Auvenshine R C
Dent Clin North Am. 1997 Apr;41(2):279-96.
Psychoneuroimmunology (PNI) is a field of medicine which joins immunology and neurobiology. It focuses on the relationship of stress upon the hypothalamic-adrenal-pituitary (HPA) axis. Depletion of hormones and neurotransmitters within the HPA-axis, as a result of stress, can lead to a multitude of diseases and disorders. Therefore, it is necessary for the dentist to be familiar with PNI and the HPA-axis in order to make an accurate diagnosis of TMD.
心理神经免疫学(PNI)是一门将免疫学和神经生物学结合起来的医学领域。它专注于压力对下丘脑 - 垂体 - 肾上腺(HPA)轴的影响。由于压力导致HPA轴内激素和神经递质的耗竭,可能会引发多种疾病和功能紊乱。因此,牙医有必要熟悉心理神经免疫学和HPA轴,以便准确诊断颞下颌关节紊乱病(TMD)。