The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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CARE OF POSTTRAUMATIC PAIN SYNDROME IN THE PSYCHIATRIC DISORDER PATIENT : REPORT OF CASES

정신 장애 환자에서 외상후 통증증후군의 관리 : 증례보고

  • Oh, Ji-Hyeon (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Yoo, Jae-Ha (Department of Dentistry, Wonju Severance Christian Hospital, Yonsei University) ;
  • Kim, Jong-Bae (Department of Dentistry, Dong San Medical Center, College of Medicine, Keimyung University)
  • 오지현 (연세대학교 원주세브란스기독병원 치과학교실) ;
  • 유재하 (연세대학교 원주세브란스기독병원 치과학교실) ;
  • 김종배 (계명대학교 의과대학 동산의료원 치과학교실)
  • Received : 2015.06.13
  • Accepted : 2015.06.26
  • Published : 2015.06.30
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Abstract

Pain and sensory disorder resulting from injury to peripheral nerves of the face and jaws are a major source of patient dissatisfaction and suffering. The majority of patient who sustain injuries to the peripheral sensory nerves of the face and jaws experience a slow but orderly return of sensation that is functional and tolerable in quality, if not "normal". For many patients, however, the long-term effects are a source of aggravation, and for a few, a significant cause of suffering. Common complaints relate to reduced sensory information causing embarrassing food accumulations or drooling, biting a burning the lip or tongue, and difficulty in performing routine activities such as shaving and apply makeup. For some patients posttraumatic symptoms become pathological and frankly painful. The predominent pain components are (1) numbing anesthesia dolorosa pain, (2) triggered neuralgiaform pain, (3) burning, aching causalgiaform pain, and (4) phantom pain. This is a report of cases about posttraumatic pain syndrome associated with dental treatment in a psychologically disabled patient.

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References

  1. Kruger GO : Neurological disorders of the maxillofacial region, Textbook of oral and maxilofacial surgery, 6th edition. CV Mosby, Saint Louis, 700-742, 1984.
  2. Korean Association of Oral and Maxillofacial Surgery : Textbook of oral and maxillofacial surgery, 3rd edition. Medical and Dental Publishing Co., Seoul, 535-588, 2013.
  3. Bell WD : Orofacial pains. classification, diagnosis, management, 4th edition. Year book Medical Publishers, Chicago, 390-393, 1989.
  4. Kim YG, Chung SC, Lee WY : Orofacial pains, 4th edition. Korea Quintessence Publishing Co., Seoul, 87-97, 335-354, 1996.
  5. College of Dentistry, Seoul National University : Maxillofacial neuroscience. Koon Ja Publishing Co., Seoul, 113-183, 1995.
  6. Kim JW, Lim CJ : Clinical oral and maxillofacial surgery. Koon Ja Publishing Co., Seoul, 232-249, 1993.
  7. Wall PD, Devor M : Sensory afferent impulses originate from dorsal root ganglia as well as from the periphery in normal and nerve injured rats. Pain, 17:321-339, 1983. https://doi.org/10.1016/0304-3959(83)90164-1
  8. Seltzer S : Pain control in dentistry. JB Lippincott Co., Philadelphia, 64-104, 1978.
  9. Gregg JM : Posttraumatic pain : Experimental trigeminal neuropathy. J Oral Surg, 29:260-267, 1971.
  10. Korean Association of Neurology : Neuroscience. Koon Ja Publishing Co., Seoul, 237-240, 2007.
  11. Korean Association of Family Medicine : Textbook of Family Medicine, Clinical part. Kye Chook Publishing Co., Seoul, 465-470, 2003.
  12. Kerr FWL : Evidence for a peripheral etiology of trigeminal neuralgia. J Neurosurg, 26:168-174, 1967. https://doi.org/10.3171/jns.1967.26.1part2.0168
  13. Joffroy A, Levivier M, Massager N : Trigeminal neuralgia. pathophysiology and treatment. Acta Neurol Belg, 101:20-25, 2001.
  14. Ratner EJ, Person P, Klenman DJ, Shklar G, Socransky S : Jaw bone cavities and trigeminal and atypical facial neuralgias. Oral Surg, 48:3-7, 1979. https://doi.org/10.1016/0030-4220(79)90229-9
  15. Calvin WH, Loeser JD, Howe JF : A neurophysiogical theory for the pain mechanism of tic douloureux. Pain, 3:147-151, 1977. https://doi.org/10.1016/0304-3959(77)90078-1
  16. Gobel S, Binck JM : Degenerative changes in primary trigeminal axons and in neurons in nucleus caudalis following tooth pulp extirpation in the cats. Brain Res, 132:347-354, 1977. https://doi.org/10.1016/0006-8993(77)90427-9
  17. Campbell JN, Raja SN, Meyer RA : Myelinated afferents signal the hyperalgesia associated with nerve injury. Pain, 32:89-94, 1988. https://doi.org/10.1016/0304-3959(88)90027-9
  18. Min SG : Modern psychiatry, 5th edition. IL Cho Kak, Seoul, 173-241, 2006.
  19. Lee CK : Psychiatry, 2nd edition. IL Cho Kak, Seoul, 77-128, 1983.
  20. Little JW, Falace DA, Miller CS, Rhodus NL : Dental management of the medically compromised patient, 7th edition. Mosby elsevier, Saint Louis, 507-532, 2008.