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Impacted cuspid facial/head pain connection?
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MedHelp Member's Question

Impacted cuspid facial/head pain connection?

by quiet, Jan 11, 2004 12:00AM
My 11 year old daughter has been out of school for over a quarter with constant pain/pressure around her nose and behind and beneath her eyes. She also has head pain-usually in forehead and sides, occasionally in back of head and fatigue. She's been treated for sinus infection but has no other symptoms and CT scan showed nothing.  Has had MRI of brain and scores of blood tests--no help. The pediatricians are out of ideas. She was seen by neurologist who says "migraine" and put her on daily doses of amitriptyline and naproxen and had her try: amerge, imitrex, maxalt, axert, frova, and zomig. None have helped,some have made her feel worse. Also she has no nausea and is not sensitive to light or noise. Yes, there is family history of migraines and she is an adolescent. Does it sound like migraine? She also has impacted cuspids in a v-formation above her top front teeth with large cysts surrounding their crowns. Our dentist has not seen anyone with head and facial pain from impacted cuspids before although he wonders if it could be in her case. The neurologist says she doesn't deal with teeth and won't discuss any linkage between the teeth and pain. Meanwhile this child hasn't had a pain-free moment since September. Have you ever seen a case where this constant facial pain and headaches were caused by impacted cuspids? If it is migraine is it normal to see absolutely no break in pain in over a month of treatment?  Thank you.
Doctor's Answer

by CCF-Neuro-M.D.-CS, Jan 13, 2004 12:00AM
I think it is unlikely that the impacted teeth are contributing to her condition. If the MRI of the brain including imaging of the veins was entirely normal, then this most likely represents a tension type headache. It is not uncommon for children to have these types of headaches, and it requires a multi-disciplinary approach to treatment. Typically requiring a specific medical regiman, counseling, and participation in school. I would recommend an evaluation with a pediatric headache doctor to confirm this, and to ensure there are no abnormalities. If you are in the area we have one of the best in the country. His name is Dr. A. David Rothner. Good luck.
Member Comments (9)

by pandora9048, Jan 11, 2004 12:00AM
To: quiet
hi,

has ur child ever been checked for tmj disorder?  its a disorder with the temporomandibular joints of the jaw.  a telltale sign is a clicking or popping sound when u move your jaw.  i was diagnosed with this when i was about 16 or 17 but the symptoms i had were sharp pains in the head in the temple area and around my ears.  u can check this by sticking ur fingers gently in her ears and ask her to open and close her mouth and u can actually feel the clicking of the jaw if it is tmj.  just a thought.

regards,

Pandora

by quiet, Jan 12, 2004 12:00AM
Yes, the neurologist checked her for TMJ and did not find any evidence of it.  Thank you for your suggestion and concern.  We are desperate people and will consider all thoughts and ideas to help this child.

by SacredWholeness, Jan 13, 2004 12:00AM
Hi.  I am on the site to post a question and saw your post.  I am an Energy Healer.  I will work on your daughter remotely for the next three days.  Let me know if she feels any relief.  That aside, you may want to consider some complementary therapy.  I am an advocate of Energy Healing because I work with it but there are plenty of alternatives.  The Cleveland Clinic will be conducting several studies on forms of Energy Healing on things such as prostate cancer this year. Perhaps their new alternative healthcare center can give you some suggestions.

by quiet, Jan 17, 2004 12:00AM
To: SacredWholeness
Thank you for your compassion for my daughter's condition.  I don't really know what an energy healer does, but we appreciate your efforts to help.  After posting my question, my daughter was seen by another oral surgeon on January 12th and was operated on, on January 15th. The cysts in her gums were removed, baby cuspids pulled to make room for the permanent ones, and gold chains attached to the permanent ones to eventually be used with braces to pull them into their proper position.  So, I can't give you an accurate reading of how she would have done those 3 days normally.  Right now her face is so swollen we won't be able to tell if her pain has been relieved until the swelling goes down.  Her head,while not totally pain-free, seems somewhat better. Again, thank you for your interest and concern.

by Granny2, Jan 26, 2004 12:00AM
My mother is 74 years old and wears dentures for the last 6 years she has been having sever jaw pain she can not open her mouth to talk or eat.



She has been to several different oral surgens and they stated

she has Temporomandibular Joint Disorder.  But they could not help her because she didn't need surgery.



The pain gets worse every time it starts up the Doctors have put her on pain pills and muscle relaxants and that does not help.

She has tried moist heat that helps some but it doesn't go away.





Does anyone have any suggestions or know of a Doctor that really knows about TMJ?



Thank you



by quiet, Feb 13, 2004 12:00AM
My daughter had the surgery to remove the cysts in her gums and to begin to correct the position of the impacted teeth four weeks ago.  The change has been dramatic.  Her facial pain is no longer an issue and the headaches have continued to decrease despite going through a week of spacers between teeth and having braces put on last week. She is back in school and her energy level is increasing. My advice to parents is to find someone in the medical profession who will take an interest in your child's case and will listen and think about what you are saying, especially when all of the obvious diagnoses have run out.  We were fortunate to find someone who would think outside of his specialty and take our child's case to colleagues at seminars and conferences until he found someone of like mind that was willing to help. May you all find help and relief.

by parmi2005, Mar 03, 2004 12:00AM
I disagree with most of you here.



I think there is a big connection between your daughters head pressure, sinus pressure, with respect to her teeth.



The teeth and the cranium are connected. In fact, if you study the shape of the cranium and the shape of the maxilla, you will realize that the shape of the