Shankland W E
Gen Dent. 1997 May-Jun;45(3):246-53; quiz 263-4.
General dentists often are among the first to be consulted when a patient experiences facial pain. Frequently, the cause is obvious. However, there are cases in which the etiological factor is not so evident. Often, in an attempt to help relieve a patient of pain and suffering, irreversible, invasive procedures are undertaken that prove only to increase the patient's pain and the practitioner's frustration. Three common pain syndromes that may be confused with odontogenic pain are discussed: temporal tendinitis, Ernest syndrome, and atypical trigeminal neuralgia. The symptoms, diagnostic procedures, and treatments for all three disorders are presented, as is a newly described muscle, the zygomandibularis.
当患者出现面部疼痛时，普通牙医往往是首批被咨询的对象。通常，病因显而易见。然而，在某些情况下，病因并不那么明显。为了帮助患者缓解疼痛和痛苦，往往会采取不可逆的侵入性治疗手段，结果却只是增加了患者的痛苦以及医生的挫败感。本文讨论了三种可能与牙源性疼痛相混淆的常见疼痛综合征：颞部肌腱炎、欧内斯特综合征和非典型三叉神经痛。介绍了这三种病症的症状、诊断方法和治疗方法，还介绍了一种新描述的肌肉——颧下颌肌。
