Dahlström L, Lindvall A M, Milthon R, Widmark G
Department of Orofacial Pain, Public Dental Service, Mölndal Hospital,Sweden.
Acta Odontol Scand. 1997 Jun;55(3):181-5. doi: 10.3109/00016359709115413.
The purpose was to survey attitudes towards management of chronic orofacial pain (COP). Questionnaires were mailed to 30 randomized dentists and to 30 consecutive COP patients, examined 16 months earlier by a pain group of dental specialists. Fifty-seven per cent of the patients reported that their pain was the same as or worse than before and was disturbing. Few were dissatisfied with the examinations. Fifty-nine per cent thought that the consultations had been good. The surveyed dentists judged the most common causes of COP to be neurogenic and psychogenic in origin; they were overwhelmingly positive to the idea of a pain group (93%) and could consider referring patients (97%). Pain-inducing local diseases occurred but were not dominant among these COP patients. We concluded that management of COP in a pain group appears to be meaningful, as reflected by the respondents' attitudes but would gain by a closer collaboration with medical expertise.
目的是调查对慢性口面部疼痛（COP）管理的态度。问卷被邮寄给30名随机选取的牙医以及30名连续的COP患者，这些患者在16个月前由一个牙科专家疼痛小组进行过检查。57%的患者报告称他们的疼痛与之前相同或更严重，且令人困扰。很少有人对检查不满意。59%的人认为会诊良好。接受调查的牙医判断COP最常见的病因是神经源性和精神源性的；他们对疼痛小组的想法压倒性地持积极态度（93%），并且可以考虑转诊患者（97%）。会引发疼痛的局部疾病确实存在，但在这些COP患者中并不占主导。我们得出结论，疼痛小组对COP的管理似乎是有意义的，这从受访者的态度中得到了体现，但通过与医学专业知识更紧密的合作会更有成效。
