engleski

Orofacial pain – diagnostic and therapeutic challenges

Background and purpose. Orofacial pains are associated with complex diagnostics and therapy of a large number of disciplines belonging to medical and dental science. In the functional anatomical sense, the oral cavity is part of the stomatognathic system, which encompasses all the bone and soft tissue facial structures. The stomatognathic or masticatory system consists of teeth with the supporting structures and jaws, the temporomandibular joints (TMJs) as the only removable joints of the skull, masticatory muscles in a functional sense (and mandibular elevators and depressors), the oral cavity with the tongue, the lips, the muscles of facial expression and their entire neuro vascular supply. Materials and methods. In this study, the results of clinical diagnosis of the population of 557 consecutive patients with orofacial pain based on multidisciplinary diagnostics were evaluated. 15.6% of patients have given up on the participation in the study. Results. The most common form of therapy is Michigan stabilization splint: for disc displacement of TMJ in 38.9% of patients and in combination with physiotherapy in 18.7% of patients ; for osteoarthritis of TMJ in 28.4% and in combination with physiotherapy in 26.4% of patients. The treatment with anticonvulsant drugs for trigeminal neuralgia predominates in 54.3% of patients, which is combined with acupuncture in 25.7% of patients and only acupuncture in 17.1% of patients. Conclusion. In this study, a multidisciplinary co-operation in initial diagnostics and differential was designed to develop subspecialist knowledge on orofacial pain.

orofacial pain ; temporomandibular joint ; anxiety ; trigeminal neuralgia

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