Orofacial Pain of Cardiac Origin: A Case Report

DURSO, Braz Campos; Israel, Mônica Simões; Janini, Maria Elisa Rangel; Cardoso, Abel Silveira

doi:10.1080/08869634.2003.11746244

Cited by 14 publications

(11 citation statements)

References 3 publications

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“…5,6 Durso et al in 2003 described a case where facial pain developed after onset of chest symptoms in a patient with undiagnosed cardiac disease. 7 Although a case of vasospastic angina in a child whose only symptom was toothache has been reported, 7 we can find no cases where undiagnosed angina in adults presents as exertional facial pain with no other symptoms. It is well known that cardiac pain may be referred to the facial and dental tissues.…”

Section: Discussionmentioning

confidence: 93%

Angina presenting as orofacial pain: A case report

Turner

McMillan

Gibbons

2013

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Section: Discussionmentioning

confidence: 93%

Angina presenting as orofacial pain: A case report

Turner

McMillan

Gibbons

2013

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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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

Jalali

Vilke

Korenevsky

et al. 2014

The Journal of Emergency Medicine

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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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“…The clinical description of ischemic heart disease is characterized by substernal pain, which spreads to the shoulders, arms and neck. In some cases, the pain may spread to the jaws and teeth (2,3). The cause of cardiac pain referred to the orofacial region can be explained by convergent mechanisms in the trigeminal complex.…”

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

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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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Orofacial Pain of Cardiac Origin: A Case Report

Cited by 14 publications

References 3 publications

Angina presenting as orofacial pain: A case report

Angina presenting as orofacial pain: A case report

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

Orofacial pain of cardiac origin: Review literature and clinical cases

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