Tooth pain accompanying cluster headache in a middle-aged female: a case report

• Sana Ohnuma ^[1] ; Keita Takizawa ^[1] ; Kana Ozasa ^[1] ; Andrew Young ^[2] ; Noboru Noma ^[1]
  1. [1] Nihon University

     Nihon University

     Japón

     
  2. [2] DDS, MSD, Department of Diagnostic Sciences, Arthur Dugoni School of Dentistry, University of the Pacific, San Francisco, United States
• Localización: Journal of Clinical and Experimental Dentistry, ISSN-e 1989-5488, Vol. 17, Nº. 2 (February), 2025, págs. 229-232
• Idioma: inglés
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• Resumen

  • Some orofacial pains (OFP) resemble primary headache disorders, but involve the trigeminal nerve V2 or V3 dermatome. The International Classification of Orofacial Pain (ICOP) distinguishes three types of such OFPs: Type 1 (facial pain in addition to headaches), Type 2 (facial pain replacing a previous primary headache), and Type 3 (OFP similar to primary headaches, without a history of headaches). This report describes a 46-year-old female patient with a chief complaint of toothache and severe pain radiating to the left orbital region, and with accompanying autonomic signs and symptoms. The pain persisted despite dental treatments, leading to a diagnosis of cluster headache. The OFP initially matched the Type 1 description, but later changed to match the Type 2 description. This case highlights the need to differentiate nonodontogenic from odontogenic pain for accurate diagnosis and treatment.