headache

Orofacial Signs Linked to Lyme Disease

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An interesting article titled “Orofacial Manifestations of Lyme Disease: A systematic review” appears in the The Journal of Dental Hygiene written by Brenda T. Bradshaw and et al. (vol. 95, no. 4, August 2021). The article seeks to perform a systematic review of the types and frequencies of orofacial manifestations of people in the the United States with Lyme disease. In the article the authors performed their systematic review by starting from 217,381 articles that had been searched by a university librarian. The authors weeded these results down substantially due to duplication and to meet their exclusion criteria that included if not with US populations, if not available in English in full text, and if does not have a CDC diagnosis of Lyme disease. This resulted in twelve articles for the analysis with seven from the 1990s, three from the … Read more

COVID-19 Leading to More Orofacial Pain

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An interesting article titled “The Impact of the COVID-19 Pandemic on Orofacial Pain Practice: Perceptions from a Convenience Sample of Orofacial Pain Practitioners,” appears in the 2022 edition of The Journal of the American Dental Association written by Fernanda Yanez Regonesi and et al. The article sought to explore the impact of COVID-19 in patients impacted by orofacial pain. In the article the authors analyzed voluntary anonymous online survey data from those who participated in a webinar from the American Academy of Orofacial Pain (AAOP) on orofacial pain, headaches, and sleep care during COVID-19. The authors used statistic tools to analyze the responses from the AAOP members to questions relating to orofacial pain practices and perceptions about patient symptoms. A total of 111 practitioners completed the survey from the 617 it was sent to. A total of 47 of these … Read more

Wisdom Teeth Removal Leads to Persistent Headache and Viral Encephalitis

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A person in Scotland had wisdom teeth removed that resulted in an infection. This lead to a persistent headache that was later diagnosed as viral encephalitis but initially missed. The person who had wisdom teeth removed did not have the proper diagnosis made by both oral and maxillofacial surgeons and when admitted to a hopsital, medics from NHS Fife at the Victoria Hospital in Kirkcaldy, Scotland. None of the people who treated the person suspected an infection and the person was not given an MRI scan. This lead to encephalitis which is an inflammation of the brain typically caused by an infection. A complaint was submitted to the Scottish Public Services Ombudsman for this case and they came out with a decison report that contained a summary of the case and recommendations. The board of NHS Fife where the person was … Read more

Was Wisdom Teeth Removal Performed Without Consent that Lead to Trigeminal Nerve Damage, Migraines, and Dizziness?

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An Illinois woman has filed a lawsuit against her dentist and dentist assistant in October, 2019, alleging that four wisdom teeth were extracted without informed consent. Just before the surgery occurring in September 2017, the woman alleges that she spoke with the dental assistant about concerns with going forward with the extraction. However, the surgery proceeded and the woman was given general anesthesia. The woman’s boyfriend at the time of the surgery signed of on the informed consent form although there was no legal right to do so. The dentist was not aware that the woman had nerves that were too close to the wisdom tooth and thus should have required a more complex procedure. The suit says the dentist used an “overly aggressive, improper technique” and “negligently and carelessly failed to properly inform the plaintiff of all the risks.” … Read more

Opioids Overused For Migraine Headache Treatment

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A new study that attempted to find racial disparities in the treatment of migraine headaches found no differences and instead found that opioids are often overused for migraine headache treatment. As has been discussed on this blog and site before, the prescribing habits of opioids are under scrutiny for wisdom teeth surgery. See for example the article https://blog.teethremoval.com/what-can-a-surgeon-do-to-prevent-opioid-abuse/ and the article https://blog.teethremoval.com/painkiller-overdose-in-michigan-are-wisdom-teeth-extractions-contributing/. Now it appears that the prescribing habits of opiods for migraines should also be under scrutiny. Existing research shows that African-Americans experience more frequent and severe migraine headaches than non-Hispanic whites. Researchers at the University of Michigan set out to explore if there was any evidence of racial disparities in treatment practices for migraines. However, instead of finding any disparities, they found opioids were being prescribed as frequently as medications that are more effective for migraine headaches. In the study, results from … Read more