Türp J C, Hugger A, Löst C, Nilges P, Schindler H J, Staehle H J
Klinik für Rekonstruktive Zahnmedizin und Myoarthropathien, Universitätskliniken für Zahnmedizin, Universität Basel, Hebelstr. 3, 4056 Basel, Schweiz.
Schmerz. 2009 Oct;23(5):448-60. doi: 10.1007/s00482-009-0819-0.
Toothache prevalence in the overall population is considerable. However, for clinical purposes, the classification schemes available do not appear to be sufficiently sophisticated. Moreover, not all known forms of dental pain are considered. A refined classification that meets current standards is therefore introduced. To facilitate diagnosis, the characteristic features of the various types of odontalgia are summarized.
The new classification differentiates among seven different origins of pain: 1. dentinal pain (originating from the pulpal tissues), 2. pulpal pain (originating from the pulpal tissues), 3. periodontal pain, 4. alveolar-osseous pain, 5. atypical odontalgia, 6. heterotopic dental pain, 7. odontalgia associated with primary psychosocial factors.
In our opinion, the proposed classification differentiates among the different forms of odontalgia more precisely than all previous ones. However, its viability and advantages over other available classification schemes still need to be verified in daily practice.
总体人群中牙痛的患病率相当高。然而，就临床目的而言，现有的分类方案似乎不够精细。此外，并非所有已知的牙源性疼痛形式都被考虑在内。因此，引入了一种符合当前标准的精细分类。为便于诊断，总结了各类牙痛的特征。
新分类区分了七种不同的疼痛起源：1. 牙本质疼痛（源自牙髓组织），2. 牙髓疼痛（源自牙髓组织），3. 牙周疼痛，4. 牙槽骨疼痛，5. 非典型牙痛，6. 异位牙疼痛，7. 与原发性心理社会因素相关的牙痛。
我们认为，所提出的分类比以往所有分类都更精确地区分了不同形式的牙痛。然而，其在日常实践中的可行性及其相对于其他现有分类方案的优势仍需验证。
