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pain - Coggle Diagram

- - - - 疼痛時間小於2分鐘，週期性疼痛
        
        找到trigger point(嘴唇、眼眶周圍、中顏面部、齒槽嵴、鼻唇溝)
        
        trigeminal neuralgia
      - 30-60秒，反覆5-30分鐘
        
        可能無明顯trigger point
        
        Glossopharyngeal neuralgia
    - - Frey's syndrome
    - - 無trigger point
        
        無法檢查出其他病症
        
        Atyjpical facial pain
    - - 服用雙磷酸鹽類藥物或抗癌藥物
        
        DIONJ
  - - - 膿腫、潰瘍、口臭
        
        Tonsillar concretions and Tonsillolithiasis扁桃腺結石
    - - 吞嚥、張口、轉頭特別痛
        
        eagle syndrome
  - - - Erysipelas丹毒
  - - - 張口受限、張口可能會有關節聲音
        
        TMD
  - - - Woody tongue、Bull neck、發燒、畏寒
        
        cellulitis
- - - - ulceration
    - - 可能是口腔癌
    - - 舌尖摩擦牙齒有紅斑水腫
        
        Burning mouth syndrome
      - 舌尖摩擦牙齒舌背紅斑多且平滑
        
        貧血或念珠菌感染
  - - - 輻射狀痛到耳朵、喉嚨口底痛
        
        pericoronitis(especially wisdom teeth)
      - impacted food
    - - acute necrotising ulcerative gingivitis 牙齦壞死造成牙齦邊緣潰爛凹陷
  - - - 可能有白斑、張嘴困難
        
        oral submucous fibrosis
    - - 壓力大
        
        可能是lichen planus
  - - - 斷斷續續的痛，進食時會痛
        
        可能是sialolitthiasis
  - - - ulceration
- - - - triggered by cold, hot, chemical, mechanical change，移除刺激疼痛消失
        
        牙齦萎縮造成dentin暴露，dentin hypersensitivity
        
        caries
    - - 口內牙齒檢查後無異常
        
        可能是trigeminal neuralgia
    - - Irreversible pulpitis
    - - Reversible pulpitis
  - - - localized
        
        敲診會痛
        
        periapical infection、sinusitis
        
        拔牙傷口癒合不好
        
        dry socket
      - diffuse pain
        
        refered pain
        
        TMD
  - - - triggered by biting
        
        可能是crack tooth、crack cusp