FOTHERGILL DISEASE Wincing Facial Pain Or Toothache: Incidence Of Tooth extraction in Fothergill Disease

ABSTRACT Background:Fothergill Disease commonaly cause pain in jaws. Here, incidence of unnecessary tooth extraction & 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 & 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 n treatment of jaw pain is mandatory to avoid unnecessary dental treatment. Keywords: facial Pain, dental pain, tooth extraction