儿童和青少年的口面部疼痛和颞下颌疾病需要多学科治疗

A. Al-Khotani, N. Christidis
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引用次数: 1

摘要

童年是人一生中最关键的时期。从孩提时代起,孩子们就带着梦想和愿望成长,并为实现目标而奋斗一生。然而,过多的恐惧和威胁可能会对儿童的福祉产生负面影响。其中一种威胁是疼痛,这是童年时期常见的经历,可能由创伤、严重事故、心理困扰、疾病或医疗/牙科治疗引起。不幸的是,这是一种常见的健康问题,影响着世界各地数百万人的许多方面的功能。另一方面,青春期是童年和成年之间的过渡阶段,不仅与颅面区域和身体其他部位的生长发育相对应,而且与心理和社会观点相对应。研究报告称,颞下颌关节(TMJ)和相关的口腔面部结构疼痛是青少年中超过四分之三的牙科预约的原因。此外,除了身体压力、学习能力受损、心理痛苦、社会关系破裂以及因未经治疗的急性疾病不幸变成慢性疾病而缺课等后果外,社会还承担着必须考虑的经济负担。这个简短的交流旨在提高医疗和牙科护理人员对儿童和青少年口腔面部疼痛和颞下颌疾病(OFP/TMD)管理的认识。应该考虑到这个问题,不仅是为了尽量减少痛苦的痛苦,而且也是为了避免相关的社会心理后果。此外,它阐明了为什么牙医(特别是儿科牙医)应该与其他专业合作,以减少持续到成年的预期后果。
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The Need for Multidisciplinary Handling of Orofacial Pain and Temporomandibular Disorders in Children and Adolescents
Childhood is the most crucial period in human life. From childhood on, children grow with their dreams and wishes and struggle their entire lives to reach their goals. However, an overabundance of fears and threats may negatively influence a child’s well-being. One such threat is a pain, which is a common experience in childhood that can be caused by trauma, serious accidents, psychological distress, diseases, or medical/dental treatments. Unfortunately, it is a common health problem that affects many aspects of function for millions of people around the world. Adolescence, on the other hand, is a transitional stage between childhood and adulthood that corresponds not only with the growth and development of the craniofacial region and other parts of the body but also of psychological and social perspectives. Studies report that pain in temporomandibular joint (TMJ) and associated orofacial structures are responsible for more than threequarter of dental appointments among adolescents. Further, besides the consequences of physical stress, impaired learning ability, psychological suffering, broken social relationships, and absence from school arising from acute untreated cases that have unfortunately become chronic, society bears an economic burden that is vital to consider. This short communication is intended for medical and dental caregivers to increase awareness of managing orofacial pain and temporomandibular disorders (OFP/TMD) in children and adolescents. This issue should be taken into consideration in order not only to minimize the suffering of pain, but also to avoid the associated psychosocial consequences. Furthermore, it clarifies why dentists (pediatric dentists in specific) should cooperate with other specialties to reduce expected consequences from continuing to adulthood.
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