Kubilius Ricardas, Sabalys Gintautas, Guzeviciene Vesta
Kauno medicinos universiteto Veido ir zandikauliu chirurgijos klinika, Eiveniu 2, 3007 Kaunas.
Medicina (Kaunas). 2002;38(3):272-6.
The general causes of upper dental plexus injury are tooth disturbances and the periodontal tissues diseases, the pathology of maxillary sinus, various traumatically manipulations in the area of tooth and maxilla as well. The main symptom of upper tooth neural plexus injury is acute and chronic pain in the alveolar sprout of maxilla, gums or in the area of singly tooth, which rarely spreads into neighboring maxillofacial areas. The authors recommend that the acute pain syndrome would be called the inflammation of upper tooth plexus, and the chronic pain syndrome--plexopathia of upper tooth. Study presents the differential diagnosis according to character of facial pain syndrome and the data of sensority disorders research and investigation of pain thresholds as well. The recommendations for treatment tactic and methods of analyzed indispositions are suggested.
上牙丛损伤的常见原因包括牙齿病变和牙周组织疾病、上颌窦病变以及牙齿和上颌区域的各种创伤性操作。上牙神经丛损伤的主要症状是上颌牙槽突、牙龈或单颗牙齿区域的急性和慢性疼痛，很少扩散到邻近的颌面区域。作者建议将急性疼痛综合征称为上牙丛炎症，慢性疼痛综合征称为上牙丛病。研究还根据面部疼痛综合征的特征、感觉障碍研究数据和疼痛阈值调查提出了鉴别诊断方法。文中还给出了针对所分析病症的治疗策略和方法建议。
