A rare case report and appraisal of the literature on spontaneous tooth exfoliation associated with trigeminal herpes zoster

Abstract

Limited number of cases has been reported in the literature regarding spontaneous teeth exfoliation secondary to herpes zoster. The exact pathogenesis regarding the spontaneous exfoliation of teeth in herpes zoster patient is still controversial. Thus, an oral health care provider should be aware of this rare complication while managing a case of tooth mobility with the previous history of herpes zoster of trigeminal nerve.

Role for the Ventral Posterior Medial/Posterior Lateral Thalamus and Anterior Cingulate Cortex in Affective/Motivation Pain Induced by Varicella Zoster Virus

“…The V1 and V2 branches innervate the eye and upper face (Leiser and Moxon, 2006 ). The trigeminal nerve is the most common cranial nerve involved in zoster of the face followed by the glossopharyngeal and hypoglossal nerves (Kaur et al, 2016 ). Regions of the face innervated by the V1 branch of the trigeminal ganglion are the most common in presenting zoster and regions innervated by V2 and V3 are less commonly involved in HZ of the face (Millar and Troulis, 1994 ) thus, we targeted the more commonly infected neurons of the trigeminal ganglion in these studies.…”

Trigeminal Herpes Zoster: Case Report

“…HZ is a characteristic disease of the elderly; individuals over 60 are 8 to 10 times more likely to develop the disease than those under 60 5 . In addition to age, people in an immunosuppressive state, such as bone marrow transplant recipients and HIV-positive patients are also at risk 2,5,10 . Some authors recommend that, regardless of the concomitant presence of other risk factors, all patients with herpes zoster should be tested for HIV 3 .…”

“…Among the cranial nerves involved by HZ infection, the trigeminal nerve is the most affected, with the ophthalmic branch being the most commonly involved 2,10 . The facial and vestibule-cochlear nerves are, respectively, the second and third cranial nerves most affected.…”

“…The facial and vestibule-cochlear nerves are, respectively, the second and third cranial nerves most affected. 10 The clinical characteristics of patients with HZ can evolve in three stages: prodromal, active and chronic 1,2,11 . In the first, symptoms such as pain, tingling and itching of the skin, on the distribution of the affected nerve, usually precede the rash, present in the active stage, for a few hours or several days 2 .…”

“…Varicella-zoster (VZV) is a virus that belongs to the Herpesvirus family, which can cause two different clinical infections: a primary infection, varicella and secondary or recurrent, or herpes zoster (HZ) 1,2 . After chickenpox is resolved, the virus remains latent in the dorsal root ganglia, and may, at some point, reactivate and trigger herpes zoster [2][3][4] .…”