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牙源性牵涉痛的识别与处理

Recognition and management of odontogenic referred pain.

作者信息

Moss H Dwight, Toscano Nicholas, Holtzclaw Dan

机构信息

Department of Endodontics, Dental Detachment, Marine Corps Recruit Depot, San Diego, California, USA.

出版信息

Gen Dent. 2009 Jul-Aug;57(4):388-91.

Abstract

There are times when referred pain makes it difficult to locate the source of odontogenic pain. In those situations, additional evaluation or referral is needed to determine the cause of the chief complaint. This article presents two cases that illustrate the difficulty and frustrations of referred pain for both patients and dentists. After a thorough evaluation and diagnosis, the true sources of the patients' chief complaints were identified and treated, leading to complete resolution of their symptoms. These cases emphasize the importance of listening to the patient, obtaining a detailed dental history, collecting comprehensive diagnostic data, and developing an accurate diagnosis before initiating treatment. When a definitive diagnosis cannot be determined, referral may be necessary to provide the best treatment possible.

摘要

有时,牵涉痛会使确定牙源性疼痛的源头变得困难。在这些情况下,需要进行额外的评估或转诊,以确定主诉的病因。本文介绍了两个病例,说明了牵涉痛给患者和牙医带来的困难与困扰。经过全面评估和诊断,确定了患者主诉的真正源头并进行了治疗,从而使症状完全消除。这些病例强调了在开始治疗前倾听患者意见、获取详细牙科病史、收集全面诊断数据以及做出准确诊断的重要性。当无法做出明确诊断时,可能需要转诊以提供最佳治疗。

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