症状不可逆转的胸膜炎和其他口腔面部疼痛:克服诊断和管理方面的挑战
David Edwards1, James R Allison2, Jamie Coulter2
1School of Dental Sciences, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK; Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom. david.edwards@newcastle.ac.uk.
British dental journal
|April 11, 2025
概括
面部或面部疼痛,尤其是牙痛,会带来诊断方面的挑战. 从其他原因区分出牙痛产生的疼痛,并有效地管理它,需要了解临床表现和神经生理学.
科学领域:
- 牙科 牙科是指牙科的专业.
- 疼痛管理 疼痛管理
- 神经科学是一个神经科学.
背景情况:
- 耳鼻面部疼痛是复杂的,因为独特的面部和牙感官内化.
- 牙痛 (牙痛) 是牙科实践中最常见的口腔面部疼痛表现.
- 当临床表现不清楚或矛盾时,准确的诊断可能具有挑战性.
研究的目的:
- 为了区分临床表现的odontogenic疼痛和非odontogenic的面部疼痛.
- 提供基于证据的建议,用于管理急性牙痛.
- 探索导致面部疼痛复杂性的神经生理因素.
主要方法:
- 对各种口腔面部疼痛类型的临床表现进行比较分析.
- 对基于证据的疼痛管理指南的审查.
- 讨论潜在的神经生理机制或面部疼痛.
主要成果:
- 确定了口腔疼痛和非口腔疼痛之间的关键相似之处和差异.
- 介绍了急性牙产生的疼痛的手术期间和手术后治疗的建议.
- 讨论了复杂化面部疼痛管理的潜在神经生理特征.
结论:
- 区分臭性和非臭性疼痛对于准确的诊断至关重要.
- 有效的管理需要解决潜在的原因,并考虑神经生理因素.
- 基于证据的策略改善了挑战性或面部疼痛病例的管理.
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