[Evaluation of relationship between jaw and facial pains with Ischemic heart disease]

ABSTRACT

Heart disease is the great health problem in different countries .the most important symptom of heart disease with atherosclerosis in chest pain .pain diffuse to the right or left arm, neck and lower jaw. Patients that have central atherosclerosis heart disease with angina in rare cases have a current pain to lower jaw or tooth. The aim this study to determine the frequency of correlation between craniofacial pain and ischemic heart disease. In this descriptive - cross sectional study 210 specimens with ischemic heart disease [pectoris angina and myocardial infarction] that their disease accepted by cardiologist have been selected from Isfahan Chamran and Alzahra hospital in 2009-2010. clinical examination and radiographic evaluation to detect the synchronism of myofacial pain with heart pain were done and the obtained data were analyzed with chi square test. 58/6% of specimens were male and 41/1% of them were female. The age average of specimens were 56/74. 24 of specimens explained that during the MI or angina attack they had jaws pain, after the evaluation the mouth cavity and craniofacial zone with radiographic analyzed and clinical examination no craniofacial or dental problem were detected. From 24 patient with jaws pain 17 patients were male and 7 patients were female and their age average were 54/45. Any of the patients explained the jaws pain as the sole symptom of ischemic heart disease but 24 patients have jaw pain with other symptoms in other parth of the body. so dentist in patient with jaws pain and with no symptom of craniofacial pain to be questions about ischemic heart disease and their symptoms and when dentist distrust to patient then refer him to cardiologist