A Case Report of a Patient Complaining of Itch Sensation in the Maxillary Molar Gingiva Likely Related to the Myofascial Pain in the Masticatory Muscles
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- Miki Haruna
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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- Minakuchi Hajime
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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- Maekawa Kenji
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
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- Kuboki Takuo
- Department of Oral Rehabilitation and Regenerative Medicine, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences
Bibliographic Information
- Other Title
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- 咀嚼筋の筋・筋膜痛に関連して生じたと考えられる歯肉の掻痒感を訴えた患者の一症例
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Description
Patient: The patient was a 36-year-old female who visited a private dental clinic with the complaints of uncomfortable feeling in the gingival area of left maxillary molar region and itch sensation in the left side head, neck and shoulder regions. Since her uncomfortable feeling of the gingival area did not improve after the pulpectomy of the maxillary left side second molar, she visited our hospital. Root canal treatment of the left maxillary molars was carried out under the diagnosis of the periapical periodontitis based on the X-ray and cone beam CT findings. However, percussion pain of the concerned tooth and itch sensation of the left side maxillary molar region continued. She said that shoulder stiffness accompanied with the itch sensation of gingiva and simultaneously aggravated and continued for a couple of days. Additionally, she complained tenderness at left masseter, temporalis and sternocleidomastoid muscles and the itch sensation could be evoked by continuous press of those tender points, similarly with the refereed pain from myofascial trigger point.<br>From the above findings, the itch sensation was considered as a related symptom of her myofascial pain conditions. Thus, we instructed her physical therapies such as muscle massage and hot pack to alleviate myofascial pain. Furthermore, since she was aware of having nocturnal bruxism habit, she was also instructed to wear stabilization splint at night. As the results, her myofascial pain improved and consequently the percussion pain of left side second molar and the itch sensation of maxillary molar gingival region disappeared as well.<br>Discussion: In addition to the myofascial toothache, it was possible to consider that itch sensation appears at distant parts of body as a related symptom of myofascial pain conditions.<br>Conclusion: We experienced the patient case who complained itch sensation of gingiva likely appeared as a related symptom of myofascial pain.
Journal
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- Japanese Journal of Orofacial Pain
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Japanese Journal of Orofacial Pain 9 (1), 105-111, 2016
Japanese Society of Orofacial Pain
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Details 詳細情報について
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- CRID
- 1390001205300477824
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- NII Article ID
- 130006900353
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- ISSN
- 18829333
- 1883308X
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed