Unexplained orofacial pain - Is an early diagnosis possible?

被引：17

作者：

Aggarwal V.R. ^{[1
]}

McBeth J. ^{[1
]}

Zakrzewska J.M. ^{[2
]}

MacFarlane G.J. ^{[3
]}

机构：

[1] Division of Epidemiology and Health Sciences, Medical School, University of Manchester, Manchester, M13 9PT, Oxford Road

[2] Department in Oral Medicine, Eastman Dental Hospital, University College London Hospitals, London, WC1X 8LD

[3] Aberdeen Epidemiology Group, Department of Public Health, University of Aberdeen School of Medicine, Foresterhill, Aberdeen

来源：

British Dental Journal | 2008年 / 205卷 / 3期

关键词：

D O I：

10.1038/sj.bdj.2008.585

中图分类号：

学科分类号：

摘要：

Aim: To identify distinct characteristics of unexplained orofacial pain that could be used by dental practitioners in making an early diagnosis. Methods: Subjects reporting orofacial pain in a postal questionnaire-based cross-sectional survey were invited for clinical examination. The interviewer was blinded to the questionnaire responses of the subjects. A diagnosis was made following the examination and subjects were assigned into two groups: unexplained pain and dental pain. The questionnaire responses of subjects who had consulted a healthcare professional within these two groups were then compared with particular attention to demographics, orofacial pain characteristics, consultation behaviour and relationship with other unexplained syndromes. Results: Subjects who had consulted for their pain and were assigned to the unexplained orofacial pain group were significantly (p <0.05) more likely to report the following characteristics: pain descriptors (nagging, aching, tingling), pain pattern (worse with stress), site (poorly localised), duration (persistent/chronic), high disability, multiple consultations and co-morbidities (teeth grinding, reporting of other unexplained syndromes). Conclusion: This study has shown that unexplained orofacial pain has distinct characteristics that differentiate it from other common dental conditions. This provides a good evidence base which can reduce uncertainty among dental practitioners, allowing them to make an early diagnosis. © 2008 Macmillan Publishers Limited. All rights reserved.

引用

页码：E6 / E6

共 27 条

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