Gaul Charly, Ettlin Dominik, Pfau Doreen B
Migräne- und Kopfschmerzklinik Königstein.
Z Evid Fortbild Qual Gesundhwes. 2013;107(4-5):309-13. doi: 10.1016/j.zefq.2013.04.010. Epub 2013 May 24.
The terms 'persistent idiopathic facial pain' (PIFP) and 'atypical odontalgia' (AO) are currently used as exclusion diagnoses for chronic toothache and chronic facial pain. Knowledge about these pain conditions in medical and dental practices is of crucial importance for the prevention of iatrogenic tissue damage by not-indicated invasive interventions, such as endodontic treatment and tooth extraction. In the present paper, etiology and pathogenesis, differential diagnostic criteria, and diagnostic approaches will be explained and relevant therapeutic principles will be outlined.
术语“持续性特发性面部疼痛”(PIFP)和“非典型牙痛”(AO)目前被用作慢性牙痛和慢性面部疼痛的排除性诊断。在医疗和牙科实践中了解这些疼痛状况对于预防因不适当的侵入性干预(如根管治疗和拔牙)导致的医源性组织损伤至关重要。在本文中,将解释病因和发病机制、鉴别诊断标准以及诊断方法,并概述相关的治疗原则。