TITLE:
A Case of Long-Term Hip Pain Improved by Dental Treatment
AUTHORS:
Yoshiro Fujii
KEYWORDS:
Mucous Membrane, Tooth Formation, Hip Joint Pain, Adult Still’s Disease
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.14 No.12,
December
23,
2025
ABSTRACT: A female patient in her 40s had experienced left hip joint pain for approximately 8 years and was previously diagnosed with adult Still’s disease. Her symptoms fluctuated, resulting in 10 hospitalizations over this period. Medical management included symptomatic treatment with steroids and biologics. A physician later diagnosed epiphyseal necrosis and recommended total hip replacement surgery. During a dental examination, a sharp protrusion on the buccal side of her left upper second molar was identified. Following its removal and polishing, her left hip pain rapidly resolved, and she regained the ability to run for the first time in several years. The patient continued routine follow-up medical care for approximately 5 years; as she reported no further symptoms, additional follow-up was deemed unnecessary.