Dott. Massimiliano Di Giosia

Dott. Massimiliano Di Giosia Assistant Professor
Orofacial Pain Clinic Diagnosis and management of TMJ disorders, chronic orofacial pain, trigeminal neuropathic pain.

Management of Snoring and Obstructive Sleep Apnea with Oral Appliance therapy

12/16/2021
01/30/2021

NCASM invites you to participate in two full days of expert speakers.  This meeting provides an outstanding opportunity for both technologists, physicians, and other sleep professionals to receive current data and information from specialists in the field to improve healthcare outcomes. Additionall...

07/09/2020

University of Kentucky Professor Jeffrey Okeson has been named dean of the College of Dentistry, pending approval by the UK Board of Trustees. The world-renowned educator, researcher, clinician and long-time faculty member has served as interim dean since September 2019.

Global Dental Ambassador Italy 2019. University of Palermo
09/08/2019

Global Dental Ambassador Italy 2019. University of Palermo

Dr. Massimilliano Di Giosia Dr. Massimilliano Di Giosia Dr. Willie Chao Dr. Irene Tami-Maury Dr. Takako Tanaka Dr. James Hupp Dr. Margaret Maclin Dr. Oariona Lowe Dr. Vincent Filanova DR. Nada Kordab...

05/02/2019

Phases of a migraine attack 🤯

1️⃣ Prodrome
This pre-migraine phase, which occurs hours or even days before the onset of an attack, often serves as a warning that a headache is coming. Possible symptoms include:
> Food Cravings
> Constipation or Diarrhea
> Increased duration of urination
> Mood swings
> Muscle stiffness
> fatigue
(In some cases, with the correct treatment plan, a full blown attack can be averted during prodrome with your abortive medications)
2️⃣Aura
The word “Aura” refers to the feelings, visual disturbances, neurological and other symptoms that precede the headache phase, which begins approx. 5 to 60 minutes before the actual headache occurs. The aura phase can also be a warning sign of an oncoming attack. Symptoms include:
> Visual Effects (flashing lights, wavy lines, spots, partial loss of vision, blurred vision)
> Smelling odors that don’t exist
> Tingling or numbness
> Speech or Hearing difficulties
> Partial Paralysis
> Reduced sensation or hypersensitivity to touch
(Not all migraine patients go through this phase. As a matter of fact, migraine WITHOUT Aura is the most common form of migraine)
3️⃣ Headache
This phase is the most incapacitating part of a migraine attack, affecting the whole body. Pain ranges from mild to severe. Intense pain, which usually awakens the patient in the early hours of the morning lasting 4-72 hours. Symptoms may include:
> Unilateral pain
> Pain occurring around the eyes, sinuses and jaw
> Pain that is worsened by physical activity
> Increased sensitivity to light, sound and odors
> Neck pain
> Nausea and/or Vomiting
> Nasal congestion or runny nose
> Dizziness or Vertigo
(Again, not every patient goes through this phase. It is possible to suffer from migraine but not physically experiencing the headache pain)
4️⃣ Postdrome
This is most commonly referred to patients as the “hang over” phase. Post headache or recovery can last for hours or even days, which can be an effect of the medication taken during the attack or the headache itself. Symptoms include:
> Feeling of depression, well-being or Euphoria
> Fatigue
> Reduced ability to concentrate and lowered comprehension

If episode migraineur, a patient may have multiple headache free days between postdrome and the predrome phase of the next attack. Chronic migraineurs are not that lucky.Predrome of the next attack most often times can start back to back with postdrome phase of last attack.

For more information on diagnoses and treatment visit our website at www.diamondheadache.com

10/22/2018

Acquista online: Milano F., Gracco A. L., Di Giosia M. - Manuale pratico Odontoiatria – EdizioniEdra

06/28/2018

Images in Clinical Medicine from The New England Journal of Medicine — Tongue Necrosis in Giant-Cell Arteritis

05/07/2018

Two years ago we discussed the TicTocStop, a dental appliance that the inventors assured us would help mitigate the symptoms of Tourette Syndrome. In the intervening years things have…not wen…

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Chapel Hill, NC
27599

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Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm
Saturday 8am - 5pm
Sunday 9am - 5pm

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+19195373939

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