Inflammation, dental neurological disorder: I have a pain in the face, what does it hide?
The face concentrates a third of the sensory receptors present on the surface of the body. What value the sensuality of the caresses, but, reverse of the medal, it also increases the discomfort of the evils that are expressed there. Here are the main ones, decrypted by our specialists.
Face pain: it may be bruxism
10 to 15% of the population squeezes teeth excessively and / or makes them creak, during the day or while sleeping. The problem? " Teeth are designed to come in close contact with each other for ten minutes a day to grind and chew food "says Prof. Vianney Descroix, dental surgeon, specialist in chronic facial pain and head of the odontology department of CHU Pitié-Salpêtrière.
Result: in addition to accelerated tooth wear, joint and muscle pain appear in the jaw. Sometimes until the dislocation of the maxillary meniscuses and difficulties to open the mouth, the muscles massete the cheeks, the largest of the face, are hypertrophied.
The solution : We start wearing polymer gutters at night to protect the teeth from excessive abrasion. In parallel, " you have to work on anxiety, the main cause that leads to bruxervia therapeutic hypnosis sessions and / or psychotherapy. It also happens that the tongue is positioned badly when you swallow, awake and sleeping, which causes too much pressure. Lingual rehabilitation with a physiotherapist or a speech therapist helps to remedy ", reassures the specialist.
Face pain: a dental problem gone unnoticed
Although the majority of infectious or inflammatory disorders of the gums and teeth (caries, periodontal disease ...) are spontaneously detected by their throbbing pain, some minor infections spread out with low noise. Moreover, the immune system itself is responsible for effectively curbing them. But in the meantime, an unpleasant sensitivity can develop in contact with the dental area concerned.
The solution : Consult a dentist to ensure that medication or dental treatment is not necessary or is not a necrotic nerve.
Pain in the face: and if it was sinusitis
The sinuses are the eight bony cavities of the face. In case of inflammation or infection of the lining of mucous membranes, viscous mucus becomes less fluid. It evacuates badly through the nasal cavity, while viruses or bacteria take advantage of it to swarm. In 90% of cases, it is a common viral rhinopharyngitis, which has contaminated one or more sinuses.
The solution : When sinusitis is viral, the treatment aims to reduce pain by decongesting the mucous membranes and accompanying the natural drainage of mucus through the nose. The latter is washed with a hypertonic serum of seawater concentrated to 9 g / l of salt. Then we make two daily inhalations of hot steam, after having slipped in the water 6 drops of the following essential oils mixture: tea tree (10 drops), Ho wood (10 drops), peppermint (5 drops), ravintsara (20 drops). Without improvement after 4 to 5 days, consult, because it can be a bacterial sinusitis, " the treatment then goes through antibiotics. And if the infection has become chronic, surgical drainage of the sinuses may be necessary ", says Dr. Elisabeth Sauvaget, ENT surgeon.
Migraine: another cause of facial pain
Depending on the region of the face or skull where the crisis begins - front, temple, cervical vertebrae, eyebrows - the pain can radiate more widely the face, following the path of the nerve endings.
The solution : From the beginning of the crisis, we take an analgesic. The faster we intervene, the more chances we have to circumscribe the crisis. Knowing that the soluble and effervescent forms of paracetamol are more easily assimilated. One can also drink a large, tight coffee, for its recognized vasoconstrictor effect. Finally, specific molecules of migraine (ergot derivatives and triptans, prescription) neutralize inflammation and vasodilatation of the vessels of the brain.
Face pain: a cluster headache
This neurological disorder is manifested by very intense pain attacks to the eye, cheek, teeth sometimes, coupled with oppression of the temple. Always unilateral, the pain persists from 30 minutes to 3 to 4 hours without taking medication. The hypothalamus is thought to be responsible for these episodes, which occur intermittently during episodes lasting from 1 to 3 months, but medicine continues to explore this disease.
The solution : " Crisis treatment requires subcutaneous injections of triptans, vasoconstrictors also used in migraine, but in tablets. Here, patients need the injectable form for its quick action and because they do not respond to the molecule in tablet "says Dr. Caroline Roos, neurologist, head of the Headache Emergency Center at the Lariboisière Hospital in Paris.In addition, or in case of multiple daily crises (injections are limited to two per day), one can resort oxygen inhalation (in bottle, on prescription) It is effective in about 20 minutes, without the mechanism of action is really identified.
The face swells: attention allergy!
Angioedema (the new name for Quincke's edema) occurs within minutes to two hours after ingestion of a drug, food or bee sting. Frequently associated with redness and itching, it is an emergency, call 15, to receive an antihistamine, or even an injection of adrenaline.
After a hair coloring, if eczema plaques appear, vigilance towards their chemical composition, especially those highly concentrated in PPD. This powerful allergen reinforces the color sometimes at the price of sharp cutaneous reactions.
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