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Therapie bei Schmerzen der Kaumuskulatur

Empfehlungen zum klinischen Management

Therapy of masticatory muscle pain

Recommendations for clinical management

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Zusammenfassung

Myalgien der Kiefermuskulatur sind die häufigsten nichtinfektiösen Beschwerden in der Kiefer-Gesichts-Region. Nach Zusammenfassung des aktuellen Kenntnisstands zur Physiologie, Ätiologie, Pathophysiologie, Diagnostik und Differenzialdiagnostik wird anhand einer Literaturrecherche der aktuelle Stand der therapeutischen Möglichkeiten dargestellt. Die Ergebnisse zeigen, dass bei der Mehrzahl der Patienten mit nichtinvasiven reversiblen Maßnahmen Schmerzlinderung bzw. -freiheit erreicht werden kann. Im Kurz- und Langzeitvergleich ergeben verschiedene Behandlungsverfahren vergleichbar gute Resultate. Bei chronischen Verläufen mit ausgeprägter psychosozialer Beeinträchtigung ist neben der Standardtherapie die Betreuung durch einen Psychotherapeuten conditio sine qua non.

Abstract

Myalgias of the masticatory muscles are the most frequent noninfectious complaints in the orofacial region. After summarizing the current knowledge on the physiology, etiology, pathophysiology, diagnosis, and differential diagnosis of masticatory muscle pain, we specifically focus on management recommendations. Results of an extensive literature search show that for the majority of patients pain reduction or pain relief can be achieved with noninvasive reversible methods. Longitudinal short- and long-term studies have revealed that different therapeutic measures are similarly effective. In patients with chronic masticatory myalgias associated with psychosocial impairment, however, additional involvement of a psychotherapist is crucial.

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Authors and Affiliations

  1. Poliklinik für Zahnärztliche Prothetik, Westdeutsche Kieferklinik der Universität Düsseldorf, Deutschland

    A. Hugger

  2. DRK-Schmerzzentrum Mainz, Deutschland

    P. Nilges

  3. Zahnarztpraxis Saarbrücken, Deutschland

    H. Kares

  4. Neurologische Klinik, Universität Würzburg, Deutschland

    C. Sommer

  5. Klinik für Rekonstruktive Zahnmedizin und Myoarthropathien, Universitätskliniken für Zahnmedizin, Basel, Schweiz

    J. C. Türp

  6. Bundesforschungsanstalt für Ernährung, Hirschstr. 105, 76137 , Karlsruhe, Deutschland

    H. J. Schindler

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  1. H. J. Schindler
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  2. J. C. Türp
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  3. C. Sommer
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Correspondence to H. J. Schindler.

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Die Autoren schreiben im Namen des Interdisziplinären Arbeitskreises für Mund- und Gesichtsschmerzen der Deutschen Gesellschaft zum Studium des Schmerzes

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Schindler, H.J., Türp, J.C., Sommer, C. et al. Therapie bei Schmerzen der Kaumuskulatur. Schmerz 21, 102–115 (2007). https://doi.org/10.1007/s00482-006-0514-3

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