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非牙源性牙痛的诊断挑战

Diagnostic challenges of nonodontogenic toothache.

作者信息

Park Hyung-Ok, Ha Jung-Hong, Jin Myoung-Uk, Kim Young-Kyung, Kim Sung-Kyo

机构信息

Department of Conservative Dentistry, Kyungpook National University School of Dentistry, Daegu, Korea.

出版信息

Restor Dent Endod. 2012 Aug;37(3):170-4. doi: 10.5395/rde.2012.37.3.170. Epub 2012 Aug 29.

DOI:10.5395/rde.2012.37.3.170
PMID:23429657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3569403/
Abstract

THE OBJECTIVE OF THIS ARTICLE WAS TO PRESENT TWO NONODONTOGENIC CONDITIONS THAT MAY MIMIC ODONTOGENIC TOOTHACHE

trigeminal neuralgia and burning mouth syndrome. Two cases are presented in which one is related to the upper left second premolar and the other is related to the upper left first molar. Both showed pain when chewing. These two cases highlight the complexities involved in diagnosing nonodontogenic toothache. This article demonstrates the importance of having a thorough knowledge of both odontogenic and nonodontogenic toothache, as well as the need for careful evaluation of the nature of the pain and history, clinical and radiographic examinations.

摘要

本文的目的是介绍两种可能酷似牙源性牙痛的非牙源性病症

三叉神经痛和灼口综合征。文中呈现了两个病例，其中一个与左上第二前磨牙有关，另一个与左上第一磨牙有关。两者在咀嚼时均出现疼痛。这两个病例凸显了诊断非牙源性牙痛所涉及的复杂性。本文证明了全面了解牙源性和非牙源性牙痛的重要性，以及仔细评估疼痛性质、病史、临床和影像学检查的必要性。

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Diagnostic challenges of nonodontogenic toothache.非牙源性牙痛的诊断挑战
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Nonodontogenic toothache.非牙源性牙痛
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本文引用的文献

1
Psychiatric diagnoses in patients with burning mouth syndrome and atypical odontalgia referred from psychiatric to dental facilities.从精神科转至口腔科的灼口综合征和非典型牙痛患者的精神科诊断。
Neuropsychiatr Dis Treat. 2010 Oct 13;6:699-705. doi: 10.2147/NDT.S12605.
2
Frequency of nonodontogenic pain after endodontic therapy: a systematic review and meta-analysis.根管治疗后非牙源性疼痛的频率：系统评价和荟萃分析。
J Endod. 2010 Sep;36(9):1494-8. doi: 10.1016/j.joen.2010.06.020.
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Palpation of the lateral pterygoid area in the myofascial pain diagnosis.
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Chronic orofacial pain among Korean elders: prevalence, and impact using the graded chronic pain scale.韩国老年人的慢性口面部疼痛：患病率及使用慢性疼痛分级量表的影响
Pain. 2004 Nov;112(1-2):164-70. doi: 10.1016/j.pain.2004.08.014.
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Diagnostic challenges of neuropathic tooth pain.神经性牙痛的诊断挑战
J Can Dent Assoc. 2004 Sep;70(8):542-6.
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Multidisciplinary diagnosis and management of orofacial pain.口面部疼痛的多学科诊断与管理
Gen Dent. 2002 Mar-Apr;50(2):178-86; quiz 187-8.
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Neuritic toothache.
Gen Dent. 2001 Mar-Apr;49(2):178-81.
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Differential diagnosis of two disorders that produce common orofacial pain symptoms.两种引发常见口腔面部疼痛症状的病症的鉴别诊断。
Gen Dent. 2001 Mar-Apr;49(2):150-5.
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Burning mouth syndrome.灼口综合征
Am Fam Physician. 2002 Feb 15;65(4):615-20.
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Diagnosis and differential diagnosis of trigeminal neuralgia.三叉神经痛的诊断与鉴别诊断。
Clin J Pain. 2002 Jan-Feb;18(1):14-21. doi: 10.1097/00002508-200201000-00003.