Benign Paroxysmal Positional Vertigo (BPPV) After Dental Procedures

Dr. Shapira Blog, TMJ, Uncategorized 3 Comments

Dental Treatment appears to be a major Risk Factor for Benign Paroxysmal  Positional Vertigo according to a new article (abstract below).

The statistical connection is not yet shown to be a cause and effect relationship but there is a major correlation. The study showed over 9% of BPPV patients had had dental work in the month prior to diagnosis.

The definition of BPPV according to Mayo Clinic Staff is:
“Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that the inside of your head is spinning.

Benign paroxysmal positional vertigo causes brief episodes of mild to intense dizziness. Benign paroxysmal positional vertigo is usually triggered by specific changes in the position of your head. This might occur when you tip your head up or down, when you lie down, or when you turn over or sit up in bed.

Although benign paroxysmal positional vertigo can be a bothersome problem, it’s rarely serious except when it increases the chance of falls. You can receive effective treatment for benign paroxysmal positional vertigo during a doctor’s office visit.”

Patients with BPPV often do well with Physiologic Dental Treatment. Patients should be evaluated by their physicians following onset of sudden new symptoms.

PLoS One. 2016 Apr 4;11(4):e0153092. doi: 10.1371/journal.pone.0153092.
Benign Paroxysmal Positional Vertigo after Dental Procedures: A Population-Based Case-Control Study.
Chang TP1,2, Lin YW3, Sung PY4, Chuang HY5, Chung HY6, Liao WL4.
Author information
Abstract
BACKGROUND:
Benign paroxysmal positional vertigo (BPPV), the most common type of vertigo in the general population, is thought to be caused by dislodgement of otoliths from otolithic organs into the semicircular canals. In most cases, however, the cause behind the otolith dislodgement is unknown. Dental procedures, one of the most common medical treatments, are considered to be a possible cause of BPPV, although this has yet to be proven. This study is the first nationwide population-based case-control study conducted to investigate the correlation between BPPV and dental manipulation.
METHODS:
Patients diagnosed with BPPV between January 1, 2007 and December 31, 2012 were recruited from the National Health Insurance Research Database in Taiwan. We further identified those who had undergone dental procedures within 1 month and within 3 months before the first diagnosis date of BPPV. We also identified the comorbidities of the patients with BPPV, including head trauma, osteoporosis, migraine, hypertension, diabetes, hyperlipidemia and stroke. These variables were then compared to those in age- and gender-matched controls.
RESULTS:
In total, 768 patients with BPPV and 1536 age- and gender-matched controls were recruited. In the BPPV group, 9.2% of the patients had undergone dental procedures within 1 month before the diagnosis of BPPV. In contrast, only 5.5% of the controls had undergone dental treatment within 1 month before the date at which they were identified (P = 0.001). After adjustments for demographic factors and comorbidities, recent exposure to dental procedures was positively associated with BPPV (adjusted odds ratio 1.77; 95% confidence interval 1.27-2.47). This association was still significant if we expanded the time period from 1 month to 3 months (adjusted odds ratio 1.77; 95% confidence interval 1.39-2.26).
CONCLUSIONS:
Our results demonstrated a correlation between dental procedures and BPPV. The specialists who treat patients with BPPV should consider dental procedures to be a risk factor, and dentists should recognize BPPV as a possible complication of dental treatment.
PMID: 27044009 [PubMed – as supplied by publisher] Share on FacebookShare on TwitterShare on Google+

Comments 3

  1. It happened to me recently.
    I wish I knew this information before as I become so relieved after reading this information

  2. The morning after having a temporay crown was put on, I went to get out of bed and almost fell down because I was so dizzy. It has been 2 weeks and I still have it every morning. Also have it if I bend down to pick something up. No sudden movements for me. Hopefully it will go away soon.

  3. Post
    Author

    This may or may not be related to the temporary crown. Often extended mouth opening can cause issues. See a neuromuscular dentist who utilizes ULF_TENS and neuromuscular orthotics if it does not resolve. Immediately see dentist and have them check the bite on the temporary.

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