Pertes R A, Heir G M
Center for TMJ Disorders and Orofacial Pain Management, University of Medicine and Dentistry of New Jersey, New Jersey Dental School, Newark.
Dent Clin North Am. 1991 Jan;35(1):123-40.
Successful diagnosis of chronic orofacial pain is a difficult task. This article attempted to simplify diagnosis by first classifying the orofacial pain on the basis of clinical characteristics into three basic pain categories: somatic, neurogenous, and psychogenic, and then according to the tissue system affected. An accurate and thorough history is essential, along with a detailed physical examination. In addition, an awareness of the local, systemic, and psychological causes of orofacial pain is necessary. The adage "what you don't know, you don't diagnose" is especially apt in regard to orofacial pain.
成功诊断慢性口面部疼痛是一项艰巨的任务。本文试图通过首先根据临床特征将口面部疼痛分为三类基本疼痛类别：躯体性、神经性和精神性，然后根据受影响的组织系统来简化诊断。准确而全面的病史至关重要，同时还需要进行详细的体格检查。此外，了解口面部疼痛的局部、全身和心理原因也是必要的。“不知则无法诊断”这句格言在口面部疼痛方面尤为贴切。
