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| {{ArtBy|autore=Gianni Frisardi}} | | {{ArtBy|autore=Gianni Frisardi}} |
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| == Abstract ==
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| A frequent feature of orofacial pain is the multifactorial nature of the pathology which makes the diagnosis even more complex. The Temporo Mandibular Disorders (TMD), for example, which the Anglo-Saxon countries call with various terminologies such as Temporo-Mandibular Disorders (TMDs), Cranio Facial Pain (CFP) and Temporo-Mandibular Joint Dysfunction (TMJ dysfunction), sometimes present diagnostic difficulties. The orofacial pain caused by DTM is often superimposed, as symptoms and clinical signs, on pain disorders that can be a manifestation of other forms of headache in which organic neurological-systemic pathologies can coexist. This clinical picture can make differential diagnosis difficult at least in the early stages of the disease.<ref>Sollecito T.P., Richardson R.M., Quinn P.D., Cohen G.S.:. Intracranial schwannoma as atypical facial pain. Case report. Oral Surg Oral Med Oral Pathol. 1993;76:153-6 </ref><ref>Shankland W.E.: Trigeminal neuralgia: typical or atypical? Cranio. 1993;11:108-12. </ref><ref>Graff-Radford S.B., Solberg W.K.: Is atypical odontalgia a psychological problem? Oral Surg Oral Med Oral Pathol. 1993;75:579-82.</ref><ref>Ruelle A., Datti R., Andrioli G.: Cerebellopontine angle osteoma causing trigeminal neuralgia: case report.Neurosurgery. 1994;35:1135-7.</ref>
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| For this reason, numerous studies have followed to determine a standardized diagnostic evaluation method called Research Diagnostic Criteria (RDC). Atypical Orofacial Pain (ADO), is considered a broad group of facial pain disorders and is described as burning mouth, muscle cramps that occur on one side of the face and often in the trigeminal nerve territory. This symptomatology can extend to the cervical region and back of the head. The causes of the disease can be many and it has also been considered a "pathology of psychiatric competence".
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| A critical obstacle in understanding TMDs has been the loss of standardized diagnostic criteria for defining subtypes of TMDs. Therefore, it was decided to give life to a project to eliminate the lack of diagnostic and therapeutic standardization called Research Diagnostic Criteria and signed in the RDC.
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| === Research Diagnostic Criteria === | | === Research Diagnostic Criteria === |