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Published in French in Tropical Dental Journal Volume 24 - June 2001 pages 5-10
Article Open access
Authors : Mendomo Eya’ane E.M. - Cameroon
Le SADAM est un syndrome douloureux. Soigner un malade souffrant de cette pathologie c'est avant tout le soulager de la douleur.
Le traitement du SADAM est donc d'abord le traitement de la douleur, or on le sait : la douleur n'est pas qu'un phénomène physiologique.
Elle se situe d'une manière particulière entre le sujet, sa personnalité et sa culture et interpelle le soignant dans sa relation thérapeutique et dans sa relation à des questions aussi délicates que l'acharnement thérapeutique et les fondements du système social, dans lequel il vit.
Dans le traitement du SADAM, nous savons donner de bons soins dentaires, nous savons prescrire les myorelaxants, les anxiolytiques et les anesthésiques, mais le volet psychologique reste à mon humble avis le facteur favorisant le plus important dont nous devons absolument prendre en compte devant une malade ne présentant aucune étiologie occlusale et la diriger vers un spécialiste en psychothérapie ou vers un traitement de dévictimisation qui se fait dans les Centres Vie de Femmes.
TMJD is a painful syndrome. Currying a patient suffering of this syndrome is above all to relieve him of pain. The treatment of TMJD is therefore primary the treatment of pain, but as it is known, pain is just a physiologic phenomenon. It can be found in a particular way in between the person.
The personality and his culture and this demand the person who treats to treat without going to therapeutical express and to consider the social context in which the patient lives.
I
n the treatment of TMJD, we know how to give good dental treatment.
We know how to prescribe muscle relaxants, anti-anxiety drugs and anaesthetics but the psychological aspect remains, according to my humble opinion, as the most favouring factor which we should absolutely consider in case of patient who does not present any occlusal aetiology.
This patient should rather be oriented towards a specialist in psychotherapy or towards a post traumatic psychological recuperation which is done in «Life Center for Women» for example.
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