Carpentier M
Psychiatre, Coordinateur du C.E.D.A.T. (Centre Départemental d'Aide aux Toxicomanes), Hôpital André Mignot de Versailles.
Rev Stomatol Chir Maxillofac. 1997 Aug;98(2):120-2.
What are we talking about when we speak of pain in a drug abuser? Physical and psychiatric pain are confounded. Heroin anesthesizes pain in general and grief pain in particular. Is there a relationship between stomatology and pain? A drug abuser's psychopathology evolves over time. The biological effects of morphine, compared with the biological effects of subutex and methadone, are sufficient in themselves to justify their use in substitution therapy. But in practice, the psychopathological situation of the drug abuser requires us to construct a close rigorous relationship to maintain treatment. Once this relationship has been constructed within the frame work of the substitution therapy, the drug abuser will accept dental, medical and surgical care.
当我们谈到药物滥用者的疼痛时，我们在谈论什么？身体疼痛和精神疼痛相互交织。海洛因一般会麻醉疼痛，尤其是悲痛之痛。口腔医学与疼痛之间有关系吗？药物滥用者的精神病理学是随时间演变的。与丁丙诺啡和美沙酮的生物学效应相比，吗啡的生物学效应本身就足以证明其在替代疗法中的应用是合理的。但在实践中，药物滥用者的精神病理状况要求我们建立一种紧密严格的关系以维持治疗。一旦在替代疗法的框架内建立了这种关系，药物滥用者就会接受牙科、医疗和外科护理。
