Klasser Gary D, Almoznino Galit, Fortuna Giulio
Department of Diagnostic Sciences, Louisiana State University Health Sciences Center, School of Dentistry, 1100 Florida Avenue, Box 140, New Orleans, LA 70119, USA.
Department of Oral Medicine, Sedation and Maxillofacial Imaging, Orofacial Sensory Clinic, Hebrew University-Hadassah School of Dental Medicine, PO Box 91120, Jerusalem, Israel; Division of Big Data, Department of Community Dentistry, Orofacial Sensory Clinic, Hebrew University-Hadassah School of Dental Medicine, PO Box 91120, Jerusalem, Israel.
Dent Clin North Am. 2018 Oct;62(4):629-656. doi: 10.1016/j.cden.2018.06.005. Epub 2018 Aug 14.
Sleep and pain share a bidirectional relationship. Therefore, it is important for practitioners managing patients experiencing either sleep and/or pain issues to recognize and understand this complex association from a neurobiological perspective involving neuroanatomic and neurochemical processes. Accounting for the influence of pain on the various aspects of sleep and understanding its impact on various orofacial pain disorders assists in developing a prudent management approach. Screening for sleep disorders benefits practitioners in identifying these individuals. Instituting evidence-based multidisciplinary management strategies using both behavioral and pharmacologic strategies enhances the delivery of appropriate care.
睡眠与疼痛存在双向关系。因此,对于治疗有睡眠和/或疼痛问题患者的从业者来说,从涉及神经解剖和神经化学过程的神经生物学角度认识和理解这种复杂关联非常重要。考虑疼痛对睡眠各个方面的影响,并了解其对各种口腔面部疼痛障碍的影响,有助于制定谨慎的管理方法。筛查睡眠障碍有助于从业者识别这些个体。采用行为和药物策略实施基于证据的多学科管理策略,可提高适当护理的提供。