颞下颌疾病的鉴别诊断:从临床的战斗

Y. Shoji
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摘要

牙医从事口腔保健工作多年。但未来的牙科将不仅仅局限于牙齿和牙周组织,它将负责诊断、预防和治疗发生在口腔、颌骨和面部的疾病。颞下颌关节紊乱(TMD)是其中一种疾病,但其引起口面部结构疼痛的可能性很大。日常牙科工作中的疼痛通常是由牙齿、口腔黏膜、颞下颌关节和/或咀嚼肌肉引起的;然而,另一个器官也可能成为疼痛的来源。因此,确定疼痛首先出现在哪个器官是必要的,换句话说,鉴别诊断变得非常重要。它解释了如何区分TMD与发生在其他口腔面部结构的疼痛。
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Differential Diagnosis of Temporomandibular Disorders : From the battle of the clinic
A dentist has been involved in the health care of the mouth for many years. But future dentistry won't be just confined in the tooth and the periodontium and it will be responsible for the diagnosis, prevention and treatment of the disease which occurs in the mouth, jaw and face. Although Temporomandibular Disorders (TMD) is one of those diseases, there are many possibilities in the disease which cause a pain in the orofacial structures. The pain in daily dental practice is usually caused by teeth, oral mucosa, temporomandibular joints and/or masticatory muscles; however, another organ can become a source of occurrence of the pain too. Therefore, it is essential to verify which organ a pain appears from first, in other words a differential diagnosis becomes very important. It is explained how you should differentiate TMD from the pain which occurs in other orofacial structures.
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