Benslama Lotfi
Clinique de chirurgie maxillo-faciale et de stomatologie, Groupe hospitalier La Pitié-La Salpêtrière 75651 Paris.
Rev Prat. 2002 Feb 15;52(4):400-3.
Pain, a major symptom of stomatological disease, usually leads to a specialist consultation. Most commonly it is caused by dental caries and differs in nature and in intensity according to the stage of disease: dentinitis, pulpitis, desmodontitis and dental abscess. Added to this is peridental pain and the pre- and post-operative pains related to these diseases. Almost all oral-maxillary pathology is painful, be it boney such as in osteomyelitis and fractures, mucosal in gingivo-stomatitis and aphthous ulcers, or tumourous. However, besides the "multidisciplinary" facial pains such as facial neuralgia and vascular pain, two pain syndromes are specific to stomatology: pain of the tempero-mandibular joint associated with problems of the bite and glossodynia, a very common somatic expression of psychological problems.
疼痛是口腔疾病的主要症状,通常会导致患者寻求专科咨询。最常见的原因是龋齿,其性质和强度会根据疾病阶段而有所不同:牙本质炎、牙髓炎、牙周膜炎和牙脓肿。此外,还有牙周疼痛以及与这些疾病相关的术前和术后疼痛。几乎所有口腔颌面部疾病都会引起疼痛,无论是骨骼方面的,如骨髓炎和骨折;黏膜方面的,如龈口炎和口腔溃疡;还是肿瘤性疾病。然而,除了“多学科”的面部疼痛,如面部神经痛和血管性疼痛外,还有两种疼痛综合征是口腔医学特有的:与咬合问题相关的颞下颌关节疼痛以及舌痛,舌痛是心理问题非常常见的躯体表现。