错误诊断驱动的三神经疼痛患者的拔牙:一项回顾性研究
Ahmad Fliah Hassan1, Ali Al Sheakh2, Saif Anmar Badran3
1Oral Medicine Department, College of Dentistry, Mustansiriyah University, Baghdad, Iraq.
Journal of multidisciplinary healthcare
|April 15, 2025
概括
由于错误诊断,许多三角神经疼痛 (TN) 患者经历了不必要的牙提取. 改善牙医的诊断培训对于预防侵入性手术和改善口腔面部疼痛管理至关重要.
科学领域:
- 神经外科 神经外科
- 牙科 牙科是指牙科的专业.
- 耳鼻面部疼痛的管理.
背景情况:
- 拔牙是一种侵入性手术,只适用于特定的适应症.
- 三神经疼痛 (TN) 经常被误诊为牙痛,导致不适当的牙科治疗.
- 牙切除术经常用于TN患者,但没有治疗效益.
研究的目的:
- 为了确定三角神经疼痛 (TN) 患者的牙提取频率.
- 调查错误诊断在TN牙提取中所起的作用.
- 评估患者和牙医参与TN牙科拔牙的决策过程.
主要方法:
- 在2020年1月至2023年9月期间治疗的104名TN患者的回顾性分析.
- 数据收集包括患者人口统计,先前的治疗,以及对牙科干预的反应.
- 对TN患者的牙科治疗记录的审查,包括提取.
主要成果:
- 在104名TN患者中,88人最初被误诊为牙痛.
- 55名患者接受了牙拔除,其中27.3%涉及单一牙拔除.
- 92.7%的患者在拔牙后没有经历疼痛改善;只有4人表现出中度反应.
结论:
- 错误的诊断导致了大量的不必要的牙提取TN患者.
- 患者的要求导致不适当的牙科手术.
- 加强牙医的诊断培训对于改善口腔面部疼痛管理和预防TN的侵入性治疗至关重要.
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The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.