Lady with Face Pain | Dr. Michael Jackson DDS IAOMT Lecture (2011) (Face Pain; Headache) | Source of Pain is Dental
In this 2011 IAOMT lecture by Dr. Michael Jackson DDS, at timestamp 30:30, he tells a Patient Story. A lady in her 40s had face pain. She was the victim of domestic abuse, and she had got hurt in the face. She went to an oral surgeon, who extracted T16 and T14. She still had face pain. He referred her to other oral surgeons, but she got no relief. She was referred to Pain Clinics, where she was put on pain drugs like Tegritol. She found her way to Dr. Jackson. Dr. Jackson suspected a cavitational lesion (he saw it on the X-Ray), so she he sent her to the local dental school to get confirmation that it was in fact a cavitational lesion. The dental school oral surgeon called Dr. Jackson and said the real cause of this Patient’s neuralgia face pain was a nerve. He recommended treating it with a thermal ablation, where they stick a hot needle under the nerve to heal it. Dr. Jackson asked, what about the cavitational lesion that is showing on the X-Ray? The dental school oral surgeon said “we don’t believe that you can have osteonecrosis in the maxilla because it is so highly vascularized.” Dr. Jackson decided to treat this Patient himself. He and another dentist worked together and did her cavitation surgery. During the surgery, Dr. Jackson found a hollow lesion the size of a “bean.” The next day, he called the Patient, and she said her face pain “was different.” A week later, she said her face pain was gone (she said “I’m feeling better”). Two weeks later, she said she was “pain-free.”