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A Case of Idiopathic First Bite Syndrome, Possibly Linked to Type I Diabetes Mellitus

Year: 2023

Type: article

Abstract: We present a rare case of a 34-year-old male with poorly regulated type I diabetes and three-month history of excruciating pain in the right condylar process of the mandible, occurring only during the first bite of each meal. The patient had no history of surgery or trauma in the head and neck region. Clinical and imaging examination revealed no tumor or pathology deriving from the dentures, the temporomandibular joint (TMJ), or the salivary glands. Idiopathic first bite syndrome (FBS) was suspected and treated with pregabalin and glycemic control. This case highlights how a detailed pain history and clinical examination can lead to a rare diagnosis and indicates the potential involvement of diabetic neuropathy in idiopathic FBS, as well as the importance of glycemic regulation in treatment.

Source: Cureus

DOI: 10.7759/cureus.36710

Authors: Methodios T Stavridopoulos, Stavros N Nikitopoulos, Anastasia A Oikonomou, Georgia K Tsiouma

Institution: University of Thessaly

Language: English

Topic: Temporomandibular Joint Disorders

Subfield: Oral Surgery

Field: Dentistry

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4360979110