特发性三叉神经痛：临床特点与牙科治疗程序
Idiopathic trigeminal neuralgia: clinical aspects and dental procedures.
作者信息
de Siqueira Silvia Regina Dowgan Tesseroli, Nóbrega José Cláudio Marinho, Valle Luz Biella Souza, Teixeira Manoel Jacobsen, de Siqueira José Tadeu Tesseroli
机构信息
Dentistry Division, Central Institute, Hospital das Clínicas, Medical School, University of São Paulo, Brazil.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004 Sep;98(3):311-5. doi: 10.1016/S1079210404003191.
OBJECTIVE
Evaluation of the characteristics and dental treatments in a Brazilian series of idiopathic trigeminal neuralgia (ITN) patients.
STUDY DESIGN
Forty-eight subjects with ITN were interviewed and evaluated according to a systematized approach.
FINDINGS
(a) location of the trigger zone, intraoral in 64.58%; (b) comorbidities, 18 patients (hypertension in 9); (c) treatment with dental procedures for ITN according to duration of pain (31), 44.44% (during the first year), 50.00% (1-5 years), 80.00% (5-10 years), and 100.00% (>10 years). There was no correlation between trigger zone location and the frequency of previous dental procedures (P=.667). There was significant statistical correlation between the number of patients who underwent dental treatments and the duration of ITN (P=.004).
CONCLUSION
(a) Demographic characteristics of this sample are similar to those described in the literature, (b) the dental procedures were not correlated with location of trigger zone, and (c) patients with long-lasting ITN had more number of previous dental procedures.
目的
评估巴西一组特发性三叉神经痛（ITN）患者的特征及牙科治疗情况。
研究设计
采用系统化方法对48例ITN患者进行访谈和评估。
研究结果
（a）触发区位置，口内触发区占64.58%；（b）合并症，18例患者（9例患有高血压）；（c）根据疼痛持续时间接受ITN牙科治疗的情况（31例），疼痛第一年接受治疗的占44.44%，1 - 5年的占50.00%，5 - 10年的占80.00%，超过10年的占100.00%。触发区位置与既往牙科治疗频率之间无相关性（P = 0.667）。接受牙科治疗的患者数量与ITN持续时间之间存在显著统计学相关性（P = 0.004）。
结论
（a）该样本的人口统计学特征与文献中描述的数据相似；（b）牙科治疗与触发区位置无关；（c）ITN病程较长的患者既往接受牙科治疗的次数更多。
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