Fothergill Disease Wincing Facial Pain or Toothache: Incidence of Tooth extraction in Fothergill Disease


  • Dr. Fauzia Sajjad PGMI / Lahore General Hospital
  • Dr. Nabeel Chaudhary PGMI / Lahore General Hospital
  • Dr. Mukhtiar Ahmed PGMI / Lahore General Hospital
  • Dr. Imran Mirza PGMI / Lahore General Hospital
  • Dr. Mohammad Akmal PGMI / Lahore General Hospital
  • Dr. Rehan Shahid Punjab Institute of Cardiology
  • Prof. Dr. Naveed Ashraf Jinnah Hospital, Lahore – Pakistan


Facial Pain, dental pain, tooth extraction


Background: Fothergill Disease commonly cause pain in jaws. Here, incidence of unnecessary tooth extraction and simple dental treatment was noted while managing this disease, is presented.
Methods: A prospective review of 30 consecutive patients was done, who were treated for Fothergill disease at Department of Neurosurgery, PGMI / Lahore General Hospital Lahore from 2012 to 2013. The clinical presentation, dental surgeon evaluation, simple dental procedures and tooth extractions, were noted and analyzed.
Results: In this study, thirty Fothergill disease patients were identified in 18 females (60%) and 12 males (40%) patients, with a mean age at diagnosis of 56.0 years. Right facial pain was relatively more common in 17 (56.66%) patients. Lower jaw was involved more alone in (n = 6) with upper jaw in (n = 12). Despite the typical nature of facial pain a large no of patients (n = 12) 40%, visited dental surgeons. Simple dental procedures in the form of local injections or root canal was done in (n = 5), while tooth extracted in (n = 7)
Conclusions: All peridental area pain are not due to dental disease, Exact diagnosis and treatment of jaw pain is mandatory to avoid unnecessary dental treatment.

Author Biographies

Dr. Fauzia Sajjad, PGMI / Lahore General Hospital

Department of Neurosurgery

Dr. Nabeel Chaudhary, PGMI / Lahore General Hospital

Department of Neurosurgery

Dr. Mukhtiar Ahmed, PGMI / Lahore General Hospital

Department of Neurosurgery

Dr. Imran Mirza, PGMI / Lahore General Hospital

Department of Neurosurgery

Dr. Mohammad Akmal, PGMI / Lahore General Hospital

Department of Neurosurgery


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