口腔面部疼痛:三叉神经痛及其变种的焦点为初级保健牙科团队。

Primary dental journal Pub Date : 2025-06-01 Epub Date: 2025-08-25 DOI:10.1177/20501684251351379
Priya Thakrar, Krupali Patel, Joanna M Zakrzewska
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引用次数: 0

摘要

三叉神经痛(TN)是一种使人衰弱的面部疼痛状况,可以显著影响患者的生活质量。通常,疼痛发作是不可预测的,持续几秒到几分钟,通常表现为三叉神经的单侧分布。在急性发作期间,患者通常会寻求初级保健牙科医生的帮助,以缓解疼痛和支持管理疼痛。这篇叙事性文章旨在强调TN的关键特征,以及初级牙科保健团队如何积极支持急性疼痛发作患者的管理,避免不必要的,不可逆转的牙科治疗。概述了可以帮助支持这些患者的关键即时和长期管理策略,以及这些治疗对提供牙科护理的影响。此外,讨论了与TN具有相似特征的两种三叉神经自主神经性头痛(TACs),以使初级保健牙科团队能够识别原发性头痛疾病的这一子集,并支持他们继续进行二级保健转诊。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Oral Facial Pain: A spotlight on Trigeminal Neuralgia and its variants for the primary care dental team.

Trigeminal neuralgia (TN) is a debilitating facial pain condition that can significantly impact a patient's quality of life. Typically, pain episodes are unpredictable lasting seconds to minutes, usually presenting in a unilateral distribution of the trigeminal nerve.Patients will often seek help from primary care dental practitioners during an acute attack, in need of pain relief and support in managing the pain.This narrative article aims to highlight the key features of TN and how the primary dental care team can actively support management of patients presenting with an acute episode of pain and avoid unnecessary, irreversible dental treatments. An overview of the key immediate and long-term management strategies that can help support these patients, and the implications of these therapies on the provision of dental care is provided.Additionally, two of the trigeminal autonomic cephalalgias (TACs), which have similar features to TN are discussed, to enable the primary care dental team to identify this subset of primary headache conditions and support them in making onward secondary care referrals.

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