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News / June 3, 2008

Dentists may hold the remedy to headaches

by Guy Hiscott

Patients suffering with nagging headaches should book a dental appointment.

That’s according to a US expert, who suggests that the link between headaches and toothaches is to do with the main nerve – the trigeminal nerve – running through the face and neck.

Director of the Orofacial Pain and Oral Medicine Graduate Program at the University of Southern California School of Dentistry Glenn Clark maintains that pain centred in the nerves and muscles of the face and neck – as well as poor habits the discomfort may cause – can trap sufferers in a painful feedback loop, with head pain triggering jaw and neck pain and vice versa.

‘Headaches and toothaches all transmit through the trigeminal nerve, the largest sensory nerve in the head that supplies the external face, scalp, jaw, teeth and much of the intra-oral structures,’ Clark said.

‘Pain in one branch of the nerve has the potential to activate other branches of the nerve, and when that pain is chronic and sustained, it is more likely to trigger a sequence of events that might lead to a headache. In people who have headaches, a continuous, sustained toothache can easily trigger one of the episodic headaches such as migraines.’

‘Besides the close anatomical links between head, face and jaw pain, reflexive behaviours caused by pain and tension such as jaw clenching and muscle tightening can exacerbate and transfer pain.

‘There is a good deal of interconnectivity between the orofacial and craniocervical systems; for example, when you clench your teeth you contract your neck muscles inadvertently,’ Clark said.

He added that when patients have an acute neck injury they often start holding tension in their teeth, and jaw muscle pain will occur.

‘When you have a chronic toothache or bad temporo-mandibular joint, this may also cause bracing and guarding in the muscles on the same side of the jaw and in the neck,’ he said.

‘When head and face pain spring from tooth or jaw joint injury, such as when a patient unknowingly clenches or grinds their teeth for long periods of time and damages tissue inside and below the teeth, it can be difficult for a physician to decipher the cause of the pain, he said.

That’s where a dentist with a trained eye for the medical and behavioural causes of orofacial pain comes in.