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[慢性面部疼痛患者的疼痛教育]

H Korsjun¹, M Koutris², C M Visscher²

¹Academic Centre for Dentistry Amsterdam (ACTA), Amsterdam, The Netherlands.

Nederlands tijdschrift voor tandheelkunde

|September 10, 2025

概括

诺西普拉斯疼痛是一种慢性面部疼痛,没有明显的组织损伤,涉及改变的 nociception. 了解这种疼痛机制是有效的牙科治疗方法的关键.

科学领域:

牙科牙科是指牙科的专业.
神经科学是一个神经科学.
疼痛医学医学疼痛医学

背景情况:

长期的面部疼痛投诉没有明显的组织损伤在牙科实践中很常见.
这种慢性疼痛可能表明改变了 nociception,其特点是体感系统内的敏感化和受损信号抑制.
这种表现与鼻膜性疼痛一致,牙科文献中讨论较少的疼痛类型.

研究的目的:

突出牙科内慢性面部疼痛呈现中nociplastic疼痛的重要性.
强调需要修订治疗慢性疼痛在牙科实践中的方法.
探讨疼痛教育在管理患有无囊性疼痛的患者中的作用.

主要方法:

文学评论关于nociplastic疼痛及其机制.
在牙科环境中分析慢性面部疼痛的临床表现.
讨论改变的感觉对疼痛管理的影响.

主要成果:

由于异常的感觉引起的诺西普拉斯疼痛,由于缺乏可见的组织损伤,在牙科中提出了诊断挑战.
敏感化和受损的信号抑制是诺西普拉斯疼痛中的关键神经生理过程.
目前的牙疼痛管理范式可能不足以治疗鼻膜性疼痛.

结论:

更深入地了解体感官系统的 (功能障碍) 对于治疗慢性面部疼痛至关重要.
疼痛教育可以成为一般牙科中一个有价值的辅助疗法,用于患有鼻膜性疼痛的患者.
将神经科学原则纳入牙疼痛管理中,对于改善患者的治疗结果至关重要.

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