Numerous studies have confirmed the effectiveness of cognitive behavioral therapy (CBT) for chronic pain, and it is generally regarded as an appropriate intervention. However, it may not be effective for some pain sites, and the duration of the effect may be limited. In addition, some studies of CBT lacked a comparison group. This review summarizes evidence for the effectiveness of CBT for orofacial pain and assists in the development of guidelines for orofacial pain management. A literature search in PubMed was performed for studies published from April 1990 through March 2020. The search keywords were “burning mouth syndrome,” “temporomandibular disorders,” “myofascial pain syndrome,”“chronic orofacial pain conditions,” “cognitive behavioral therapy,” and “non-pharmacological therapy.” The results indicate that CBT alone or in combination with other treatments, such as intraoral appliance, stress management, or biofeedback, is effective for the vast majority of orofacial pain cases. Therefore, dentists should consider using CBT to manage orofacial pain in their patients.

大量研究已经证实认知行为疗法（CBT）对于慢性疼痛的有效性，通常被认为是一种适当的干预措施。但是，它对于某些疼痛部位可能无效，并且效果的持续时间可能会受到限制。此外，一些CBT研究缺乏比较组。这篇综述总结了CBT对口面部疼痛的有效性证据，并有助于制定口面部疼痛管理指南。在1990年4月至2020年3月间对PubMed中的研究进行了文献搜索。搜索关键词为“烧嘴综合征”，“颞下颌疾病”，“肌筋膜疼痛综合征”，“慢性颌面疼痛状况”，“认知行为疗法， ”和“非药物疗法”。结果表明，单独的CBT或与其他治疗方法（如口腔内矫治器，压力管理或生物反馈疗法）结合使用，对于绝大多数口面部疼痛病例都是有效的。因此，牙医应考虑使用CBT来治疗患者的口腔疼痛。