Department Oral Surgery, Kings College London Dental Institute, Denmark Hill Campus, Bessemer Road, London SE5 9RS, UK.
Expert Rev Neurother. 2012 May;12(5):569-76. doi: 10.1586/ern.12.40.
There are currently four main pain classification systems relevant to orofacial pain (OFP): the International Association for the Study of Pain, International Classification of Headache Disorders, the American Academy of Orofacial Pain and the Research Diagnostic Criteria for Temporomandibular Disorders. Of the four, the Research Diagnostic Criteria for Temporomandibular Disorders is the most biopsychosocial system, with the remaining three focusing more on the biomedical aspects. Unsurprisingly, clinical scientists and clinicians have both reported perceived deficiencies in the published systems and have proposed further modified classifications and nomenclature for OFP. Establishing a standardized biopsychosocial classification of OFP is essential for ensuring continuity for patient care since it creates a standardized language with which to communicate healthcare information, thus enabling improved and more specific (epidemiological) research and patient care. Despite ongoing attempts, an accepted overarching classification of OFP is still a work in progress. There is an urgent need for a robust classification system for OFP. This review aims to highlight the recent debate and continued struggle to attain a consensus on a classification of OFP and highlight some recent developments that assist differential diagnosis of these conditions.
目前有四个主要的与口腔颌面部疼痛（OFP）相关的疼痛分类系统：国际疼痛研究协会、国际头痛疾病分类、美国口腔颌面疼痛学院和颞下颌关节紊乱研究诊断标准。在这四个系统中，颞下颌关节紊乱研究诊断标准是最具生物心理社会特征的系统，其余三个系统则更侧重于生物医学方面。毫不奇怪，临床科学家和临床医生都报告说，已发表的系统存在感知到的缺陷，并提出了进一步修改的口腔颌面部疼痛分类和命名法。建立一个标准化的口腔颌面部疼痛生物心理社会分类对于确保患者护理的连续性至关重要，因为它创建了一种标准化的语言来交流医疗保健信息，从而能够进行改进和更具体（流行病学）的研究和患者护理。尽管在不断努力，但一个被广泛接受的口腔颌面部疼痛的总体分类仍然在进行中。口腔颌面部疼痛急需一个强大的分类系统。本综述旨在强调最近在口腔颌面部疼痛分类方面的争论和持续努力，以达成共识，并强调一些有助于这些疾病鉴别诊断的最新进展。
