Pinto Andres, Arava-Parastatidis Maria, Balasubramaniam Ramesh
Oral Medicine Clinical Centre at the University of Pennsylvania School of Dental Medicine, Philadelphia, PA 19104, USA.
J Can Dent Assoc. 2009 Mar;75(2):125-31.
The broad field of orofacial pain encompasses pain conditions affecting the head, face, neck and intraoral structures. Much has been written about headache specifically affecting adults, but little is known about the presentation of this problem in children. Dentists may be asked to participate in the differential diagnosis or management of headache in young patients. For their benefit, this article discusses the epidemiology, clinical presentation, diagnosis and treatment of headache in this population. An accurate history and careful examination can allow early diagnosis and the avoidance of unnecessary or inappropriate dental procedures.
口面部疼痛这一广泛领域涵盖了影响头部、面部、颈部及口腔内部结构的疼痛病症。关于专门影响成年人的头痛问题已有诸多著述,但对于儿童中该问题的表现却知之甚少。牙医可能会被要求参与年轻患者头痛的鉴别诊断或治疗。为了他们的利益,本文讨论了这一人群头痛的流行病学、临床表现、诊断及治疗。准确的病史和仔细的检查能够实现早期诊断并避免不必要或不恰当的牙科程序。