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retro orbitar pains, occipital cephalalgias
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To correctly understand this heading:
Remember that any stressed person who continuously clenches his teeth can elicite remote pain and associated dyscomforts from teeth (which are not only painful organs but also tactile one like the thumb and the index in opposite situation)
If You are interested the scientifical data are shown lower.
idee.jpg Don't forget to consult the associated headlings : "Clinical Data" and "Witness and experience"


POSSIBLE ALGIAS :

- global cephalalgias
- frontal cephalalgias
- occipital cephalalgias
- atypical migraines
- sinusalgias
- otalgias (without infection)
- maxillar & sub-maxillar pains
- retro-orbitar pains

Comment :

Patients with teeth and jaw clenching habits frequently complain of troubles with red eyes (hyperemia) or itching eyes (pruritus).
The treatment prescribed by doctors makes no difference.
When a patient constantly clenches his jaw and teeth, it is not uncommon to hear him complain of pain behind the eyes, of red eyes and even of tired eyes in the evening.

The cases below will show you the possible link between these symptoms and teeth clenching :
• Mr. L.J.C., 48, general practitioner, had been suffering for ten years from daily headaches associated with dizziness prohibiting the normal use of his motorcycle. The “atypical” patient immediately admitted to being notoriously skeptical about a possible manducatory cause for his symptoms. The topography of the pain spread well beyond the cranio-facial area (shoulders, back, lower back, lower limbs) predominantly on the right side. Among the many associated signs were morning fatigue, nausea, sleep disorders (troubled, non recuperative sleep) acroparesthesia in the hands, calf cramps, and bouts of coughing with no apparent cause. The patient also reported that wearing his glasses had become intolerable. Bilateral ocular hyperemia was accompanied by intense itching. The examination revealed hyperalgesia of the masticatory muscles. Finally, medical history showed that the patient suffered from a particularly severe and recurrent case of jaw clenching and was fully aware of it. The TMJ tomography showed a discrete anomaly of the condyle position. Within 2 months, treatment resulted in gradual sedation of all signs of pain and associated disorders. During a follow-up visit a few months later, the patient reported sporadically recurrent headaches and sleep disorders, particularly during periods of frustration related to his professional life, which recurrence was, according to him, always associated with jaw clenching episodes.




Comment :

Often the clenching patient says : I have got "the red eyes" : hyperhemia and prurit, my eyes are itching.
The doctor's treatments don't improve anything. The following case (below) shows the possible link between several symptoms elicited by clenching and in particularly = red eyes and prurit.
A clenching patient claims oft : retro orbital pain, red eyes, tired eyes




scientificdata.jpg

abstEtComment.jpg
Temporomandibular Disorders provokes some visual discomforts : for instance feeling of stretched eyes, visual troubles (not improved by spectacles), photophobia, watering of the eyes, intermittent diplopia… Extra-ocular discomforts such as headaches (frontal, occipital…), retro-ocular pain, cervical pain, dizziness, nausea, fatigue.
( Dr REYDY : ophalmologist)

Do not forget: the trigemeinal nerve gets 3 supplies:
-The ophtalmic nerve ( V1)
-The maxillaris nerve (V2)
- The mandibular nerve (V3)
abstEtComment.jpg
LE ROLE DU NERF TRIJUMEAU DANS L'OCULOMOTRICITE
R. Reydy, F. Hartmann
Extrinsic eye muscles responde to both proprioceptive and visual impulses. Since there is no direct connections between eye muscle proprioceptive afferents and eye motor neurons, the effect might be exerted over the vestibuloocular system associated with the visual pathway. Both proprioceptive extrinsic eye muscles and visual dysfonctions may induce oculomotor defects aptly called muscular asthenopia Masticatory muscles may be considered as the resonancebox of the trigeminal pain generated by dental and temporomandibular joint dysfunction. The trigeminal sensory complex may be the keystone between oculomotricity and the masticatoiy system.

Key Words: Trigeminal sensory complex, extrinsic eye muscles, proprioception, vision, muscular asthenopia, superior colliculus, vestibular nuclei, reticular formation, masticator muscles, temporomandibular joint, dental occlusion, dental sensitiveness, thalamus, craniocervical injury and whiplash teniporomandibular joint, stress.

Bibliography :

7. Bell W (1985) Orofacial Pains: classification, diagnosis, management. 3rd ed, Year Book Medical Pub Inc Chicago, 420 p

Clark GT, Browne PA, Nakano M, Yang Q (1993) Co-activation of sternocleidomastoid muscles during jaw clenching. J Dent Res 72, 11: 1499-502

Dao TT, LeResche L (2000) Gender Differences in Pain. J Orofac Pain 14: 169-84

Ehrlich R, Garlick D, Ninio M (1999) The Effect of Jaw Clenching on the Electromyographic Activities of 2 Neck and 2 Trunk Muscles. J Orofac Pain 13, 2: 115-20

Forssell H, Kangasniemi P (1984) Correlation of the frequency and intensity of headache to mandibular dysfunction in headache patients. Proc Finn Dent Soc 80: 223-6

Gelb H (1985) Clinical Management of Head, Neck and TMJ Pain and Dysfunction: A Multi-Disciplinary Approach to Diagnosis and Treatment. WB Saunders Co Philadelphia, London, Toronto

Hampf G (1992) A New Clinical Approach to the Treatment of Temporomandibular dysfunction and Orofacial Dysesthesia: Natural History and Comparisons With Similar Chronic Pain Conditions. J Craniomandib Disord Facial Oral Pain 6: 56-63

Keersmaekers K, De Boever JA, Van Den Berghe L (1996) Otalgia in patients with temporomandibular joint disorders. J Prosthet Dent 75; 1: 72-6

Kleier DJ (1985) Referred Pain from a Myofascial Trigger Point Mimicking Pain of Endodontic Origin. J Endodont 11; 9: 408-11

Kolbinson DA, Epstein JB, Burgess JA, Senthilselvan A (1997) Temporomandibular disorders, headaches, and neck pain after motor vehicle accidents: A pilot investigation of persistence and litigation effects. J Prosthet Dent 77: 46-53

Kreisberg MK (1986) Headache as a Symptom of Craniomandibular Disorders I : Pathophysiology. J Craniomandib Pract 4, 2: 135-42

Molina OF, Dos Santos J, Nelson SJ, Grossman E (1997) Prevalence of Modalities of Headaches and Bruxism Among Patients With Craniomandibular Disorder. J Craniomandib Pract 15; 4: 314-25

Molina OF, Dos Santos J, Nelson SJ, Nowlin T (2000) Profile of TMD and Bruxer Compared to TMD and Nonbruxer Patients Regarding Chief Complaint, Previous Consultations, Modes of Therapy, and Chronicity. J Craniomandib Pract 18; 3: 205-18

Molina OF, Dos Santos J, Mazzetto M, Nelson S, Nowlin T, Mainieri ET (2001) Oral Jaw Behaviors in TMD and Bruxism: A Comparison Study by Severity of Bruxism. J Craniomandib Pract 19; 2: 114-22

Moss RA, Lombardo TW, Villarosa GA, Codey JE, Simkin L, Hodgson JM (1995) Oral habits and TMJ dysfunction in facial pain and non-pain subjects. J Oral Rehabil 22; 1: 79-81

Rageot E, Djenazian F (1980) Rôle du dysfonctionnement de l’articulation temporo-mandibulaire dans les cervicalgies et les céphalées. Rhumatol 32; 10: 253-7

Rauhala K, Oikarinen KS, Raustia AM (1999) Role of temporomandibular disorders (TMD) on facial pain?. Occlusion, muscle and TMJ pain. J Craniomandib Pract 17: 254-61

Reik L, Hale M (1981) The temporomandibular joint pain-dysfunction syndrom: a frequent cause of headache. Headache 4, 21: 151-6

Schokker RP, Hanson TL, Ansink BJ (1989) Craniomandibular disorders in headache patients. J Craniomandib Disord Facial Oral Pain 3: 71-4

Suvinen TI, Reade PC (1995) Temporomandibular disorders: a critical review of the nature of pain and its assessment. J Orofac Pain 9: 317-39

Travell JG, Simons DG (1983) Myofascial pain and dysfunctipon. The Trigger-Point Manual. Williams & Wilkins (ed) Baltimore, 713 p

Villarosa GA, Moss RA (1995) Oral behavior patterns as factors contributing to the development of head and facial pain. J Prosth Dent 54; 3: 427-30

Wänman A (1995) The Relationship Between Muscle Tenderness and Craniomandibular Disorders: A Study of 35-years Old From the General Population. J Orofac Pain 9; 3: 235-43
Last Updated on Thursday, 02 July 2015 22:49
 
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