Department of Orofacial Pain and Dysfunction, Academic Centre for Dentistry Amsterdam, University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Seattle, WA, United States.
J Dent Res. 2022 Dec;101(13):1549-1553. doi: 10.1177/00220345221110443. Epub 2022 Jul 26.
The World Health Organization recently adopted a historic resolution (WHA74.5) on the urgent need for global oral health improvement. This resolution is particularly relevant in the perspective of the high prevalence of untreated oral diseases. However, one important aspect has been mentioned only in passing, namely that poor oral health often leads to orofacial pain, which is the most common reason for emergency dental visits worldwide. Therefore, an evidence-based decision-making process on oral health should include data related to orofacial pain complaints. To that end, the availability of reliable and valid assessment tools of orofacial pain and related treatment outcomes is essential. INfORM (International Network for Orofacial Pain and Related Disorders Methodology) of the International Association for Dental Research has been one of the driving forces behind the development and implementation of comprehensive sets of tools for such assessments. However, as a prerequisite for the desired global implementation, reliable and valid tools that are also brief, easy to translate, and culturally adaptable need to be further developed and tested. Some of the groundwork to facilitate this process has already been carried out. In addition, a working group within INfORM has developed a short clinical assessment tool for orofacial pain diagnostics that is near completion and will soon be ready for dissemination. Ultimately, reliable and valid orofacial pain assessment is a necessary step toward the development and implementation of appropriate "best buy" interventions that address this major driver of need for oral health care worldwide.
世界卫生组织最近通过了一项关于全球口腔健康改善紧迫性的历史性决议（WHA74.5）。在口腔疾病未经治疗的高发病率的背景下，这项决议尤其具有现实意义。然而，有一个重要方面只是被顺带提及，即口腔健康不良通常会导致口颌面部疼痛，这是全球范围内急诊牙科就诊的最常见原因。因此，基于证据的口腔健康决策过程应该包括与口颌面部疼痛投诉相关的数据。为此，必须要有可靠且有效的口颌面部疼痛评估工具及其相关治疗效果的评估工具。国际牙科研究协会的国际口颌面疼痛与相关障碍研究网络（INfORM）是开发和实施此类评估综合工具的主要推动力之一。然而，作为在全球范围内实施的必要前提，还需要进一步开发和测试可靠且有效的、简明的、易于翻译和具有文化适应性的工具。已经为此进行了一些基础性工作。此外，INfORM 内部的一个工作组已经开发出一种用于口颌面部疼痛诊断的简短临床评估工具，该工具已接近完成，很快就可以发布。最终，可靠且有效的口颌面部疼痛评估是制定和实施适当的“最佳购买”干预措施的必要步骤，这些干预措施可以解决全球范围内这一口腔保健需求的主要驱动因素。
