Differential diagnosis of prosopalgia of dental patients

R. A. Mikhailik, T. A. Lopushanskaya, A. V. Tsimbalistov, N. A. Ogrina
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Abstract

Aim. To estimate the size of the areas of the skull holes along the course of the trigeminal nerve in dental patients with prosopalgia according to computed tomography. Materials and methods. Twenty seven dental patients were examined. Clinical methods of examination, palpation, assessment of the intensity pain manifestations using a visual analog scale of pain, clinical index Helkimo. Instrumental methods: gnathodynamometry, spiral computed tomography. Results. The article describes data on the condition of bone canals and skull holes of dental patients with facial pain. 27 dental patients with complaints of pain in the facial area were examined using a visual analog scale of pain, the clinical Helkimo index and spiral computed tomography. The method of measuring the bone channels and holes of the skull is described. Criteria for assessing the degree of asymmetry of bone structures are proposed. Conclusions. The factors of predisposition to prosopalgia of dental patients in the presence of narrowing and pronounced asymmetry of the size of the bone canals of the skull were revealed.
牙病患者面痛的鉴别诊断
的目标。目的:利用计算机断层成像技术估计牙病人面痛患者沿三叉神经走行方向的颅孔面积。材料和方法。对27例牙科患者进行了检查。临床检查方法,触诊,疼痛表现评估强度采用视觉疼痛模拟量表,临床指标Helkimo。仪器方法:口腔测定仪,螺旋计算机断层扫描。结果。本文介绍了面部疼痛患者的骨管和颅骨孔的情况。采用视觉模拟疼痛量表、临床Helkimo指数和螺旋计算机断层扫描对27例主诉面部疼痛的牙科患者进行了检查。描述了测量颅骨骨通道和骨孔的方法。提出了评估骨结构不对称程度的标准。结论。揭示了在颅骨骨管狭窄和明显不对称的情况下,牙科患者易患体痛的因素。
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