Melnyk V. L., Shevchenko V. K., Sylenko Y. I.

DIAGNOSTICS AND TREATMENT OF PAINFUL DYSFUNCTION OF THE TEMPOROMANDIBULAR JOINT ON THE BACKGROUND OF PERIPHERAL TRIGEMINAL NEURALGIA (CLINICAL CASE)

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About the author:

Melnyk V. L., Shevchenko V. K., Sylenko Y. I.

Heading:

DENTISTRY

Type of article:

Scientific article

Annotation:

Temporomandibular joint pain syndrome is diagnosed in 88% of patients. The pathology includes the presence of trigger points in the muscles of the head, headaches of various types in the joint area, and cracking and crunching when moving the lower jaw . The authors of the study studied the possibilities of improving the diagnosis and treatment of patients with painful temporomandibular joint dysfunction on the background of peripheral trigeminal neuralgia. In this case, patients complain of intense, paroxysmal , radiating pain, which is provoked by irritation of trigger zones. To assess pain syndrome was used visual analog pain intensity scale , which is expressed as face was "6" ( strong pain ). After establishing the diagnosis, the treatment consisted of eliminating the pain syndrome by using acupuncture reflex analgesia and hardware irradiation of the corresponding area with blue light in the B2 mode using the LuxDent “ UFL 122” device. Then, occlusion restoration was carried out by making an individual dental cap with subsequent prosthetics. During treatment, a personalized rehabilitation program was followed, which assessed the duration of pain on the quality of life, physical and mental state of the patient using appropriate questionnaires. It was found that the combination of TMJ pathology with trigeminal neuralgia negatively affects dental health. The complex therapy included 12 sessions of acupuncture reflexology and a course of radiation (7 days), after which the pain level decreased to “0–1” and subsequently disappeared completely, respectively. The manufacture of an individual mouthguard contributed to the relaxation of the lateral pterygoid muscles, the reduction of the load on the lower jaw with the subsequent restoration of the function of the periarticular muscles and the normalization of occlusion. Osteopathic treatment included 8 sessions of cervical spine massage of the corresponding half of the face. Also was a set of exercises is prescribed Qigong therapy for the appropriate areas, after what was noted improvement the patient's general condition . Control MRI showed normalization of the position of the articular heads and the effectiveness of the proposed algorithm for the diagnosis and treatment of patients.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», Issue 2,177, 526-534 pages, index UDC 616.716.4-071-085:616.8-009

DOI:

10.29254/2077-4214-2025-2-177-526-534