[Temporomandibular disorder as the most prevalent cause of facial pain: current evidence]
- PMID: 29171498
- DOI: 10.17116/jnevro2017117101106-113
[Temporomandibular disorder as the most prevalent cause of facial pain: current evidence]
Abstract
Orofacial pain is a comprehensive and multi-faceted syndrome. After dental causes have been excluded, neurologists are challenged to diagnose the cause of pain. The paper gives a detailed review of one of the most common causes of facial pain - temporomandibular disorder (TMD). Current DC/TMD diagnostic criteria, patient examination protocols and a new perspective on TMD pathophysiology based on the recent neurological studies are presented. The article also discusses modern approaches to TMD management.
Синдром орофациальной боли представляет собой сложную и многогранную проблему. В ситуации, когда стоматологические причины исключены, невролог встречается со сложной задачей диагностики причины боли в лице. В статье дан подробный обзор одной из наиболее распространенных причин лицевой боли - дисфункции височно-нижнечелюстного сустава (ДВНЧС). Представлены современные критерии диагностики, правила обследования пациентов с ДВНЧС и новый взгляд на патогенез этой группы заболеваний с учетом последних исследований в неврологии. Обсуждаются современные подходы к лечению ДВНЧС.
Keywords: NSAID; central sensitization; facial pain; orofacial pain; temporomandibular disorder.
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