筋に由来する痛み : 筋筋膜痛は歯に疼痛を誘発する

概要

論文の詳細を見る
Toothache is the most common reason people are motivated to seek dental care. The dentist, however, is often faced with the perplexing problem of a continuous or intermittent pain presenting in the teeth for which no obvious tooth pathology can be found. Orofacial pain is frequently associated with non-odontogenic disease, such as myofascial pain syndrome. Myofascial pain is described as regional aching pain associated with localized tenderness in firm bands of muscle and tendons. Muscle pain has tendency to be referred to other deep somatic tissue remote from the site of the original muscle lesion. Myofascial pain is characterized by patterns of referred pain and originating from specific trigger points in a specific and predictable distribution. In some patients, only the referred pain is present; in these cases the physician has to search for the lesion that causes the referrid pain. Myofascial pain often results in numerous irreversible dental procedures including endodontics, apicoectomy, and even tooth extraction. These procedures frustrate the patient and dentist and do not solve the pain problem. The practicing clinician is encouraged to maintain a broad perspective of the differential diagnosis of toothache when the pathology is not obvious. A dentist should be aware that the myofascial pain syndrome causes toothache.
九州歯科学会の論文
2003-04-25