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2017 | Kopf- und Gesichtsschmerz | OriginalPaper | Buchkapitel

27. Muskuloskelettale Gesichtsschmerzen

verfasst von : Prof. Dr. med. dent. J. C. Türp, MSc, M.A., Dr. rer. nat. Dipl.-Psych. P. Nilges

Erschienen in: Schmerzpsychotherapie

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Das Kapitel widmet sich den Kaumuskel- und Kiefergelenkschmerzen. Myoarthropathische Schmerzen weisen in der Bevölkerung eine relativ hohe Prävalenz auf, Frauen überwiegen. Die Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) unterscheiden 6 somatische Schmerzdiagnosen. Bei vielen Patienten liegen multilokuläre Schmerzen vor, die mit Ganzkörperschemata dokumentiert werden können. Bei anhaltenden Schmerzen sind psychologische und psychosoziale Befunde mit Auswirkungen auf Diagnose, Prognose und Therapie die Regel. Sie lassen sich vorteilhaft mit psychometrischen Filterfragebögen erfassen wie den Depressions-Angst-Stress-Skalen (DASS) oder der Graduierung chronischer Schmerzen (GCS). Für Entspannungsverfahren, Hypnose und kognitive Verhaltenstherapie liegen Wirksamkeitsbelege vor. Berücksichtigt wird vorwiegend die zwischen Januar 2006 und August 2015 veröffentlichte Fachliteratur. (Für Beiträge aus der Zeit vor 2006 siehe die 7. Aufl. dieses Buchs [Türp u. Nilges 2011].)
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Zurück zum Zitat Velly AM, Look JO, Carlson C, Lenton PA, Kang W, Holcroft CA, Fricton JR (2011) The effect of catastrophizing and depression on chronic pain − a prospective cohort study of temporomandibular muscle and joint pain disorders. Pain 152: 2377–2383 Velly AM, Look JO, Carlson C, Lenton PA, Kang W, Holcroft CA, Fricton JR (2011) The effect of catastrophizing and depression on chronic pain − a prospective cohort study of temporomandibular muscle and joint pain disorders. Pain 152: 2377–2383
Zurück zum Zitat Visscher CM, Ligthart L, Schuller AA, Lobbezoo F, de Jongh A, van Houtem CM, Boomsma DI (2015) Comorbid disorders and sociodemographic variables in temporomandibular pain in the general Dutch population. J Oral Facial Pain Headache 29: 51–59 Visscher CM, Ligthart L, Schuller AA, Lobbezoo F, de Jongh A, van Houtem CM, Boomsma DI (2015) Comorbid disorders and sociodemographic variables in temporomandibular pain in the general Dutch population. J Oral Facial Pain Headache 29: 51–59
Zurück zum Zitat Wahlund K, Nilsson IM, Larsson B (2015) Treating temporomandibular disorders in adolescents: a randomized, controlled, sequential comparison of relaxation training and occlusal appliance therapy. J Oral Facial Pain Headache 29: 41–50 Wahlund K, Nilsson IM, Larsson B (2015) Treating temporomandibular disorders in adolescents: a randomized, controlled, sequential comparison of relaxation training and occlusal appliance therapy. J Oral Facial Pain Headache 29: 41–50
Zurück zum Zitat Zhang Y, Montoya L, Ebrahim S, Busse JW, Couban R, McCabe RE, Bieling P, Carrasco-Labra A, Guyatt GH (2015) Hypnosis/relaxation therapy for temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials. J Oral Facial Pain Headache 29: 115–125 Zhang Y, Montoya L, Ebrahim S, Busse JW, Couban R, McCabe RE, Bieling P, Carrasco-Labra A, Guyatt GH (2015) Hypnosis/relaxation therapy for temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials. J Oral Facial Pain Headache 29: 115–125
Metadaten
Titel
Muskuloskelettale Gesichtsschmerzen
verfasst von
Prof. Dr. med. dent. J. C. Türp, MSc, M.A.
Dr. rer. nat. Dipl.-Psych. P. Nilges
Copyright-Jahr
2017
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-50512-0_27

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