Labanca Mauro, Gianò Marzia, Franco Caterina, Rezzani Rita
Anatomy and Physiopathology Division, Department of Clinical and Experimental Sciences, University of Brescia, 25123 Brescia, Italy.
Italian Society for the Study of Orofacial Pain (Società Italiana Studio Dolore Orofacciale-SISDO), 25123 Brescia, Italy.
Diagnostics (Basel). 2023 Sep 4;13(17):2854. doi: 10.3390/diagnostics13172854.
Orofacial pain represents one of the most common health problems that negatively affects the activities of daily living. However, the mechanisms underlying these conditions are still unclear, and their comprehensive management is often lacking. Moreover, even if pain is a common symptom in dentistry, differential diagnostic procedures are needed to exclude other pain origins. Misinterpretation of the pain origin, in fact, can lead to misdiagnosis and to subsequent mismanagement. Pain in the orofacial area is the most common reason for patients to visit the dentist, but this area is complex, and the pain could be associated with the hard and soft tissues of the head, face, oral cavity, or to a dysfunction of the nervous system. Considering that the origins of orofacial pain can be many and varied, a thorough assessment of the situation is necessary to enable the most appropriate diagnostic pathway to be followed to achieve optimal clinical and therapeutic management.
口面部疼痛是最常见的健康问题之一，对日常生活活动产生负面影响。然而，这些病症的潜在机制仍不清楚，且往往缺乏综合管理。此外，即使疼痛是牙科的常见症状，也需要进行鉴别诊断程序以排除其他疼痛来源。事实上，对疼痛来源的错误解读可能导致误诊及随后的管理不当。口面部区域的疼痛是患者看牙医最常见的原因，但该区域情况复杂，疼痛可能与头、面、口腔的软硬组织有关，或与神经系统功能障碍有关。鉴于口面部疼痛的起源可能多种多样，有必要对情况进行全面评估，以便遵循最合适的诊断途径，实现最佳的临床和治疗管理。
