

References 3 publications

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“…Following the correct diagnosis of the cardiac involvement and adequate treatment, the bucal symptoms were completely resolved in all of the cases ( Table 3) (2-4,6,7,13,14). …”

Section: Resultsmentioning

confidence: 91%

“…When these orofacial symptoms occur, unnecessary dental treatment is often performed. There are published clinical cases of patients who have undergone unnecessary dental extractions or have been prescribed analgesic treatments due to the misdiagnosis of temporomandibular disorders, without curing the orofacial pain (4,6,7). This leads to a delay in the diagnosis of infarction or angina, and consequently, a delay in beginning the necessary treatment (2).…”

Section: Introductionmentioning

confidence: 99%

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Orofacial pain of cardiac origin: Review literature and clinical cases

López‐López

Garcia-Vicente²,

Jané‐Salas³

et al. 2012

Med Oral

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The most common types of orofacial pain originate at the dental or periodontal level or in the musculoskeletal structures. However, the patient may present pain in this region even though the source is located elsewhere in the body. One possible source of heterotopic pain is of cardiac origin. Objectives: Report two cases of orofacial pain of cardiac origin and review the clinical cases described in the literature. Study Design: Description of clinical cases and review of clinical cases. Results and conclusions: Nine cases of atypical pain of cardiac origin are recorded, which include 5 females and 4 males. In craniofacial structures, pain of cardiac origin is usually bilateral. At the craniofacial level, the most frequent location described is in the throat and jaw. Pain of cardiac origin is considered atypical due to its location, although roughly 10% of the cases of cardiac ischemia manifest primarily in craniofacial structures. Finally, the differential diagnosis of pain of odontogenic origin must be taken into account with pain of non-odontogenic origin (muscle, psychogenic, neuronal, cardiac, sinus and neurovascular pain) in order to avoid diagnostic errors in the dental practice as well as unnecessary treatments. Key words:Orofacial pain, ischemic heart disease, heterotopic pain, odontalgia.

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“…Following the correct diagnosis of the cardiac involvement and adequate treatment, the bucal symptoms were completely resolved in all of the cases ( Table 3) (2-4,6,7,13,14). …”

Section: Resultsmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Orofacial pain of cardiac origin: Review literature and clinical cases

López‐López

Garcia-Vicente²,

Jané‐Salas³

et al. 2012

Med Oral

View full text Add to dashboard Cite

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“…Of the 18 included studies, 16 were case reports (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(18)(19)(20)(21)(22)(23). The other two studies were prospective cohort studies (16,17).…”

Section: Overview Of Studiesmentioning

confidence: 99%

“…Of the case studies, the craniofacial pain was reported to be unilateral in seven cases (6,9,13,15,18,20,21). The other nine case studies reported 11 cases of bilateral craniofacial pain or did not specify lateralization of the pain (7,8,(10)(11)(12)14,19,22,23 …”

Section: Location Of Craniofacial Painmentioning

confidence: 99%

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The tooth, the whole tooth, and nothing but the tooth: can dental pain ever be the sole presenting symptom of a myocardial infarction? A systematic review

2014

Br Dent J

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, Abstract-Background: Pain symptoms related to cardiac ischemia can vary greatly from patient to patient. However, should emergency physicians consider the possibility of myocardial infarction in patients who present solely with dental pain? Objective: This is a systematic review of the literature investigating the incidence of jaw, tooth, or facial pain as the sole symptom of cardiac ischemia. Methods: Studies investigating jaw, tooth, or facial pain of cardiac origin were identified using the PubMed database. All English studies in which cardiac pain originated in the face, teeth, or jaw were screened for inclusion. Data were abstracted from each study utilizing a structured review process, and rated for methodological quality. Results: Eighteen studies met study criteria: 16 were case reports, and the remaining 2 were prospective cohort studies. After quality assessment and categorization, nine reports were categorized as weak, eight moderate, and one strong methodological quality. Conclusion: Cardiac ischemia may present in no anatomic location other than face or jaw. However, despite frequent claims in the literature to the contrary, the lack of methodological quality of the studies investigated impedes a firm conclusion of face, jaw, or tooth pain as the only symptom of cardiac insufficiency. Ó 2014 Elsevier Inc.

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Jaw pain and myocardial ischemia: A review of potential neuroanatomical pathways

et al. 2019

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Cardiac pain is usually manifested as a crushing, squeezing, or sensation of pressure in the center of the chest. The pain can be referred to the left shoulder, neck, jaw, and epigastric region as well as the temporomandibular region, paranasal sinuses, and head in general. Although not well understood, during myocardial ischemia, the process of cardiac referred pain to craniofacial structures can be explained by the convergence of visceral and somatic relays at the trigeminal nucleus in the brain stem. The goal of this article is to review the possible pathways for referred jaw pain due to myocardial ischemia. Clin. Anat. 32:476-479, 2019.

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Bilateral facial pain from cardiac origin. A case report

Cited by 19 publications

References 3 publications

Orofacial pain of cardiac origin: Review literature and clinical cases

Orofacial pain of cardiac origin: Review literature and clinical cases

The tooth, the whole tooth, and nothing but the tooth: can dental pain ever be the sole presenting symptom of a myocardial infarction? A systematic review

Jaw pain and myocardial ischemia: A review of potential neuroanatomical pathways

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