处理非牙源性口面部疼痛的一般考虑

Dr. Prasanna R. Sonar, Dr. Aarati S. Panchbhai
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引用次数: 0

摘要

口面部疼痛的特征是面部和口腔不适。这个部位最常见的炎症性疼痛是牙痛。然而,慢性疼痛疾病,如颞下颌关节疾病,原发性头痛(神经血管性),神经性疼痛和特发性疼痛,通常可以模拟牙痛。口腔面部疼痛的牙科专业专注于诊断和治疗持续的、复杂的面部疼痛和口腔运动障碍。由于希望更好地了解由于某种原因没有经历牙痛问题的一组患者,牙科这一领域一直在发展。口腔面部不适对发病率和医疗服务的使用有重大影响。有几种疾病会引起口面部不适;诊断不确定性在临床实践中很常见。由于其不同的疼痛表现,牙痛可能类似于许多慢性发作性口腔面部疼痛综合征,导致许多处方不当的抗生素方案和手术治疗。耳、鼻、喉和颌面外科医生也是误诊的受害者,因此他们并不是唯一遭受误诊的专业人士。口腔面部区域的复杂多样性使得医生很难处理口腔起源的非牙源性疼痛。医生必须精通影响口面部区域的许多疼痛问题和各种可获得最佳护理的替代方案,以提供精确的诊断和成功的治疗。本文的重点是不同类型的疼痛,特征,评估,调查和一般考虑管理非牙源性疼痛的口面部区域。为了充分管理这些患者,我们的专业已经认识到对口腔面部疼痛的基本了解是多么重要。这种调整在临床和教育环境中都带来了许多改进。这篇综述涵盖了口腔面部疼痛管理的所有一般方面。
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General Considerations in Managing Non-Odontogenic Orofacial Pain
Orofacial pain is characterized as facial and mouth discomfort. The most prevalent inflammatory pain to appear in this area is dental pain. However, chronic pain illnesses, such as temporomandibular joint disorders, primary headaches (neurovascular), neuropathic pain, and idiopathic pain, can commonly mimic toothaches. Dentistry's specialty in orofacial pain focuses on diagnosing and treating persistent, complicated facial pain and oromotor disorders. This area of dentistry has grown throughout time due to the desire to comprehend better a group of patients who, for some reason, were not experiencing tooth pain issues. Orofacial discomfort has a major impact on morbidity and the use of medical services. Several illnesses can cause orofacial discomfort; diagnostic uncertainty is commonly seen in clinical practice. Due to their varying pain presentation, toothaches can resemble many chronic episodic orofacial pain syndromes, leading to many improperly prescribed antibiotic regimens and surgical treatments. Ear, nose, throat, and maxillofacial surgeons also fall victim to the misdiagnosis, making them not the only professionals to suffer from it. The orofacial region's complex diversity makes it difficult for doctors to handle non-odontogenic pain with an oral origin. The physician must be well-versed in the many pain problems affecting the orofacial area and the various alternatives accessible for their best care to provide a precise diagnosis and successful treatment. This paper focuses on the different types of pain, characteristics, assessments, investigations, and general considerations in managing non-odontogenic pain of the orofacial region. To adequately manage these patients, our profession has come to understand how important a fundamental understanding of orofacial pain is. Many improvements have been brought about by this adjustment in the approach in both clinical and educational settings. This review covers all general aspects of orofacial pain management.
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