Khawaja Nadine, Renton Tara
Dent Update. 2015 Jun;42(5):442-4, 447-50, 453-7 passim. doi: 10.12968/denu.2015.42.5.442.
Acute trigeminal pain is a common presentation in the dental surgery, with a reported 22% of the US adult population experiencing orofacial pain more than once during a 6-month period. This article discusses the mechanisms underlying the pain experience, diagnosis and subsequent management of acute trigeminal pain, encompassing pre-, peri- and post-operative analgesia. The dental team spend most of their working lives managing patients and acute pain. The patient may present to the clinician in existing pain, which may often provide a diagnostic challenge. Prevention and managing intra-operative and post-surgical pain are implicit in providing your patient with optimum care. CPD/CLINICAL RELEVANCE: This paper aims to provide an overview of conditions that may present with acute orofacial pain and their management using the most recent evidence base. Intra-operative and post-surgical pain management are also scrutinized and evidence based treatment is recommended.
急性三叉神经痛是牙科手术中常见的症状，据报道，美国22%的成年人口在6个月内经历过不止一次的口面部疼痛。本文讨论了急性三叉神经痛疼痛体验、诊断及后续治疗的潜在机制，包括术前、术中和术后镇痛。牙科团队在其大部分工作时间里都在管理患者和处理急性疼痛。患者可能在已有疼痛的情况下来找临床医生，这往往会带来诊断上的挑战。预防和处理术中及术后疼痛是为患者提供最佳护理的内在要求。持续专业发展/临床相关性：本文旨在概述可能表现为急性口面部疼痛的病症及其基于最新证据的治疗方法。同时也对术中及术后疼痛管理进行了审视，并推荐基于证据的治疗方法。
