Teeth Have Headaches, Too! (Case Study #2) | Nourish Dental Care

Teeth Have Headaches, Too! (Case Study #2)

Teeth Pain and Headaches

Many teeth pain cases referred to Nourish Dental Sleep & TMJ Care have some surprising effects, such as headaches. Our head, neck and shoulder areas are intricately linked, and it can often be hard to tell the pain apart. (You can also read another case study of jaw pain, neck pain and headaches here.)

Patient Profile

Madam Wong (not her real name) is in her late 50s, and came to our dental clinic with complaints of a terrible toothache. We found a small cavity on one of her upper right molars upon examination. We discharged her without further event after a dental filling procedure.

She returned a week later with further complaints of recurrent pain on the right side of her face. What was unusual this time, was her description of her facial pain as ‘throbbing’ or ‘pulsating’. She felt nauseous whenever exposed to bright lights, such as sunlight or indoor UV lights.

*Disclaimer: As of March 30, 2020, the ADA (American Dental Association) has officially recognised Orofacial Pain as its 12th dental speciality. Any reference to ‘specialisation’ is made in the context of the United States of America. Read more on our Disclaimers and FAQ pages.

Further Examination & Subsequent Diagnosis of Facial Migraine

Dental examination of her tooth filling and neighbouring teeth showed no abnormalities. We then carried out more dental tests and investigations, in a bid to find out what the problem was. These tests revealed that Madam Wong was actually suffering from an atypical form of migraine. Known as Facial Migraine, they can mimic a toothache.

Different Types of Migraines

There are many different types of migraines, of which some don’t even cause any pain! According to the American Migraine Foundation, here are some common types of migraine disorders:

  • Migraine with Aura (Complicated Migraine)
  • Migraine Without Aura (Common Migraine)
  • Migraine Without Head Pain
  • Hemiplegic Migraine
  • Retinal Migraine
  • Chronic Migraine
  • Ice Pick Headaches
  • Cluster Headaches
  • Cervicogenic Headaches

Teeth Pain & Orofacial Pain Disorders

Not all dentists or dental surgeons are trained to recognise or treat orofacial pain disorders. Orofacial pain is a type of dental specialisation* that deals with such disorders.

Some causes of orofacial pain are musculoskeletal disorders such as TMD (Temporomandibular Disorders). Or facial pain disorders such as Trigeminal Neuralgia, Atypical Facial Pain or Glossopharyngeal Neuralgia. It is easy to confuse migraine localised to facial pain for dental or orofacial pain.

It takes a trained pain management doctor to make a proper diagnosis, and follow through with the right treatments.

Anti-Migraine Treatments & Pain Management Plans

Madam Wong’s pain subsided, after I placed her on anti-migraine therapy that was specific to her needs. Every patient requires proper evaluation, in order to employ the most effective pain management plan.

Headaches Do Not Necessarily Need to be in the Head

In conclusion, pain from headaches do not necessarily mean that your head is the cause of the pain. Sometimes, it can cause teeth pain, and even in other surrounding anatomical areas such as your face, neck or shoulders.

Thorough examinations and careful investigations are a must. A misdiagnosis only prolongs the patient’s pain and suffering. On top of that, they may end up paying exorbitant amounts for unnecessary dental treatments, such as root canals or teeth extractions.

How Nourish Dental Sleep & TMJ Care Can Help

Nourish Dental Sleep & TMJ Care, Singapore, focuses on dental pain and sleep management, orofacial pain treatment, TMD & TMJ issues, myofascial pain, sleep apnoea, and more.

Dr. Eric Chionh runs the practice, and is formally trained in Oral Medicine and Orofacial Pain, and holds a Singapore Dental Council approved qualification in these areas. You can learn more about Dr. Eric Chionh’s qualifications and our dental practice on Our About Page. Visit Our Services page to view all dental and pain management services we provide.