Schindler Hans J, Hugger Alfons, Türp Jens C
Poliklinik für Zahnärztliche Prothetik, Universität Heidelberg.
Z Evid Fortbild Qual Gesundhwes. 2013;107(4-5):297-301. doi: 10.1016/j.zefq.2013.05.003. Epub 2013 Jun 4.
Myofascial masticatory muscle pain is the second most frequent pain-related complaint in the orofacial region. Like unspecific musculoskeletal pain in other body segments, masticatory muscle pain is characterised by a multifactorial aetiology. The aim of this article is to document the current knowledge about the therapy with oral splints. It is shown that in both the short and long term, oral appliances can achieve sufficient pain relief in the majority of patients. In chronic myofascial jaw pain associated with psychosocial impairment in patients, effectiveness of splint therapy is limited, though. Within an interdisciplinary pain management programme, additional involvement of a psychotherapist is essential.
肌筋膜性咀嚼肌疼痛是口面部区域第二常见的与疼痛相关的主诉。与身体其他部位的非特异性肌肉骨骼疼痛一样,咀嚼肌疼痛具有多因素病因。本文的目的是记录有关口腔矫治器治疗的现有知识。结果表明,无论短期还是长期,口腔矫治器都能使大多数患者获得足够的疼痛缓解。不过,对于伴有心理社会功能障碍的慢性肌筋膜性颌面部疼痛患者,矫治器治疗的效果有限。在跨学科疼痛管理计划中,心理治疗师的额外参与至关重要。