Case 110 · ICHD-3 11.6
11.6 Headache attributed to disorder of the teeth
- Origin
- Synthetic
- Language
- English — also available in German
- Contributed by
- Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)
Anamnesis
Identification: A 38-year-old female patient reports a left temporal headache for 3 weeks.
History of Present Illness:
Pain:
Location: Left temporal region (over the masseter area)
Characteristic: Throbbing, moderate intensity (5-6/10)
Worsens with: Chewing and dental contact
Improves with: Masticatory rest
Associated symptoms:
Odontalgia in the left lower second molar (tooth 37)
Sensitivity to dental percussion
Nocturnal bruxism reported by partner
History: Deep restoration on tooth 37 two months ago
Physical Examination:
Dental Examination:
Irreversible pulpitis in tooth 37 (positive vitality test)
Pain on vertical and horizontal percussion
Localized gingival hyperemia
TMJ Examination:
Pain on palpation of the ipsilateral masseter
Mild joint clicking
Neurological Examination: Normal
Complementary Exams:
Periapical Radiography:
Discrete periapical lesion in tooth 37
Widened periodontal ligament space
Electric Pulp Test (EPT):
Exaggerated response (45μA - indicates pulp inflammation)
Report this case — e.g. suspected re-identification risk.