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本文报导典型的三叉神经痛同时有同侧下颌关节功能紊乱共100余例。这些病例,不但有神经痛症状,而且有各种颞下颌关节功能紊乱症状及由此引起的咀嚼肌肥大。功能紊乱是由于牙齿丧失或修复体有缺点而使(牙合)高度不足、牙齿移位或修复体不良引起的创伤(牙合)、下颌滑动受限引起的吞咽及(牙合)关系不平衡。许多患者除带有扳机点的阵发性刺痛外,还有因颞下颌关节功能紊乱引起的疼痛。有的患者还有钝痛、酸痛及放射痛的病史。处理应根据口颌生理学原则进行。使下颌在后退位及正中(牙合)位时处于平衡状态,有时须每半年调整下颌功能一次,才能使患者无痛及保持下颌正常生理状态。此病之原理可能是由于颌骨动、静脉之近心段及其分枝的循环障碍引起的。先是口
This article reports a typical trigeminal neuralgia with ipsilateral mandibular joint dysfunction, a total of more than 100 cases. These cases, not only neuralgia symptoms, but also a variety of temporomandibular joint dysfunction symptoms and the resulting masticatory muscle hypertrophy. Dysfunction is due to loss of teeth or prosthesis shortcomings caused by malocclusion (height), dental dislocation or prosthesis caused by trauma (occlusion), mandibular slip caused by swallowing and (unbalanced) relationship . In addition to paroxysmal tingling with trigger points in many patients, there is pain due to TMJ dysfunction. Some patients also have a history of dull pain, soreness and radiation pain. Treatment should be based on the principles of oral jaw physiology. So that the mandibular back and median (occlusal) position in balance, and sometimes the mandibular function must be adjusted once every six months in order to make patients painless and maintain the normal physiological condition of the jaw. The principle of this disease may be due to the mandibular artery and vein near the heart segment and its branches caused by circulatory disorders. First mouth