SYSTEM: nervous system
Disease Definition, including signs and Dental (medical history) considerations Dental implications and management
/Condition symptoms
ie associated drugs, or disease effects Ie check INR score before treatment
on the oral cavity
Headache Headache and oro-facial pain are Dental relevance:
the most common neurological Mainly management of oro-facial
complaints. pain.
Divided into various categories:
Migraine
Cluster headache
Neuralgia
Management:
Medical management of the
symptoms while trying to
find the root cause.
Trigeminal International headache society Dental relevance Dental relevance
Painful unilateral affliction of Patients may not brush the affected Patients may not brush the affected
neuralgia
the face, characterised by area. area.
brief electric-shock, Be wary of the trigger zone. Be wary of the trigger zone.
lightening-like pains limited
to the distribution of the
trigeminal nerve.
Incidences:
Under 40s- 0.2%
Over 70s- 25%
There are some causes, such as
tumours, but most causes are
unknown.
There is a trigger zone on
the face that starts the pain.
, Diagnosis
Assessed normally by the
clinical symptoms
Management
Carbamazepine prescription
will control about 90% of
cases.
Surgery should be required
if medical management
fails.
Cranial nerve Olfactory
Anosmia is loss of smell-
lesions
unilateral or bilateral
Can be an early sign of
Parkinson disease.
Optic
Damage can affect visual
acuity, visual field or
light/dark detection.
Pituitary tumours can press
on the optic chiasma,
causing issues.
Oculomotor
Damage causes paralysis of
inward, upward and
downward eye movements,
as well as double vision and
ptosis.
Pupil on the affected side
dilates will not constrict with
light.
Disease Definition, including signs and Dental (medical history) considerations Dental implications and management
/Condition symptoms
ie associated drugs, or disease effects Ie check INR score before treatment
on the oral cavity
Headache Headache and oro-facial pain are Dental relevance:
the most common neurological Mainly management of oro-facial
complaints. pain.
Divided into various categories:
Migraine
Cluster headache
Neuralgia
Management:
Medical management of the
symptoms while trying to
find the root cause.
Trigeminal International headache society Dental relevance Dental relevance
Painful unilateral affliction of Patients may not brush the affected Patients may not brush the affected
neuralgia
the face, characterised by area. area.
brief electric-shock, Be wary of the trigger zone. Be wary of the trigger zone.
lightening-like pains limited
to the distribution of the
trigeminal nerve.
Incidences:
Under 40s- 0.2%
Over 70s- 25%
There are some causes, such as
tumours, but most causes are
unknown.
There is a trigger zone on
the face that starts the pain.
, Diagnosis
Assessed normally by the
clinical symptoms
Management
Carbamazepine prescription
will control about 90% of
cases.
Surgery should be required
if medical management
fails.
Cranial nerve Olfactory
Anosmia is loss of smell-
lesions
unilateral or bilateral
Can be an early sign of
Parkinson disease.
Optic
Damage can affect visual
acuity, visual field or
light/dark detection.
Pituitary tumours can press
on the optic chiasma,
causing issues.
Oculomotor
Damage causes paralysis of
inward, upward and
downward eye movements,
as well as double vision and
ptosis.
Pupil on the affected side
dilates will not constrict with
light.
