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Why Your Migraine Might Cause Tooth Pain and How to Cope

  • 12 min read

Migraine tooth pain can be a perplexing and debilitating experience, often leaving people confused about the source of their discomfort.

While we commonly associate migraine with intense headaches, they can also manifest in a variety of other symptoms, including tooth pain.

Understanding this connection is essential to managing both conditions effectively.

In many cases, the discomfort felt in the teeth may be related to the muscles, nerves, and tissues that become affected during a migraine attack.

Additionally, dental issues such as bruxism (teeth grinding), jaw tension, and sinus pressure can exacerbate the situation, leading to further pain and discomfort.

This article aims to provide you with an informative overview of migraine tooth pain, including its causes, symptoms, and potential remedies.

By gaining a better understanding of this connection, you can equip yourself with the knowledge needed to manage your discomfort and improve your overall quality of life.

If you have been struggling with migraine and accompanying tooth pain, keep reading to explore effective strategies and treatment options available to help alleviate your suffering.

The Connection Between Migraines and Tooth Pain

The link between migraine and tooth pain is complex.

Studies show a strong connection through the trigeminal nerve. This nerve is key for facial sensations, including tooth and gum feelings.

Though we don't know all about migraine, it's thought that abnormal brain activity plays a role, such as hyperexcitability, which is an increased tendency of neurons to fire. This can disrupt normal nerve signals and blood flow. 

When certain trigeminal neurons responsible for pain transmission become activated, it hurts. Depending on the exact location, this can feel like tooth ache.

How Migraines Cause Tooth Pain

People with migraine can feel pain in their teeth. This pain comes from the trigeminal nerve. It's responsible for face sensations, including teeth and gums.

When this nerve is irritated or hyperexcitable, it can send pain signals.

Even if the source of the pain is not actually the teeth, but some migraine mechanisms, it can feel like it's coming from the teeth.

This shows how migraine and tooth pain can be connected.

The Role of the Trigeminal Nerve

The trigeminal nerve is key to understanding the link between migraine and tooth pain. It has three branches that cover different parts of the face, including the teeth.

When this nerve gets activated during a migraine attack, it can release proinflammatory molecules  which can cause pain in the teeth. 

Many people don't realize this pain is a migraine symptom. It shows how closely the trigeminal nerve activation and migraine are linked. 

This does not always have to be expressed as tooth pain.

It can also show pain around the eye, jaw, depending on which arm of the trigeminal nerve gets activated (V1, V2 or V3, see image).

Migraine Tooth Pain or Other Sources Toothache?

Migraine tooth pain can be confusing, as it might seem like real dental problems.

Many people don't know that tooth pain can come from the brain, especially during a migraine.

It's important to tell the difference between migraine pain and real dental issues like cavities or gum disease.

It's key to understand how migraine and tooth pain are connected. Tooth pain that lasts and is very strong can make people think they have a dental problem.

For example, a dental abscess can cause a throbbing headache and nausea if not treated. These symptoms can lead to wrong diagnoses or treatments.

Facial pains are common in migraine because of the trigeminal nerve.

This nerve handles face movements and feelings, including tooth sensations. So, when this nerve acts up during a migraine, it can feel like toothaches. This adds to the worry for those affected.

Bruxism, or grinding teeth, can also lead to migraine, causing headaches and jaw pain.

With TMJ Disorder, a type of temporomandibular disorder or TMD — can cause pain in your jaw joint and in the muscles that control jaw movement,this can create a cycle of pain that makes daily life hard.

It's important to know that getting help from a professional is key to managing these symptoms.

To give more insight, here's a table showing what can cause tooth pain:

Condition

Symptoms

Possible Causes

Dental Abscess

Throbbing headache, nausea

Untreated infection

Bruxism

Headaches, jaw pain

Teeth grinding habits

TMJ Disorder

Throbbing toothache, headaches

Joint misalignment

Sinus Infection

Tooth pain, headache

Pressure on teeth due to inflammation during an infection

Trigeminal Neuralgia

Sharp facial pains

Nerve misfiring

Knowing these other connections can help manage migraine tooth pain better.

Getting dental care quickly is crucial for the right diagnosis and treatment.

Associated Dental Conditions Impacting Migraines

Issues like tooth decay and impacted wisdom teeth can make migraine worse.

Knowing about these links helps manage both dental and migraine problems better.

How Tooth Decay Contributes to Migraines

Tooth decay causes inflammation and pain.

This may irritate the trigeminal nerve, linked to migraine, which how tooth decay might contribute to migraine.

Good dental care is crucial to avoid serious problems like cavernous sinus thrombosis.

The Effects of Wisdom Teeth on Migraine Symptoms

Impacted wisdom teeth can cause dental pain and jaw tension. This tension often leads to headaches or migraine.

Studies show people with impacted wisdom teeth get headaches more often.

The way wisdom teeth align can also cause jaw stress and pain, similar to migraine.

Dental Condition

Potential Impact on Migraines

Management Strategies

Tooth Decay

Can irritate the trigeminal nerve, provoking migraine

Regular dental check-ups, prompt treatment

Impacted Wisdom Teeth

Can lead to headaches due to jaw tension or inflammation

Extraction, monitoring of tooth development

Recognizing Other Causes of Tooth Pain

Tooth pain isn't always from dental problems or migraine.

Many other things can cause mouth and jaw discomfort. Knowing these causes helps find the right treatment.

When to Consider Sinus Infections

Sinus infections can cause pain in the upper jaw. This happens when pressure in the sinuses irritate the nerves and make the jaw hurt.

Due to the infection, people might feel their face is tender, their facial cavities hurt, they have a stuffy nose, and the pain gets worse when bending forward.

Spotting these signs can help tell if the pain is from sinuses or teeth.

Understanding Temporomandibular Joint Disorders (TMJ)

TMJ problems affect the jaw joint, leading to pain. This pain can feel like a toothache or migraine, affecting the jaw, temples, and neck.

Things like jaw alignment, grinding teeth, and stress can cause TMJ.

Knowing about these symptoms is important. They can hurt your oral health and overall well-being.

Condition

Key Symptoms

Possible Complications

Sinus Infections

Facial pain, nasal congestion, fever

Chronic sinusitis, spread of infection

TMJ Disorders

Jaw pain, headaches, earaches

Chronic pain, difficulty in chewing

Effective Treatment Options for Migraine Tooth Pain

Managing migraine tooth pain basically requires effective migraine management, as the root causes are probably the same.

A combination approach might help reduce discomfort and some maybe even tackle underlying issues.

People with migraine often find their tooth pain gets worse during episodes.

As with migraine headache pain, once the tooth pain is starting, it is crucial to act quickly. Over-the-counter pain aid and prescription treatments can help a lot, especially when taken early.

Over-the-Counter (OCT) Pain Medications

OTC pain aid is often the first choice for temporary help from migraine tooth pain. Here are some common options:

  • Aspirin can be a good and safe choice for pain reduction, when not taken in access
  • Acetaminophen (Tylenol), safe for kids and adults but use with caution to avoid liver damage.
  • Ibuprofen (Advil, Motrin) and naproxen (Aleve) are good for managing pain, but should not be taken too often.
  • Benzocaine gels numb the area for a short time.

While these OTC options can help, they have risks. 

Prescription Treatments for Migraines

For more serious migraine, prescription treatments can provide significant help. Here are some options:

  • Triptans target serotonin receptors to treat migraine headaches.
  • Preventive medications include daily tablets, monthly injections, or injections every three months to lower migraine frequency.
  • Onabotulinum toxin A injections are for chronic migraine, given every 12 weeks.

Using these prescription options can help manage migraine symptoms and tooth pain. It's important to talk to a healthcare professional to find the best treatment for you.

Treatment Type

Examples

Administration Frequency

Pain Aid Duration

OTC Pain Help

Acetaminophen, Ibuprofen, Benzocaine

As needed

Short-term

Prescription Treatments

Triptans, Preventive Medications, Onabotulinum Toxin A

Daily, Monthly, Every 12 weeks, depending on the option

Long-term

Alternative Strategies to Manage Migraine Tooth Pain

Managing migraine tooth pain can be tough, but there are ways to cope.

Using home remedies and making lifestyle changes can help.

These steps can ease symptoms and prevent future migraine.

Home Remedies for Quick Help

Home remedies can offer quick help for migraine tooth pain. Here are some options:

  • Apply an ice pack (avoiding cold burns) on the part where it hurts. Cold is analgesic and research has shown that it can active channels that reduce pain in migraine (TRMP8 channels).
  • Utilize peppermint or eucalyptus or menthol oils to ease pain on the affected area. Again these active cold receptors, which in turn is analgesic.
  • Apply cold compresses to the jaw area to reduce inflammation and provide help during an attack.
  • Take ¼ tablespoon of salt at first onset. This has been shown to help some people.
  • Take minerals and caffeine (if you tolerate it) at the beginning of an attack, this can also ameliorate some attacks. 
  • Riboflavin (vitamin B2) and magnesium, CoQ10 and ketone bodies as an alternative energy source, may also help manage migraine.
  • Stay hydrated; but drinking plenty of mineralized water. Aim for the recommended daily fluid intake of 91 ounces for women and 125 ounces for men to support overall health and migraine support.
  • Try ginger powder as it may help decrease headache intensity with fewer side effects compared to standard medications.
  • Consider acupuncture or acupressure for migraine help, providing alternatives to conventional medications.

MigraKet as a Support for Migraine Management

MigraKet is a new way to manage migraine by improving energy metabolism.

It gives important nutrients for the brain to work well, contains antioxidants and an alternative energy source. 

Keeping energy stable may help manage migraine.

  • MigraKet works to stabilize energy levels: MigraKet mixes over 30 bioavailable nutrients, such as ketone bodies, vitamins (such as riboflavin), minerals (such as magnesium), and antioxidants (such as CoQ10) to support energy metabolism. This mix helps the brain produce energy. It can help reduce migraine attacks and their severity.
  • Potential benefits for migraine tooth pain management: MigraKet doesn't directly fight tooth pain, but it supports  brain energy metabolism and function. In addition, ketone bodies have been shown to be able to reduce hyperexcitability in the brain and oxidative stress and inflammation. This could  help with dental pain linked to migraine. 

Lifestyle Changes to Prevent Migraines

Changing your lifestyle can help reduce migraine continuation and intensity. Try these changes:

  1. Maintain a consistent sleep schedule, striving for 7 to 9 hours of quality sleep to prevent headaches associated with poor sleep patterns.
  2. Manage stress through techniques such as yoga, meditation, or regular exercise, which can effectively reduce migraine triggers.
  3. Avoid excessive caffeine intake and limit consumption to 100-150 milligrams daily, which equates to approximately one cup of coffee.
  4. Be mindful of posture to alleviate TMJ issues; jaw stretches and avoiding gum chewing can help reduce jaw tension linked to migraine.
  5. Monitor weather changes, as sudden shifts can influence migraine symptoms; remain aware of patterns that affect your health.
  6. Clean up your diet and try to get rid of processed foods as well as sugary foods and opt for nutritious whole foods instead, ideally lower in carbohydrates.
  7. Learn to say “no” and watch out for perfectionism. Getting rid of toxic relationships can also help with reducing stress.

Using these coping strategies, along with home remedies and lifestyle changes, can help manage migraine tooth pain.

These steps not only improve your overall well-being but also enhance your quality of life if you have a migraine.

The Importance of Seeking Professional Help

When you have migraine tooth pain, getting help from dentists and healthcare providers is key.

Knowing when to see a dentist or specialist can help get the right diagnosis and treatment.

If the pain is severe or lasts a long time, it's important to see someone right away. This could mean there's a dental problem that needs fixing.

When to Contact Your Dentist

Visit your dentist if you notice:

  • Severe tooth pain that makes it hard to do everyday things
  • Persistent headaches along with dental pain
  • Signs of dental abscesses, like swelling and fever
  • Trouble opening your mouth because of jaw pain
  • Recent head or neck injury

These signs point to dental problems that might be causing your migraine. It's important to talk about your symptoms with your dentist.

Frequently Asked Questions

After exploring the connection between migraine and tooth pain in depth, there may still be some questions you have.

To help clarify and tackle various aspects of this topic, we've compiled answers to some frequently asked questions.

Can light sensitivity during a migraine affect dental health?

While sensitivity to light is a common symptom of migraine, it doesn't directly impact dental health.

However, the stress and tension associated with light sensitivity can lead to teeth grinding or jaw clenching, potentially causing dental issues over time.

How can I differentiate between a severe headache caused by a migraine and one caused by a tooth infection?

Severe headaches from migraine often come with additional symptoms like sensitivity to light and sound, while those from a tooth infection are usually accompanied by localized pain, swelling, and sometimes fever. A dental exam can help determine if an infected tooth is the culprit.

Can orofacial pain disorders lead to chronic migraine?

Yes, orofacial pain disorders, particularly those affecting the trigeminal nerve branch, can contribute to the development of chronic migraine due to the complex nerve connections in the face and head.

Are there any connections between blood vessel issues and migraine-related tooth pain?

Blood vessel dilation and inflammation during a migraine can affect the trigeminal nerve, potentially causing referred pain to the teeth. In rare cases, a blood clot in the cavernous sinus can cause both severe headaches and tooth pain.

How do tight jaw muscles contribute to both dental health issues and migraine?

Tight jaw muscles can lead to temporomandibular disorders (TMD), which may cause both dental problems and trigger migraine.

They can also impact blood and nutrient supply to the brain.

This tension can also result in teeth grinding, potentially damaging dental health and exacerbating headache pain.

Can root canals help alleviate migraine-related tooth pain?

While root canals treat tooth infections, they typically don't directly address migraine-related tooth pain.

However, if an infected tooth is triggering migraine, a root canal treatment might indirectly help reduce migraine attacks.

How can I tell if my tooth pain is from a bacterial infection or a migraine?

Tooth pain from a bacterial infection often includes symptoms like swelling, fever, and localized pain, while migraine-related tooth pain may be accompanied by other migraine symptoms like visual disturbances or nausea. A dental examination can confirm the presence of an infection.

Are tension-type headaches related to dental issues?

Tension-type headaches can be related to dental issues, particularly if they stem from temporomandibular disorders or teeth grinding.

These headaches often involve tight jaw muscles and can be mistaken for tooth pain.

How does the trigeminal nerve's involvement in migraine affect dental treatment?

The trigeminal nerve's role in migraine can complicate dental treatment, as stimulation of this nerve during procedures may potentially trigger a migraine attack. Dentists may need to take extra precautions when treating migraine sufferers.

Can eye movement disorders contribute to migraine-related tooth pain?

While eye movement disorders aren't directly linked to tooth pain, they can be associated with migraine.

A connection lies in the shared cranial nerves that control eye movements and facial sensations, potentially leading to referred pain in the teeth during a migraine attack.

What's the relationship between tooth abscesses and migraine symptoms like blind spots?

Tooth abscesses don't typically cause migraine symptoms like blind spots.

However, the severe pain from an abscess can trigger a migraine in susceptible individuals, which may then present with visual disturbances such as blind spots.

How can sinus headaches be distinguished from migraine with tooth pain?

Sinus headaches often come with symptoms like nasal congestion and facial pressure, while migraine may include sensitivity to light and sound.

Both can cause tooth pain, but a medical evaluation can help distinguish between the two conditions.

Can persistent mouth infections lead to chronic migraine?

Chronic mouth infections can act as a source of ongoing inflammation, potentially triggering or exacerbating migraine in some individuals.

Treating these infections may help reduce migraine attacks.

How do morning headaches relate to nighttime teeth grinding?

Grinding teeth at night can lead to morning headaches due to the tension created in the jaw and facial muscles.

This can also trigger migraine in susceptible individuals. Using a mouthguard at night may help prevent this issue.

Can facial tingling be a sign of both dental problems and migraine?

Yes, facial tingling can occur in both conditions. In dental issues, it might indicate nerve irritation from an infection or injury.

In migraine, it can be part of the aura phase, often preceding the headache pain.

Conclusion

Understanding the link between migraine tooth pain and its causes is key to better understanding one’s symptoms.

The trigeminal nerves play an important role here.

About one billion people worldwide suffer from migraine. Knowing that toothaches can be part of a migraine attack can be very important for sufferers

Equally important is understanding the different symptoms of other dental problems like TMJ, teeth grinding, and tooth decay and tooth ache associated with migraine.

It's important to treat these dental issues with medical assistance when they arise.. 

Migraine tooth pain and best be managed by managing migraine, as well as applying cold acutely, which is analgesic.

Adding lifestyle changes and home remedies can also help manage symptoms.

These steps can reduce the effects of migraine and dental pain.

In short, knowing how migraine and tooth pain interact helps you take charge of your health.

By using effective strategies and getting professional advice, you can control your symptoms. This leads to a better life and more joy.

 

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