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Kjevesmerter, veiviser: Hva gjør legen?

Innhold i artikkelen

Sykehistorien

Spørsmål legen kan stille deg:

  • Hva er problemet?
    1. Smerte i kjeveleddet
    2. Låsninger i kjeveleddet
    3. Ømhet i muskulaturen i nærheten av kjeveleddet
    4. Det klikker/knepper i kjeveleddet
    5. Smerten strålende utover kinnet
    6. Smerten stråler utover underkjeven
    7. Smerten stråler opp til tinningen
    8. Annet
  • Hvordan er smertene?
    1. Verkende, murrende
    2. Skjærende
    3. Lynende
    4. Vedvarende
    5. Kommer som anfall
  • Er plagene lokalisert til begge kjeveleddene?
    • Ja
    • Nei
  • Hvor lenge har plagene vart?
    • I dager
    • I uker
    • I måneder
    • Mer enn ett år
  • Hvordan startet plagene?
    • Etter en skade
    • Etter tannbehandling
    • Etter annen årsak
    • Vet ikke
  • Andre symptomer?
    1. Halsbetennelse
    2. Tannpine
    3. Dårlig ånde
    4. "Låsning" av kjeveleddet, vanskelig å åpne munnen
    5. Problemer med å gape høyt
    6. Skjærer tenner ofte
    7. Leddmerter/-betennelser andre steder i kroppen
    8. Hodepine
    9. Nakkesmerter
  • Mulige underliggende årsaker?
    1. Skade mot kjeveleddet
    2. Kronisk sykdom
    3. Stress
    4. Depresjon
    5. Angst
  • Konsekvenser?
    1. Påvirker yrkesutøvelsen/skoleprestasjonene
    2. Psykisk slitsomt
    3. Søvnvansker
    4. Nedsatt livskvalitet
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Legeundersøkelsen

  • Legen vil undersøke kjeveleddet og nærliggende strukturer

Andre undersøkelser

  • Er sjelden nødvendig, eventuelt kan det være aktuelt å ta et røntgenbilde

Henvisning til spesialist eller sykehus

  • Er sjelden nødvendig

Dette dokumentet er basert på det profesjonelle dokumentet Kjevesmerter . Referanselisten for dette dokumentet vises nedenfor

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  2. Scrivani SJ, Keith DA, Kaban LB. Temporomandibular disorders. N Engl J Med. 2008;359(25):2693–2705. DOI: 10.1056/NEJMra0802472 DOI
  3. McNeal S. Temporomandibular joint syndrome. BestPractice, last updated December 2019. bestpractice.bmj.com
  4. Gonçalves DA, Camparis CM, Speciali JG, et al. Temporomandibular disorders are differentially associated with headache diagnoses: a controlled study. Clin J Pain. 2011;27(7):611–615. PMID: 21368664. PubMed
  5. Lim PF, Smith S, Bhalang K, et al. Development of temporomandibular disorders is associated with greater bodily pain experience. Clin J Pain. 2010;26(2):116–120.
  6. Maixner W, Diatchenko L, Dubner R, et al. Orofacial pain prospective evaluation and risk assessment study—the OPPERA study. J Pain. 2011;12(11 suppl):T4–T11.e1–2.
  7. Okeson JP, de Leeuw R. Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dent Clin North Am. 2011;55(1):105–120. PMID: 21094721. PubMed
  8. Zakrzewska JM. Differential diagnosis of facial pain and guidelines for management. Br J Anaesth. 2013;111(1):95–104. PMID: 23794651. PubMed
  9. Tsal V. Temporomandibular joint syndrome. Medscape, last updated July 08, 2016. emedicine.medscape.com
  10. Reiter S, Goldsmith C, Emodi-Perlman A, et al. Masticatory muscle disorders diagnostic criteria: the American Academy of Orofacial Pain versus the research diagnostic criteria/temporomandibular disorders. J Oral Rehabil. 2012;39(12):941–947. PMID: 22882635. PubMed
  11. Kapur N, Kamel IR, Herlich A. Oral and craniofacial pain: diagnosis, pathophysiology and treatment. Int Anesthesiol Clin 2003;41:115-150. PubMed
  12. LeResche L. Epidemiology of temporomandibular disorders: implications for the investigation of etiologic factors. Crit Rev Oral Biol Med 1997;8:291-305. PubMed
  13. European Academy of Craniomandibular Disorders. Recommendations for examination, diagnosis, management of patients with temporomandibular disorders and orofacial pain by the general dental practitioner. 2007. Accessed 20 May 2013.
  14. De Boever JA, Nilner M, Orthlieb JD, et al. Recommendations by the EACD for examination, diagnosis, and management of patients with temporomandibular disorders and orofacial pain by the general dental practitioner. J Orofac Pain 2008;22:268-278. PubMed
  15. Hunter A, Kalathingal S. Diagnostic imaging for temporomandibular disorders and orofacial pain. Dent Clin North Am. 2013;57(3):405–418. PMID: 23809300. PubMed
  16. Lamot U, Strojan P, Šurlan Popovič K. Magnetic resonance imaging of temporomandibular joint dysfunction-correlation with clinical symptoms, age, and gender. Oral Surg Oral Med Oral Pathol Oral Radiol. 2013;116(2):258–263. PMID: 23849379. PubMed
  17. Cho SH, Whang WW. Acupuncture for temporomandibular disorders: a systematic review. J Orofac Pain. 2010;24(2):152–162. PMID: 20401353. PubMed
  18. La Touche R, Goddard G, De-la-Hoz JL, et al. Acupuncture in the treatment of pain in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials. Clin J Pain. 2010;26(6):541–550. PMID: 20551730. PubMed
  19. Aggarwal VR, Lovell K, Peters S, et al. Psychosocial interventions for the management of chronic orofacial pain. Cochrane Database Syst Rev. 2011;(11):CD008456. The Cochrane Library
  20. Ebrahim S, Montoya L, Busse JW, et al. The effectiveness of splint therapy in patients with temporomandibular disorders: a systematic review and meta-analysis. J Am Dent Assoc 2012;143:847-857. PubMed
  21. Fricton J, Look JO, Wright E, et al. Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. J Orofac Pain 2010;24:237-254. PubMed
  22. Hersh EV, Balasubramaniam R, Pinto A. Pharmacologic management of temporomandibular disorders. Oral Maxillofac Surg Clin North Am. 2008;20(2):197–210. PMID: 18343325. PubMed
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