Huddleston Slater J J R, Stegenga B
Universitair Medisch Centrum Groningen (UMCG), Rijksuniversiteit Groningen.
Ned Tijdschr Tandheelkd. 2006 Nov;113(11):469-73.
Pain or fatigue in the masticatory muscles or pain in the temporomandibular joints are well-known complaints. Diagnosing these complaints, that have a relation with mandibular movements, can be challenging since they can arise from the teeth and surrounding tissues, the temporomandibular joints or other musculoskeletal structures. Also referred pains are a common finding in this area. Pain history and clinical examination are crucial for a comprehensive diagnosis. Besides the disorders underlying the pain (so called axis I), the impact of the pain on the patient's physical and psychosocial functioning can play an important role in the diagnosis (axis II).
咀嚼肌疼痛或疲劳,或颞下颌关节疼痛是常见的主诉。诊断这些与下颌运动相关的主诉颇具挑战性,因为它们可能源于牙齿及周围组织、颞下颌关节或其他肌肉骨骼结构。此外,牵涉痛在该区域也很常见。疼痛病史和临床检查对于全面诊断至关重要。除了疼痛背后的疾病(所谓的轴I),疼痛对患者身体和心理社会功能的影响在诊断中也可能起重要作用(轴II)。