老年人口颌面疼痛的临床特点与诊断要点

doi:10.12337/zgkqjxjyzz.2024.03.001

中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (3): 193-199.DOI: 10.12337/zgkqjxjyzz.2024.03.001

• 综述 • 下一篇

老年人口颌面疼痛的临床特点与诊断要点

吴红崑^1,*, 范兵², 范伟², 程兴群¹

¹四川大学华西口腔医院老年口腔科,口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心;
²武汉大学口腔医（学）院,武汉大学口腔医学院口颌系统重建和再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室

出版日期:2024-05-31 发布日期:2024-12-18
通讯作者: ^*吴红崑,联系方式：028-85503609,电子邮箱：811120691@qq.com,通讯地址：四川省成都市人民南路三段14号,610041

Clinical Characteristics and Diagnostic Points of Maxillofacial Pain in Elderly Population

Hongkun Wu^1,*, Bin Fan², Wei Fan², Xingqun Cheng¹

¹Department of Geriatric Dentistry, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan Province, P.R. China;
²School of Stomatology, Wuhan University, National Key Laboratory of Reconstruction and Regeneration of Oral and Maxillary System, Key Laboratory of Oral Biomedicine of the Ministry of Education, Hubei Provincial Key Laboratory of Stomatology, Wuhan, Hubei Province, P.R. China

Online:2024-05-31 Published:2024-12-18
Contact: Hongkun Wu. Tel: 028-85503609. Email: 811120691@qq.com. Address: No.14, 3Rd Section of Ren Min Nan Rd, Chengdu 610041, Sichuan Province, P.R. China.

摘要/Abstract

摘要： 老年人口颌面疼痛与口腔、全身疾病都具有密切的联系,该人群多病共存、多药并用的特殊情况大大增加了口颌面疼痛诊断的难度。本文简要归纳了老年人口颌面疼痛的病因及诊断要点,以及如何通过病史询问及全身情况评估、临床检查和临床特点进行诊断。快速、准确地诊断老年人口颌面疼痛症状下隐藏的病因对于老年人身心健康具有重要意义,减少威胁老年人全身健康的危险因素,可以为后续采取有效的治疗措施打好基础。

关键词: 老年人, 口颌面疼痛, 口腔疾病, 鉴别诊断, 全身健康

Abstract: Maxillofacial pain in the elderly population is closely related to oral and systemic diseases, and the special situation of multi-disease co-existence and multi-drug use greatly increases the difficulty of pain diagnosis. This article briefly summarizes the etiology of maxillofacial pain in the elderly population, and how to diagnose it through history inquiry and clinical examination. Quickly and accurately diagnosing the underlying causes of maxillofacial pain in the elderly population is of great significance for their physical and mental health. Reducing the risk factors that threaten their overall health can lay a foundation for effective treatment measures in the future.

Key words: elderly population, maxillofacial pain, oral diseases, differential diagnoses, general health

吴红崑, 范兵, 范伟, 程兴群. 老年人口颌面疼痛的临床特点与诊断要点[J]. 中国口腔医学继续教育杂志, 2024, 27(3): 193-199.

Hongkun Wu, Bin Fan, Wei Fan, Xingqun Cheng. Clinical Characteristics and Diagnostic Points of Maxillofacial Pain in Elderly Population[J]. Chinese Journal of Stomatological Continuing Education, 2024, 27(3): 193-199.

参考文献

[1] Wang Y, Que K, Lin L, et al.The prevalence of dentine hypersensitivity in the general population in China[J]. J Oral Rehabil. 2012; 39(11):812-820.
[2] Favaro Zeola L, Soares PV, Cunha-Cruz J.Prevalence of dentin hypersensitivity: Systematic review and meta-analysis[J]. J Dent. 2019; 81:1-6.
[3] 陈丽薇, 贾兴亚. 牙本质过敏症治疗研究进展[J]. 中国实用口腔科杂志, 2015, 8(8):497-502.
[4] 李颖超, 郭斌. 老年人牙髓病诊断与治疗的特点[J]. 中华老年口腔医学杂志, 2015, 13(1): 58-60.
[5] Abbott PV. Present status and future directions: Managing endodontic emergencies[J]. Int Endod J.2022; 55 Suppl 3: 778-803.
[6] Donnermeyer D, Dammaschke T, Lipski M, et al. Effectiveness of diagnosing pulpitis: A systematic review[J]. Int Endod J.2023; 56 Suppl 3:296-325.
[7] Mejare IA, Axelsson S, Davidson T, et al.Diagnosis of the condition of the dental pulp: a systematic review[J]. Int Endod J. 2012; 45(7):597-613.
[8] International Headache Society (IHS). International Classification of Orofacial Pain. 1st edition(ICOP)[J]. Cephalalgia. 2020; 40(2):129-221.
[9] Gutmann JL, Baumgartner JC, Gluskin AH, et al.Identify and define all diagnostic terms for periapical/periradicular health and disease states[J]. J Endod. 2009; 35(12):1658-1674.
[10] Tiburcio-Machado CS, Michelon C, Zanatta FB, et al.The global prevalence of apical periodontitis: a systematic review and meta-analysis[J]. Int Endod J. 2021; 54(5):712-735.
[11] Li F, Diao Y, Wang J, et al.Review of Cracked Tooth Syndrome: Etiology, Diagnosis, Management, and Prevention[J]. Pain Res Manag. 2021; 2021:3788660.
[12] 樊牮, 许庆安. 隐裂牙综合征研究进展[J]. 口腔医学研究, 2022, 38(3):223-225.
[13] Yu M, Li J, Liu S, et al.Diagnosis of cracked tooth: Clinical status and research progress[J]. Jpn Dent Sci Rev. 2022; 58:357-364.
[14] Demirbas Kaya A, Aktener BO, Unsal C.Pulpal necrosis with sickle cell anaemia[J]. Int Endod J. 2004; 37(9):602-606.
[15] Kawar N, Alrayyes S, Aljewari H.Sickle cell disease: An overview of orofacial and dental manifestations[J]. Dis Mon. 2018; 64(6):290-295.
[16] Herrera D, Retamal-Valdes B, Alonso B, et al. Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) andendo-periodontal lesions[J]. J Periodontol.2018; 89 Suppl 1:S85-S102.
[17] Alagl AS.Periodontal abscess as a possible oral clinical sign in the diagnosis of undiagnosed diabetes mellitus of elderly in a dental clinic set up-a 7-year cross-sectional study[J]. J Invest Clin Dent. 2017; 8(3):e12217.
[18] Salvi GE, Roccuzzo A, Imber JC, et al. Clinical periodontal diagnosis[J]. Periodontol2000. 2023 Jul 14. doi: 10.1111/prd.12487. Epub ahead of print.
[19] Fan J, Caton JG. Occlusal trauma and excessive occlusal forces: Narrative review, case definitions,diagnostic considerations[J]. J Periodontol.2018; 89 Suppl 1:S214-S22.
[20] Ríos CC, Campiño JI, Posada-López A, et al.Occlusal trauma is associated with periodontitis: A retrospective case-control study[J]. J Periodontol. 2021; 92(12):1788-1794.
[21] Passanezi E, Sant'Ana ACP. Role of occlusion in periodontal disease[J]. Periodontol 2000. 2019; 79(1):129-150.
[22] Palmer R, Floyd P.Diagnosis and Management of Acute Conditions[M]. Switzerland: Springer International Publishing AG. 2021:195-206.
[23] 赵晓燕, 李英. 咬合板治疗颞下颌关节紊乱病疼痛和弹响的治疗进展[J]. 中华老年口腔医学杂志, 2019, 17(6):362-366.
[24] List T, Jensen RH.Temporomandibular disorders: Old ideas and new concepts[J]. Cephalalgia. 2017; 37(7):692-704.
[25] Romero-Reyes M, Klasser G, Akerman S.An Update on Temporomandibular Disorders (TMDs) and Headache[J]. Curr Neurol Neurosci Rep. 2023; 23(10):561-570.
[26] Jääskeläinen SK, Woda A.Burning mouth syndrome[J]. Cephalalgia. 2017; 37(7):627-647.
[27] Ritchie A, Kramer JM.Recent Advances in the Etiology and Treatment of Burning Mouth Syndrome[J]. J Dent Res. 2018; 97(11):1193-1199.
[28] 代青芸, 崔鸢, 冯慧, 等. 灼口综合征的病因及发病机制[J]. 国际口腔医学杂志, 2015, 42(1):54-58.
[29] 卢成辉, 罗文海, 李欣,等. 灼口综合征多学科综合治疗进展[J]. 口腔疾病防治, 2023, 31(4):290-294.
[30] Bendtsen L, Zakrzewska JM, Heinskou TB, et al.Advances in diagnosis, classification, pathophysiology, and management of trigeminal neuralgia[J]. Lancet Neurol. 2020; 19(9):784-796.
[31] 杨吉垒, 温晓霞, 王文丽, 等. 三叉神经痛的诊疗研究进展[J]. 中国疼痛医学杂志, 2023, 29(3):201-206.
[32] Bendtsen L, Zakrzewska JM, Abbott J, et al.European Academy of Neurology guideline on trigeminal neuralgia[J]. Eur J Neurol. 2019; 26(6):831-849.
[33] Niemeyer CS, Harlander-Locke M, Bubak AN, et al.Trigeminal Postherpetic Neuralgia: From Pathophysiology to Treatment[J]. Curr Pain Headache Rep. 2024; 28(4):295-306.
[34] Proctor GB, Shaalan AM.Disease-Induced Changes in Salivary Gland Function and the Composition of Saliva[J]. J Dent Res. 2021; 100(11):1201-1209.
[35] Wilson KF, Meier JD, Ward PD.Salivary gland disorders[J]. Am Fam Physician. 2014; 89(11):882-888.
[36] 曹烨, 刘木清, 雷杰, 等. 口颌面疼痛国际分类与诊断标准(第一版)(三)[J].中国口腔医学继续教育杂志, 2022, 25(5):257-268.
[37] Abdalla-Aslan R, Benoliel R, Sharav Y, et al.Characterization of pain originating from oral mucosal lesions[J]. Oral Surg Oral Med Oral Pathol Oral Radiol. 2016; 121(3):255-261.
[38] Bascones-Martínez A, García-García V, Meurman J H, et al.Immune-mediated diseases: what can be found in the oral cavity?[J]. Int J Dermatol. 2015; 54(3):258-270.
[39] Slebioda Z, Szponar E, Kowalska A.Recurrent aphthous stomatitis: genetic aspects of etiology[J]. Postepy Dermatol Alergol. 2013; 30(2):96-102.
[40] Lau CB, Smith GP.Recurrent aphthous stomatitis: A comprehensive review and recommendations on therapeutic options[J]. Dermatol Ther. 2022; 35(6):e15500.
[41] Carrozzo M, Porter S, Mercadante V, et al.Oral lichen planus: A disease or a spectrum of tissue reactions? Types, causes, diagnostic algorhythms, prognosis, management strategies[J]. Periodontol 2000. 2019; 80(1):105-125.
[42] Maria OM, Eliopoulos N, Muanza T.Radiation-induced oral mucositis[J]. Front Oncol. 2017; 7:89.
[43] Pulito C, Cristaudo A, Porta C, et al.Oral mucositis: the hidden side of cancer therapy[J]. J Exp Clin Cancer Res. 2020; 39(1):210.
[44] Raber-Durlacher JE, Elad S, Barasch A.Oral mucositis[J]. Oral Oncol. 2010; 46(6):452-456.
[45] 王津, 姬爱平. 非牙源性牙痛[J]. 中国实用口腔科杂志, 2016, 9(11):648-651.
[46] De Laat A.Differential diagnosis of toothache to prevent erroneous and unnecessary dental treatment[J]. J Oral Rehabil. 2020; 47(6):775-781.
[47] Miura A, Tu TTH, Shinohara Y, et al.Psychiatric comorbidities in patients with Atypical Odontalgia[J]. J Psychosom Res. 2018; 104:35-40.

老年人口颌面疼痛的临床特点与诊断要点

Clinical Characteristics and Diagnostic Points of Maxillofacial Pain in Elderly Population

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 3

编辑推荐

Metrics

本文评价

[1]	陈帅, 郭若妍, 黄晓晶. 口腔功能衰弱及其对口腔健康的影响[J]. 中国口腔医学继续教育杂志, 2024, 27(3): 206-213.
[2]	王倩倩, 尹兴喆, 卫彦, 周崇阳. 过长后牙意向性冠髓切断术的临床应用[J]. 中国口腔医学继续教育杂志, 2024, 27(3): 219-224.
[3]	欧阳翔英, 刘文逸, 刘健如, 钟金晟. 牙龈肥大疾病的鉴别诊断及治疗策略[J]. 中国口腔医学继续教育杂志, 2023, 26(1): 1-5.