口颌面疼痛的研究进展  

Advance in orofacial pain research

作　　者：易颖煜 朱亚琴[1] Yi Yingyu;Zhu Yaqin(Department of General Dentistry,Shanghai Ninth People′s Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai Research Institute of Stomatology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔综合科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海200011

出　　处：《中华口腔医学研究杂志（电子版）》2024年第5期300-306,共7页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：口颌面疼痛是口腔医生面临的最常见的症状,不仅有急性疼痛,如急性牙髓炎、急性牙周炎和口颌面术后疼痛等;还有慢性疼痛,如慢性牙周炎、慢性肌筋膜疼痛、颞下颌关节紊乱病(TMD)、灼口综合征(BMS)和口腔扁平苔藓(OLP)等。口颌面疼痛治疗的关键,既包括准确地诊断并对原发疾病的控制和治疗,又包括对疼痛症状的对症治疗,长期慢性疼痛的患者还有心理治疗的需求。本文旨在通过概述口颌面疼痛的分类和定义,介绍不同疼痛类型的机制研究进展,总结不同类型口颌面疼痛的诊断和治疗方式,为临床医生诊断和治疗口颌面疼痛提供参考。Orofacial pain is the most common symptom that dentists are confronted with,including acute pain(pulpitis,acute periodontitis,post⁃surgery,etc.)and chronic diseases,such as periodontitis,muscle pain,temporomandibular joint disorders(TMD),burning mouth syndrome(BMS),oral lichen planus(OLP)and others.The success of therapy depends on accurate diagnosis and treatment of the primary disease,symptomatic control of pain,and psychological treatment for those who suffer from long⁃term chronic pain.The aim of this article was to provide an overview of the classification and definition of orofacial pain,comprehensively introduce the mechanism research progress of different types of orofacial pain,summarize the diagnosis and interventional modality,and propose a reference for clinical process.

关 键 词：口颌面疼痛 非牙源性疼痛 牙源性疼痛 

分 类 号：R78[医药卫生—口腔医学]