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ID 52895
JaLCDOI
フルテキストURL
著者
Tomoyasu, Yumiko Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Higuchi, Hitoshi Department of Dental Anesthesiology, Okayama University Hospital
Mori, Megumi Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Takaya, Kumiko Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Honda, Yuka Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Yamane, Ayaka Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Yabuki, Akiko Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Hayashi, Tomoko Department of Dental Anesthesiology, Okayama University Hospital
Ishii-Maruhama, Minako Department of Dental Anesthesiology, Okayama University Hospital
Jinzenji, Ayako Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Maeda, Shigeru Department of Dental Anesthesiology, Okayama University Hospital
Kohjitani, Atsushi Department of Dental Anesthesiology, Kagoshima University Graduate School of Medical and Dental Sciences
Shimada, Masahiko Orofacial Pain Management, Department of Oral Restitution Graduate School, Tokyo Medical and Dental University
Miyawaki, Takuya Department of Dental Anesthesiology and Special Care Dentistry, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
抄録
Orofacial pain is often difficult to diagnose and treat. However, there have been few reports on the clinical observation of dental patients with orofacial pain. We retrospectively investigated the characteristics of 221 dental patients who had suffered from persistent orofacial pain. Data were collected from the outpatient medical records in our clinic over the past 12 years. More than half of the patients (53.8%) had suffered with pain for more than 6 months from pain onset until the first visit to our clinic. The main diagnoses were neuropathic pain (30.3%), myofascial pain (23.5%), psychogenic pain (20.4%), odontogenic toothache (17.2%), and others (7.7%) such as temporomandibular disorders and glossitis. The treatments included pharmacotherapy, splint therapy, and others such as nerve block, dental treatment, physiotherapy, and/or psychotherapy. Excluding the patients (52 of 221 initially enrolled patients) with unknown responses to treatment, 65.7% showed remission or a significant improvement in pain in response to treatment. Although only a small group of patients had odontogenic toothache, the rate of improvement was highest for this disorder. In conclusion, early consultation with a dentist is useful to prevent chronicity of odontogenic pain and to make a differential diagnosis in patients with orofacial pain.
キーワード
dental patients
pain clinic
orofacial pain
dental anesthesiology
clinical observation
Amo Type
Original Article
発行日
2014-10
出版物タイトル
Acta Medica Okayama
68巻
5号
出版者
Okayama University Medical School
開始ページ
269
終了ページ
275
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2014 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID
Web of Sience KeyUT