Management of Chronic Pain in Temporomandibular Disorders
김경희, 주혜민, 정성희, 안용우, 전혜미, 옥수민,
소속 상세정보
김경희 ( Kim Kyung-Hee ) - Inje University Busan Paik Hospital Department of Oral and Maxillofacial Surgery
주혜민 ( Ju Hye-Min ) - Pusan National University School of Dentistry Department of Oral Medicine
정성희 ( Jeong Sung-Hee ) - Pusan National University Dental Hospital Department of Oral Medicine
안용우 ( Ahn Yong-Woo ) - Pusan National University School of Dentistry Department of Oral Medicine
전혜미 ( Jeon Hye-Mi ) - Pusan National University Hospital Department of Oral Medicine
옥수민 ( Ok Soo-Min ) - Pusan National University School of Dentistry Department of Oral Medicine
Abstract
In chronic temporomandibular disorders (TMDs), constituent tissues such as muscles are sensitive to pain and psychological stress, which negatively affect the quality of life. In addition, since chronic TMDs is often accompanied by diseases such as psychological disorders and other chronic pain disorders, the diagnosis of those diseases and patient referrals are mandatory. The management of chronic pain in TMDs requires a multidisciplinary and holistic approach. Pharmacological therapy using cyclobenzaprine, serotonin and norepinephrine reuptake inhibitors, tricyclic antidepressants, progressive relaxation, and psychological approaches using cognitive behavioral therapy such as shifting negative thoughts about pain are all valid treatment options.
키워드
Chronic pain; Pharmacological therapy; Temporomandibular joint disorders
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