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颞下颌关节紊乱病及其他口面部疼痛疾病的鉴别诊断

Differential diagnosis of temporomandibular disorders and other orofacial pain disorders.

作者信息

Okeson Jeffrey P, de Leeuw Reny

机构信息

Department of Oral Health Science, Division of Orofacial Pain, College of Dentistry, University of Kentucky, Lexington, KY 40536-0297, USA.

出版信息

Dent Clin North Am. 2011 Jan;55(1):105-20. doi: 10.1016/j.cden.2010.08.007.

Abstract

There are many types of pain conditions that are felt in the orofacial structures. Most of the conditions treated by the dentist are associated with the teeth, periodontal structures, and associated mucosal tissues. This article focuses on the differential diagnosis of other common pain conditions the dentist will likely face, such as temporomandibular disorders, neuropathic pain disorders, and common headaches; and the clinical presentation of each. Controlling or reducing pain can be accomplished by controlling perpetuating factors such as parafunctional habits and by some simple behavioral modifications. Finally, this article offers some simple treatment considerations.

摘要

口腔颌面部结构会出现多种疼痛情况。牙医治疗的大多数病症都与牙齿、牙周结构及相关黏膜组织有关。本文重点关注牙医可能会遇到的其他常见疼痛病症的鉴别诊断,如颞下颌关节紊乱症、神经性疼痛病症和常见头痛;以及每种病症的临床表现。通过控制诸如副功能习惯等持续因素以及一些简单的行为改变,可以实现控制或减轻疼痛。最后,本文提供了一些简单的治疗考量。

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