Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Secondary Dental Pain and Facial Pain Due to Pansinusitis : A Case Report

범부비동염에 의한 이차성 치통과 안면통: 증례보고

  • Kim, Nam-Koo (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Auh, Q-Schick (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Chun, Yang-Hyun (Department of Oral Medicine, School of Dentistry, Kyung Hee University) ;
  • Hong, Jung-Pyo (Department of Oral Medicine, School of Dentistry, Kyung Hee University)
  • 김남구 (경희대학교 치과대학 구강내과학교실) ;
  • 어규식 (경희대학교 치과대학 구강내과학교실) ;
  • 전양현 (경희대학교 치과대학 구강내과학교실) ;
  • 홍정표 (경희대학교 치과대학 구강내과학교실)
  • Published : 2007.09.30
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Abstract

Toothache is a common complaint in the dental office. Most toothaches have their origin in the pulpal tissues or periodontal structures1). These odontogenic pains are managed well and predictably by dental therapies. One of the most frequent encounters and most confusing phenomena with which the dental diagnostician must deal is the problem of referred pain. The most important step toward proper management of a toothache is to consider that the pain may not be of dental origin. And Patients with orofacial pain, especially those in chronic pain, present a diagnostic and management challenge for the practitioners. There are many structures in the head and neck that can produce heterotopic pains felt in the teeth and other structures. Once referred pain is suspected, the true source of the pain must be located in order to render effective therapy. With increased interest in temporomandibular disorders and orofacial pain, many studies of accurate diagnosis and differential diagnosis about orofacial pain have been established. The purpose of this paper is to present a case for pansinusitis which produced pain referral in teeth and mimicked the symptoms of migraine.

치과임상에서 치통을 호소하는 환자를 흔히 접할 수 있다. 그리고 그 치통의 대부분은 치수조직이나 치주조직에서 기원한다. 이러한 치원성 치통은 일반적으로 치과치료로 효과적으로 치료 할 수 있다. 그러나 치과의사가 종종 당황하게 되고 진단에 곤란을 겪는 것은 연관통이 존재하기 때문이다. 치통을 올바르게 치료하기 위해서는 비치원성 치통의 가능성에 대한 고려가 가장 중요한 과정이라 생각할 수 있으며, 이러한 동통들의 원인을 찾기 위해서는 말초성 기전과 중추성 기전에 대한 이해가 필요하다. 정확한 진단과 합리적인 치료를 위해서는 두경부의 모든 구조물에 대한 고려와 평가가 수행되어야 하며, 구강 안면 동통 각각의 고유증상과 증후 특성에 대한 이해와 감별진단을 위한 보조진단방법 들을 바르게 이용할 수 있어야 한다. 저자는 치아에 연관통을 유발하였고 편두통의 증상과 유사한 소견을 나타낸 범부비동염의 증례 하나를 소개하고자 한다.

Keywords

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