Department of Oral and Maxillofacial Radiology, Umeå University, SE - 901 87 Umeå, Sweden.
J Dent Res. 2010 Sep;89(9):965-9. doi: 10.1177/0022034510370820. Epub 2010 May 6.
Craniofacial pain, whether odontogenic or caused by cardiac ischemia, is commonly referred to the same locations, posing a diagnostic challenge. We hypothesized that the validity of pain characteristics would be high in assessment of differential diagnosis. Pain quality, intensity, and gender characteristics were assessed for referred craniofacial pain from dental (n = 359) vs. cardiac (n = 115) origin. The pain descriptors "pressure" and "burning" were statistically associated with pain from cardiac origin, while "throbbing" and "aching" indicated an odontogenic cause. No gender differences were found. These data should now be added to those craniofacial pain characteristics already known to point to acute cardiac disease rather than dental pathology, i.e., pain provocation/aggravation by physical activity, pain relief at rest, and bilateralism. To initiate prompt and appropriate treatment, dental and medical clinicians as well as the public should be alert to those clinical characteristics of craniofacial pain of cardiac origin.
颅面部疼痛，无论是牙源性还是由心肌缺血引起的，通常都被认为是在同一部位，这给诊断带来了挑战。我们假设疼痛特征的有效性在鉴别诊断评估中很高。评估了来自牙科（n = 359）与心脏（n = 115）来源的颅面部牵涉痛的疼痛性质、强度和性别特征。疼痛描述符“压力”和“烧灼感”与来自心脏的疼痛具有统计学关联，而“悸动”和“隐痛”则表明牙源性病因。未发现性别差异。这些数据现在应该添加到已经知道的颅面部疼痛特征中，这些特征指向急性心脏病而不是牙科病理学，即体力活动引起的疼痛激发/加重、休息时缓解疼痛和双侧性。为了及时和适当的治疗，牙医和内科医生以及公众应该注意到颅面部牵涉痛的这些临床特征，这些特征来自心脏。
