The Journal of the American Dental Association
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J Am Dent Assoc, Vol 115, No 5, 710-712.
© 1987 American Dental Association
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Journal of the American Dental Association, Vol 115, Issue 5, 710-712
Copyright © 1987 by American Dental Association

Case Reports

Mandibular pain as the initial and sole clinical manifestation of coronary insufficiency: report of case



BJ Batchelder, DJ Krutchkoff, and J Amara
Department of Oral Diagnosis/Pathology, School of Dental Medicine, University of Connecticut, Farmington 06032.

A case of anginal pain limited to the mandible with secondary radiation of the pain to the neck and clavicular regions is presented. Although the pain was initially diagnosed as odontogenic in origin, further historical workup suggested the suspicion of referred pain from coronary insufficiency. Immediate cardiac evaluation confirmed the nature of the pain as angina. Important aspects involved with differential diagnosis of referred anginal pain are also discussed.




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