Stručni rad
https://doi.org/10.20471/acc.2019.58.s1.12
Orofacial pain – diagnostic and therapeutic challenges
Tomislav Badel
; Department of Removable Prosthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Dijana Zadravec
; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, University of Zagreb, Zagreb, Croatia
Vanja Bašić Kes
; Department of Neurology, Sestre milosrdnice University Hospital Center, University of Zagreb, Zagreb, Croatia
Mia Smoljan
; Department of Diagnostic and Interventional Radiology, Sestre milosrdnice University Hospital Center, University of Zagreb, Zagreb, Croatia
Sandra Kocijan Lovko
; Psychiatry Hospital “Sv Ivan”, Zagreb, Croatia
Iris Zavoreo
; Department of Neurology, Sestre milosrdnice University Hospital Center, University of Zagreb, Zagreb, Croatia
Ladislav Krapac
; Academy of Medical Sciences of Croatia, Department of Public Health, Zagreb, Croatia
Sandra Anić Milošević
; Department of Orthodontics, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
Sažetak
The concept of diagnostics and therapy of musculoskeletal and neuropathic diseases of the stomatognathic system, which are the subject of this paper, has been developing for decades. It can be said that in order to avoid misunderstanding, the orofacial pain as a clinical problem, in the narrower sense, involves non-odontogenic and non-malignant causes of orofacial region. 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. It has been shown that the patients who dropped out of the study were significantly
older (p=0.0411) than those who agreed to participate, but there was no difference in gender ratio (p=0.185) since the proportion of female patients prevailed. In an analysis of 84.4% of patients participating in the study, the elevated anxiety values were established (mean value on STAI 1 was 39.2 and STAI 2 was 41.1) and statistical significance was found in correlation between elevated anxiety and intensity of pain as shown on visual analogue scale on open mouth (p<0.0001). Compared
to the age, the statistical significance was for STAI 1 (p=0.0097) but not for STAI 2 (p=0.5599). The most common form of therapy is Michigan stabilization splint: for disc displacement of temporomandibular joint (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. In this study, a multidisciplinary co-operation in initial diagnostics and differential was designed to develop subspecialist knowledge on orofacial pain.
Ključne riječi
orofacial pain; temporomandibular joint; anxiety; trigeminal neuralgia
Hrčak ID:
224330
URI
Datum izdavanja:
1.7.2019.
Posjeta: 5.380 *