Cosmetic Dentist Miami FL 33162


Headache Treatments

Treatment of Headaches, Migraines and Head and Facial Pain With Deep Nasal Nerve Block

80% of severe headaches can be controlled with a simplebut underutilized therapy for pain control

In order to understand headaches and facial pain we must first understand the anatomy of the head, nasal passages and the location of important nerve centers behind our throat.

The Sphenopalatine ganglion (SPG) also called the nasal ganglion is the largest group of nerves outside the area of the brain cavity. The SPG is located behind the nose and sinus area and near the throat, and covered by a thin layer of connective tissue and mucous membrane.

Sphenopalatine ganglion block has been reported to be effective in the relief of a wide variety of pain conditions ranging from headache to lower back pain. However, because many of the medical studies concerning its application were published in the 1930s, the clinical use of this therapeutic procedure, in my opinion, is much underutilized at present.

In this report, we would like to arouse the interest of the modern day practitioners in the use of this deep nasal nerve block procedure with a slightly modified technique, which makes the practice more acceptable to patients.

The reason these nerves (the SPG) produce pain relief in remote parts of the body is still poorly understood; however, looking at these nerve connections in the head, the SPG plays a crucial role as an important dispatch center of the autonomic nervous system. The SPG receives sensory inputs from other important nerve centers in the body. The nerve fibers coming from the base of the brain pass through another nerve center that directly connects to the SPG and is directly connected to a branch of the facial nerve.

Because the SPG nerve complex is connected, indirectly to cervical roots in the neck at the C2, C3, and C4 levels. Therefore, it would not be unreasonable to postulate that pain from the upper cervical spine (the neck vertebrae) can cause “referred” symptoms into the head and facial area, and vice versa. This might explain why an SPG nerve block would relieve migraines, headache, head and facial pain, pain in the neck and upper back.

The SPG can be blocked by using a topical anesthetic that is applied by using a cotton tip applicator with a hollow handle that is saturated in a solution of 4% Lidocaine mixed with Oxymetazoline HCl 0.05% (more commonly known as Afrin, an over the counter nasal spray). The applicator is passed through the nostrils until it meets the wall of tissue which separates the throat from the nasal passages. The applicator is pushed on to the tissue and the local anesthetic is topically applied through the hollow handle of the applicator into the cotton tip and left in place for about 45-60 minutes, which results in the desired deep nasal nerve block.

The side effects of SPG nerve block are minimal, but do include allergy to Lidocaine which is rare, irritation to the nose or scratchiness to the throat but these side effects rarely occur when the procedure is performed by an expert. Because this procedure is so safe and easy and because there is great utility and simplicity involved in this therapy, one cannot help but ask why this simple, safe and effective treatment remains underutilized. This much neglected pain therapy is a viable alternative to complex and risky procedures. If this procedure is effective for you, there would be no need to silently suffer in a dark room or to poison your body with toxic medications ever again.

Our headache patients come to us from Ft. Lauderdale, Hollywood, Miami Beach, North Miami Beach, Miami, Bay Harbor and Aventura.

TMJ Disorders

What is TMJ?

TMJ is an acronym for temporomandibular joint. The temporomandibular joint connects the lower jaw to the temporal bone at the side of the skull. This joint is essential to daily jaw functions such as opening and closing your mouth, chewing and speaking. It also enables the jaw to slide forward and backward.

It has become common for people to refer to pain in the temporomandibular joint as “TMJ” (“I have TMJ!”). In reality, TMJ is the name of the joint, not the pain. Pain in this joint is really called TMD (TemporoMandibular joint Disorder).

What is TMJ Disorder or TMD?

TMJ disorder refers to any condition that impairs or causes malfunctioning in the opening or closing of the mouth. This condition can be caused by overwhelming pressure applied during normal chewing or simply a nervous tic. This damages the structures and their surroundings and leads to acute or chronic inflammation of the temporomandibular joint. This can result in significant pain in the jaw area, jaw muscles, side of the head, back, front of the neck, and sinuses, as well as impairment of motor functions.

Factors precipitating TMJ Disorder

There are many factors that put strain on the temporomandibular joint and thereby play a role in causing TMJ disorder. They include the following:

  • Accidental trauma of the teeth
  • Modification of bite pattern due to recent dental treatment that did not bring the jaw to its original position
  • Teeth grinding, or any repetitive jaw movements
  • Chewing gum or biting nails

Symptoms associated with TMJ Disorder

TMJ symptoms include but are not limited to:
TMJ Disorders

  • Frequent headaches
  • Uncomfortable bite
  • Neck/shoulder/back pain
  • Head and facial pain
  • Pain of the jaw joint
  • Ear ache
  • Jaw locking

Treatment of TMJ Disorder

At present, there are more than 50 treatments in use ranging from very conservative, reversible therapies to more aggressive, invasive approaches.

Fir proper treatment of TMJ disorder, there is no replacement for seeing a professional North Miami Beach / Miami TMJ treatment specialist trained to treat TMD, like Dr. Edderai.

We currently incorporate the latest diagnostic equipment and available treatments for the varying causes of TMJ Disorder and would be delighted to discuss them further with you during your dentistry consultation.

Our TMJ patients come to us from  Miami Beach, North Miami Beach, Miami, Bay Harbor, Aventura, Ft. Lauderdale and Hollywood.