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面部神经痛的牙科与颌学方面(作者译)

[Dental and gnathological aspects of facial neuralgia (author's transl)].

作者信息

Gausch K

出版信息

MMW Munch Med Wochenschr. 1978 May 12;120(19):665-8.

PMID:306541
Abstract

Disturbances of dental occlusion may lead to hyperactivity of the regional musculature, accompanied by a displacement of the lower jaw. The muscle and joint pains which then occur are the principal causes of the complex picture of facial neuralgia from the gnathological point of view, but the emotional factor must not be overlooked. The dental treatment of the pain syndrome demands extremely high expenditure in time and technical equipment. It usually consists of repositioning the displaced mandible with subsequent stabilization by dental technical measures. It is, moreover, important to keep parafunctional activity of the masseter muscles as low as possible or to suppress it altogether by purposeful arrangement of the occlusal surface complex.

摘要

牙合干扰可能导致局部肌肉组织功能亢进,并伴有下颌移位。从颌学角度来看,随后出现的肌肉和关节疼痛是面部神经痛复杂症状的主要原因,但也不能忽视情绪因素。疼痛综合征的牙科治疗在时间和技术设备方面需要极高的投入。通常包括通过牙科技术手段将移位的下颌复位并随后进行稳定处理。此外,尽可能降低咬肌的副功能活动,或者通过有目的地调整咬合面复合体来完全抑制这种活动,这一点也很重要。

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