Stern Ilanit, Greenberg Martin S
Department of Oral Health and Diagnostic Sciences, Center for Oral Medicine, College of Dental Medicine, Georgia Regents University, 1120 15th Street, Augusta, GA 30912, USA.
Dent Clin North Am. 2013 Jul;57(3):393-404. doi: 10.1016/j.cden.2013.04.002.
Accurate diagnosis of chronic pain disorders of the mouth, jaws, and face is frequently complex. It is common for patients with chronic orofacial pain to consult multiple clinicians and receive ineffective treatment before a correct diagnosis is reached. This problem is a significant public health concern. Clinicians can minimize error by starting the diagnostic procedure with a careful, accurate history and thorough head and neck examination followed by a thoughtfully constructed differential diagnosis. The possibility that the patient has symptoms of a life-threatening underlying disease rather than a more common dental, sinus, or temporomandibular disorder must always be considered.
准确诊断口腔、颌面部的慢性疼痛病症往往很复杂。慢性口面部疼痛患者通常会咨询多位临床医生，并在做出正确诊断之前接受无效治疗。这个问题是一个重大的公共卫生问题。临床医生可以通过以下方式将误诊风险降至最低：首先进行仔细、准确的病史询问和全面的头颈部检查，然后构建周全的鉴别诊断。必须始终考虑患者出现危及生命的潜在疾病症状而非更常见的牙科、鼻窦或颞下颌疾病的可能性。
