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过度治疗"成功" - - 对患者,牙医和专业的负面影响是什么?
Journal of oral & facial pain and headache
|June 30, 2023
概括
许多口腔面部肌肉骨疾病 (或部疾病 (TMD)) 治疗可能是不必要的过度治疗,尽管症状有所减少. 建议转向以医学为基础的生物心理社会方法,以获得更好的患者结果.
科学领域:
- 牙科 牙科是指牙科的专业.
- 面部疼痛管理 面部疼痛管理
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 面部或面部肌肉骨疾病,包括部疾病 (TMDs),通常使用基于闭塞关系和状骨位置的实践来管理.
- 虽然一些患者经历了症状减轻,但这些干预措施可能代表过度治疗.
研究的目的:
- 批判性地评估面部或面部肌肉骨疾病的管理实践.
- 在TMD治疗中,倡导从传统的机械范式向现代的,基于医学的和生物心理社会方法的转变.
主要方法:
- 讨论过度治疗对临床医生和患者的负面影响.
- 分析当前实践对牙科专业的影响.
- 强调了解和治疗TMDs的生物心理社会模型.
主要成果:
- 常规的II期牙科或手术治疗口腔面部疼痛可能构成过度治疗,仅仅通过症状改善无法证明是合理的.
- 寻求理想的状或神经肌肉位置的复杂生物机械方法对于TMD管理的稳定,积极的临床结果并不必不可少.
结论:
- 过度治疗的成功往往被患者和牙医认为是积极的,但掩盖了过度干预.
- 在 orofacial肌肉骨疾病的适当和过度治疗之间的区别需要仔细考虑实际和伦理方面的影响.
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