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Journal of Oral & Facial Pain and Headache (OFPH) is published by MRE Press from Volume 38 lssue 1 (2024). Previous articles were published by another publisher on a subscription basis, and they are hosted by MRE Press on www.jofph.com as a courtesy and upon agreement with Journal of Oral & Facial Pain and Headache.
Toothache of Cardiac Origin
1Department of General and Oral Physiology, Faculty of Odontology, University of Uruguay, Montevideo. Uruguay
2Uruguayan Society of Stomatology, Uruguayan Dental Association, Montevideo, Uruguay
3Or ofacial Pain Center, University of Kentucky College of Dentistry, Lexington. Kentucky
*Corresponding Author(s): Marcelo Kreiner E-mail: mkreiner@netgate.com.uy
Pain referred to the orofacial structures can sometimes be a diagnostic challenge for the clinician. In some instances, a patient may complain of tooth pain that is completely unrelated to any dental source. This poses a diagnostic and therapeutic problem for the dentist. Cardiac pain most commonly radiates to the left arm, shoulder, neck, and face. In rare instances, angina pectoris may present as dental pain. When this occurs, an improper diagnosis frequently leads to unnecessary dental treatment or, more significantly, a delay of proper treatment. This delay may result in the patient experiencing an acute myocardial infarction. It is the dentist's responsibility to establish a proper diagnosis so that the treatment will be directed toward the source of pain and not to the site of pain. This article reviews the literature concerning referred pain of cardiac origin and presents a case report of toothache of cardiac origin.
cardiac pain; referred pain; nonodontogenic toothache; heteroropic pain; orofacial pain
Marcelo Kreiner, Jeffrey P. Okeson. Toothache of Cardiac Origin. Journal of Oral & Facial Pain and Headache. 1999. 13(3);201-207.
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