牙神经系统的运动障碍:牙科和医学之间的盲点
1Department of Oral and Maxillofacial Surgery, National Hospital Organization, Kyoto Medical Center, Kyoto, Japan.
Dental and medical problems
|September 3, 2024
概括
影响口腔神经系统的运动障碍,如口椎,往往被误诊为 Bruxism 或 TMDs. 多学科方法对于准确诊断和有效治疗这些复杂的口腔运动障碍至关重要.
科学领域:
- 神经学 神经学
- 牙科 牙科是指牙科的专业.
- 运动障碍 运动障碍
背景情况:
- 牙神经系统的运动障碍包括诸如口 dystonia (OMD),口腔动力障碍, Bruxism,功能性牙神经运动障碍 (FSMDs),震和半神经 (HMS) 等疾病.
- 患者经常寻求牙医或口腔外科医生的初步咨询,导致潜在的错误诊断为乳或关节障碍 (TMD) 由于症状的重叠和需要专门的神经和牙科专业知识.
- 这些疾病在医学和牙科的界面上构成诊断挑战,往往导致患者长期的诊断旅程.
研究的目的:
- 描述各种口腔性运动障碍的临床特征和差异诊断特征.
- 探索诊断挑战和牙科和神经病学之间的跨学科差距在管理这些条件.
- 强调准确诊断对有效治疗的重要性,并建议对布鲁克斯症的定义进行改进,以防止误诊.
主要方法:
- 这篇叙事综述综合了关于口腔性运动障碍的临床信息.
- 它侧重于特征性临床特征,区分OMD,FSMD和HMS等疾病.
- 该综述考察了诊断过程和牙科和医学领域之间的跨学科问题.
主要成果:
- 关键的区分特征包括OMD中的任务特异性,感官技巧和早晨益处;在FSMD中,不一致的,不合适的症状在没有感官技巧的情况下扩散到多个部位;以及松性单边肌收缩,睡眠中的持久性和HMS中沉默期的丧失.
- 由于这些非自愿运动的复杂性和准确区分所需的专业知识,误诊为 Bruxism 或 TMDs 是常见的.
- 诊断的显著延迟通常是经历了多个医疗和牙科专业导航的患者.
结论:
- 对于适当和有效的患者管理,准确的分辨诊断是必要的.
- 精确布鲁克斯症的定义可能是必要的,以避免将其错误地应用于其他非自愿的口腔运动.
- 建议在诊断和治疗这些疾病时采用合作,多学科的团队方法,包括牙科和医疗专业人员.
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