Fauzia Sajjad, Nabeel Chaudhary, Mukhtiar Ahmed, Imran Mirza, Mohammad Akmal, Rehan Shahid, Naveed Ashraf.
Fothergill Disease Wincing Facial Pain or Toothache: Incidence of Tooth extraction in Fothergill Disease.
Pak J Neuro Surg Jan ;19(4):212-5.

Background: Fothergill Disease commonly cause pain in jaws. Here, incidence of unnecessary tooth extraction and simple dental treatment was noted while managing this disease, is presented.Methods: A prospective review of 30 consecutive patients was done, who were treated for Fothergill disease at Department of Neurosurgery, PGMI / Lahore General Hospital Lahore from 2012 to 2013. The clinical presentation, dental surgeon evaluation, simple dental procedures and tooth extractions, were noted and analyzed.Results: In this study, thirty Fothergill disease patients were identified in 18 females (60%) and 12 males (40%) patients, with a mean age at diagnosis of 56.0 years. Right facial pain was relatively more common in 17 (56.66%) patients. Lower jaw was involved more alone in (n = 6) with upper jaw in (n = 12). Despite the typical nature of facial pain a large no of patients (n = 12) 40%, visited dental surgeons. Simple dental procedures in the form of local injections or root canal was done in (n = 5), while tooth extracted in (n = 7)Conclusions: All peridental area pain are not due to dental disease, Exact diagnosis and treatment of jaw pain is mandatory to avoid unnecessary dental treatment.

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