Yontchev E, Carlsson G E, Hedegård B
Int J Oral Maxillofac Surg. 1987 Feb;16(1):36-44. doi: 10.1016/s0901-5027(87)80028-0.
In 113 patients with orofacial and general complaints, which they assumed were caused by galvanic currents and/or metallic restorations, clinical dental and medical examinations were performed. Most of the patients had natural teeth with dental metallic restorations. A number of dental diagnoses, such as caries, pulpitis, periapical osteitis and periodontitis, were found. However, 16% were edentulous in one or both jaws and had complete dentures. 69% had possible metal contacts. Some oral mucosal changes were observed, but they were as frequent in patients without as in those with metal contact possibility. Signs of parafunctions and functional disturbances of the masticatory system were extremely frequent. A careful oral examination in these patients thus revealed many clinical dental and oral signs that could be more-or-less related to the complaints. Because of the extremely varying symptoms reported, however, only a small proportion could be fully explained by odontological and/or medical diagnoses, and in 38% of the patients, no clear odontological diagnosis was found that could explain the complaints.
对113例有口面部及全身不适主诉、认为是由电流和/或金属修复体所致的患者进行了临床牙科和医学检查。大多数患者有带金属修复体的天然牙。发现了一些牙科诊断结果，如龋齿、牙髓炎、根尖周炎和牙周炎。然而，16%的患者上下颌之一或两者无牙且佩戴全口义齿。69%的患者存在可能的金属接触。观察到一些口腔黏膜变化，但在无金属接触可能的患者中与有金属接触可能的患者中一样常见。咀嚼系统的副功能和功能紊乱迹象极为常见。因此，对这些患者进行仔细的口腔检查发现了许多或多或少与主诉相关的临床牙科和口腔体征。然而，由于报告的症状极为多样，只有一小部分可以通过牙科学和/或医学诊断得到充分解释，并且在38%的患者中，未发现能解释主诉的明确牙科学诊断。
