Incidence of chronic neuropathic pain subsequent to surgical removal of impacted third molars
Incidence of chronic neuropathic pain subsequent to surgical removal of impacted third molars
复制标题
DOI：
10.1080/000163502753509518
复制
发表时间：
2002-03-01
影响因子：
2
通讯作者：
Berge, TI
中科院分区：
文献类型：
--
作者：
Berge, TI
为确定阻生第三磨牙拔除术后非典型牙痛/慢性神经性疼痛的发生率，进行了电话调查和临床调查。通过电话联系了1994-96年间在挪威卑尔根大学牙学院口腔外科诊所接受下颌阻生第三磨牙手术的患者。在总共1458名手术患者中，有1035人(71%)得到了回答。中位观察时间5年9个月，最短4年5个月，最长6年9个月。除23名患者(2.2%)外，所有患者均表示在拔除第三颗磨牙后，他们在手术部位、颌部或面部没有长期的症状或问题。对这些D患者进行了临床和放射学检查，并对症状和发现进行了评估。17例患者有TMJ功能障碍：主要源于肌肉和关节的疼痛。三名患者有与邻近第二磨牙相关的牙周问题，有深骨袋和反复牙周感染，而两名患者有第二磨牙的慢性牙髓炎。1例患者报告同侧下颌第三磨牙拔除后出现暂时性上颌疼痛。所有患者均未达到不典型牙痛/神经性疼痛的诊断标准，术后神经性疼痛发生率的95%可信区间为0~0.38%。结论是，手术拔除第三磨牙后的非典型牙痛/慢性神经性疼痛是罕见的。
To determine the incidence of atypical odontalgia/chronic neuropathic pain subsequent to surgical removal of impacted third molars, a telephone survey and a clinical investigation were carried out. Patients operated on for impacted mandibular third molars during 1994-96 in the Oral Surgery Clinic, School of Dentistry, University of Bergen, Bergen, Norway, were contacted by telephone. Answers were obtained from 1035 (71%) out of a total of 1458 operated patients. Median observation time was 5 years 9 months, ranging from 4 years 5 months to 6 years 9 months. All except 23 (2.2%) patients stated that they had no long-term symptoms or problems from the surgical site, jaw, or face after the third molar removal. These D patients were A examined clinically and radiologically, and symptoms and findings were evaluated. Seventeen patients had TMJ dysfunction: primarily pain of muscular and joint origin. Three patients had a periodontal problem associated with the adjacent second molar, with deep bony pockets and recurrent periodontal infection while two had chronic pulpitis of a second molar. One patient reported a temporary maxillary pain after removal of an ipsilateral mandibular third molar. None of the patients met the criteria for a diagnosis of atypical odontalgia/neuropathic pain, A 95% confidence interval of 0-0.38% of incidence rate of postoperative neuropathic pain was calculated. It is concluded that atypical odontalgia/chronic neuropathic pain subsequent to surgical third molar removal is rare.