Home » Posts » Dentistry » oral health » Is this toothache or am I having a heart attack? Pain from cardiac ischaemia can have a range of presentations. This can include chest, arm, shoulder pain, face or jaw pain. While sudden chest pain that may travel down the arm is a typical presentation classic teaching is that cardiac ischemia can present with tooth, jaw, or facial pain as its sole symptom.
Facial pain associated with cardiac origin
Detecting a different kind of jaw pain - Vital Record
Try out PMC Labs and tell us what you think. Learn More. Orofacial pain can arise from different regions and etiologies. Some of the most debilitating pain conditions arise from the structures innervated by the trigeminal system head, face, masticatory musculature, temporomandibular joint and associated structures. The problem with referred pain is the misdiagnosis and unnecessary therapy directed to the pain location instead of its origin. When craniofacial pain is the sole sign of myocardial ischemia, failure to recognize its cardiac source can endanger the patient. In particular, apart from unnecessary dental treatments, patients with acute myocardial infarction who do not experience chest pain run a very high risk of misdiagnosis and death.
Detecting a different kind of jaw pain
Twenty years ago, health professions were not aware that certain oral bacteria, if permitted entrance into the gingival blood vessels, could cause some strokes and heart attacks. Researchers have postulated that a significant portion of the brain is devoted to the reception, processing, and interpretation of trigeminal autonomic, sensory, and motor information. The general term TMD will not be used as a diagnostic category in this article simply because is not a diagnosis. In this article, I will describe two differing cardiac cases: the first being a more classic cardiac patient with very typical symptoms and the second case being one with mostly craniofacial pain symptoms and helps highlight the differences between male and female presentations of cardiac conditions. Kreiner and Okeson 2 reported symptoms of toothache of cardiac origin in , and Tzukert3 reported orofacial pain of cardiac origin in in the Journal of Oral Surgery, Oral Medicine and Oral Pathology.
Dentists may contribute towards the diagnosing of ischemic heart disease and thus refer patients for cardiological evaluation. CASE REPORT: A year-old female patient was referred to a dentist for evaluation of a suspected temporomandibular disorder after repeated visits to medical emergency departments due to excruciating facial and left temporal pain associated with exertion. The pain would start in the chest and radiate to the neck, face and left temporal region. The dental examination revealed an edentulous upper jaw and partially edentulous lower jaw with full upper prosthetic set of teeth and decreased vertical dimension. X-ray of facial bones did not reveal any bone abnormalities.