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与牙髓治疗相关的创伤后三叉神经病变:一项系统评价

Post-traumatic Trigeminal Neuropathy Associated With Endodontic Therapy: A Systematic Review.

作者信息

Al-Khudhairy May W, Albisher Ghada, Alarfaj Alhanouf, Alabbadi Saffanah, Almohaishi Najibah, Alqudaihi Walaa

机构信息

Oral Biology, Riyadh Elm University, Riyadh, SAU.

College of Dentistry, Riyadh Elm University, Riyadh, SAU.

出版信息

Cureus. 2022 Dec 18;14(12):e32675. doi: 10.7759/cureus.32675. eCollection 2022 Dec.

Abstract

A painful or non-painful trigeminal nerve lesion brought on by trauma that exhibits symptoms and/or clinical evidence of trigeminal nerve dysfunction is known as painful post-traumatic trigeminal neuropathy (PTTN). In relation to this, the term post-traumatic persistent dentoalveolar pain (PDAP) is an idiopathic condition of chronic neuropathic origin that manifests as a diagnostic challenge for dental practitioners. Neuropathic pain is defined by the International Association for the Study of Pain (IASP) as "pain initiated or caused by a primary lesion or dysfunction in the nervous system." PDAP is located primarily in the teeth and jaws. This study systematically reviews how likely it is to get painful PTTN if the patient received endodontic therapy and the duration between doing root canal therapy (RCT) and getting PTTN. A systematic review was carried out using key search terms from PubMed, Web of Science, and the Cochrane Central Register of Controlled Trials (CENTRAL) with English as the only permitted language. There were strict inclusion requirements. The 10 articles that were included showed a prevalence of an endodontic procedure anywhere from three to 48 months following post-endodontic treatment, and it mainly affects females in their mid-40s with no variation regarding the areas, whether it is in the maxilla or mandible. The lack of information about the association between RCT and PTTN led practitioners to make wrong diagnoses, which made the patient unwilling to seek further help. So, in this review, we identified some visible characteristics that can help in that process.

摘要

由创伤引起的伴有三叉神经功能障碍症状和/或临床证据的疼痛性或非疼痛性三叉神经病变被称为创伤后疼痛性三叉神经病变(PTTN)。与此相关的是,创伤后持续性牙槽骨疼痛(PDAP)这一术语是一种慢性神经源性特发性疾病,对牙科从业者来说是一个诊断挑战。国际疼痛研究协会(IASP)将神经性疼痛定义为“由神经系统的原发性病变或功能障碍引发或导致的疼痛”。PDAP主要位于牙齿和颌骨。本研究系统回顾了如果患者接受牙髓治疗,发生疼痛性PTTN的可能性以及根管治疗(RCT)与发生PTTN之间的时间间隔。使用来自PubMed、科学网和Cochrane对照试验中央注册库(CENTRAL)的关键检索词进行了一项系统综述,仅允许使用英文。有严格的纳入标准。纳入的10篇文章显示,牙髓治疗后3至48个月内进行牙髓治疗的患病率,主要影响40多岁的女性,无论在上颌还是下颌,患病部位无差异。关于RCT与PTTN之间关联的信息缺乏导致从业者做出错误诊断,这使得患者不愿寻求进一步帮助。因此,在本综述中,我们确定了一些有助于该过程的明显特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e7f3/9848699/edc1d5ed6421/cureus-0014-00000032675-i01.jpg

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