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:: دوره 3، شماره 3 - ( مجموعه مقالات بیماری های دهان 1390 ) ::
جلد 3 شماره 3 صفحات 0-0 برگشت به فهرست نسخه ها
Seven-Year Follow-up of Patients Diagnosed with Atypical Odontalgia: A Prospective Study
چکیده:   (2196 مشاهده)

 Aims:

 To examine the long-term prognosis of 46 previously examined atypical odontalgia (AO) patients.

  Methods:

 In 2002 and 2009, AO patients completed validated instruments measuring pain characteristics (pain frequency and intensity), physical functioning (Graded Chronic Pain Severity, GCPS) and emotional functioning (Symptoms Checklist, SCL-90R). The main outcome was global improvement. Baseline data on quantitative somatosensory testing and responsiveness to lidocaine injection were available for a subgroup of patients. Paired tests compared baseline and follow-up data, and logistic regression explored the possible prognostic value of baseline data.

 Results:

  Data from 37 patients (80%) were obtained. Thirteen patients (35% 95% confidence intervals [CI] 20.2%-52.5%) rated their overall pain status as significantly improved, 22 (60% 95% CI 42.1%-75.3%) as a little improved or unchanged, and two patients (5% 95% CI 0.7%-18.2%) as worse. Five patients (14% 95% CI 4.5%-28.8%) were pain-free, indicated by a characteristic pain intensity score of 0. Average pain intensity decreased (from 5.7 ± 2.0 to 3.5 ± 2.4 P < .001). Pain frequency (P < .001) and GCPS (P < .001) also decreased, whereas SCL-90R scores remained unchanged and 26 of the 37 patients reported ongoing treatment. Low baseline pain intensity was the only factor predictive of favorable outcome.

 Conclusion:

  A third of the AO patients improved considerably over time, but for many of the patients, AO was a persistent and treatment-resistant condition.


 Source: Journal of Orofacial Pain

 Full Text

واژه‌های کلیدی: neuropathic pain، orofacial pain، prognosis، prospective study، trigeminal nerve
     
نوع مطالعه: پژوهشي | موضوع مقاله: بیماری های دهان
دریافت: 1392/7/7 | انتشار: 1390/10/25
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Seven-Year Follow-up of Patients Diagnosed with Atypical Odontalgia: A Prospective Study. 1. 1390; 3 (3)

URL: http://idai.ir/article-1-2069-fa.html



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Creative Commons License این مقاله تحت شرایط Creative Commons Attribution-NonCommercial 4.0 International License قابل بازنشر است.
دوره 3، شماره 3 - ( مجموعه مقالات بیماری های دهان 1390 ) برگشت به فهرست نسخه ها
جامعه اسلامی دندانپزشکان Islamic Dental Association of IRAN

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