Orofacial pain management: current perspectives.
Orofacial pain management: current perspectives.
复制标题
口面疼痛管理：当前观点。
DOI：
10.2147/jpr.s37593
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发表时间：
2014
影响因子：
2.7
通讯作者：
Uyanik JM
中科院分区：
文献类型：
--
作者：
Romero-Reyes M;Uyanik JM
一些最普遍和最令人衰弱的疼痛状况来自三叉神经系统支配的结构(头部、面部、咀嚼肌肉、颞下颌关节和相关结构)。口腔面部疼痛(OFP)可由不同的部位和病因引起。颞下颌关节紊乱病(TMD)是患者寻求治疗的最常见的口腔面部疼痛状况。颞下颌关节紊乱病包括许多临床问题，涉及咀嚼肌、颞下颌关节(TMJ)或两者兼有。三叉神经病理性疼痛可由牙科手术、感染、肿瘤或周围和/或中枢神经系统疾病或功能障碍引起的继发性损伤引起。神经血管疾病，如原发性头痛，可表现为慢性口面部疼痛，如面部偏头痛，疼痛局限于三叉神经的第二和第三部分。总而言之，这些三叉神经系统的障碍极大地影响了患者的生活质量。对于口腔面部疼痛障碍的最佳治疗，应考虑采用多学科的疼痛管理方法，包括非药理学和药理学方法。
Some of the most prevalent and debilitating pain conditions arise from the structures innervated by the trigeminal system (head, face, masticatory musculature, temporomandibular joint and associated structures). Orofacial pain (OFP) can arise from different regions and etiologies. Temporomandibular disorders (TMD) are the most prevalent orofacial pain conditions for which patients seek treatment. Temporomandibular disorders include a number of clinical problems that involve the masticatory musculature, the temporomandibular joint (TMJ) or both. Trigeminal neuropathic pain conditions can arise from injury secondary to dental procedures, infection, neoplasias, or disease or dysfunction of the peripheral and/or central nervous system. Neurovascular disorders, such as primary headaches, can present as chronic orofacial pain, such as in the case of facial migraine, where the pain is localized in the second and third division of the trigeminal nerve. Together, these disorders of the trigeminal system impact the quality of life of the sufferer dramatically. A multidisciplinary pain management approach should be considered for the optimal treatment of orofacial pain disorders including both non-pharmacological and pharmacological modalities.