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慢性口面部疼痛的管理方案:一项系统综述

Management protocols of chronic Orofacial Pain: A Systematic Review.

作者信息

Priyank Harsh, Shankar Prasad Ravi, Shivakumar Sahana, Sayed Abdul Nishath, Pathak Anuja, Cervino Gabriele, Cicciù Marco, Minervini Giuseppe

机构信息

Department of Conservative, Endodontics & Aesthetic Dentistry, Dental College, Rajendra Institute of Medical Sciences, India.

Public Health Dentistry, Peoples College of Dental Sciences and Research Centre, Peoples University, Bhopal, India.

出版信息

Saudi Dent J. 2023 Jul;35(5):395-402. doi: 10.1016/j.sdentj.2023.04.003. Epub 2023 May 13.

Abstract

OBJECTIVE

Chronic orofacial pain (CP) is a persistent and debilitating condition that affects the face, mouth, and jaw and can have a significant impact on an individual's quality of life by posing problems to eat, speak, and perform everyday activities. By the means of this narrative review, we aim to assess different types of management modalities that exist to combat chronic orofacial pain.

DESIGN

Various databases were explored with MeSH keywords of , , and for eligible articles. After an extensive literature search, it was ascertained that this review identified four major categories of treatment modalities for the management of chronic orofacial pain, namely pharmacological management, psychological management, lifestyle interventions-based management, and current stimulation-based management.

RESULTS

Of the four categories discussed, although pharmacological intervention offered the most immediate relief-especially from orofacial pain that was of a sudden, stab-like in nature-psychological management demonstrated a remarkable ability to reduce/alleviate the more serious aspect of chronic orofacial pain and was deemed better in comparison to the rest. Lifestyle-based techniques and current stimulation-based management were of limited use since they tended to focus more on the causal and not the symptomatic aspect of orofacial pain.

CONCLUSIONS

Many patients with persistent orofacial discomfort can experience notable improvements in their symptoms and general well-being by all the treatment modalities evaluated.

摘要

目的

慢性口面部疼痛(CP)是一种持续且使人衰弱的病症,会影响面部、口腔和颌部,并且会给进食、说话及进行日常活动带来问题,从而对个人生活质量产生重大影响。通过本叙述性综述,我们旨在评估用于对抗慢性口面部疼痛的不同类型的管理模式。

设计

使用[具体关键词1]、[具体关键词2]和[具体关键词3]的医学主题词(MeSH)在各种数据库中搜索符合条件的文章。经过广泛的文献检索后,确定本综述确定了用于管理慢性口面部疼痛的四大类治疗模式,即药物管理、心理管理、基于生活方式干预的管理和基于电流刺激的管理。

结果

在所讨论的四类中,尽管药物干预提供了最直接的缓解——尤其是对突然出现的、刺痛样的口面部疼痛——但心理管理显示出显著的减轻/缓解慢性口面部疼痛更严重方面的能力,并且与其他方面相比被认为更好。基于生活方式的技术和基于电流刺激的管理用途有限,因为它们往往更侧重于口面部疼痛的病因而非症状方面。

结论

通过所有评估的治疗模式,许多患有持续性口面部不适的患者在症状和总体健康状况方面都能有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/404b/10373074/7b47fa841ce0/gr1.jpg

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