Temporomandibular joint disorder (TMD) is a common clinical disease in stomatology that occurs frequently in young people, mostly in women, with an incidence of approximately 30%; its clinical manifestations include mandibular dysfunction, regional pain, and clicking noises around the temporomandibular joint (TMJ). Some patients have tinnitus, headache and other symptoms. With regard to the treatment procedures of TMD, a gradient sequential treatment model is currently preferred, each of which has strict indications. Generally, conservative treatment or noninvasive treatment is preferred and is suitable for patients with dysfunction or mild organic disease. The second-choice minimally invasive treatment is suitable for patients who have failed conservative treatment or patients with mild organic disease. Finally, open surgery, which is suitable for patients who are not responsive to the first two treatments and show severe organic lesions, can be considered. The formulation of an open surgery treatment diagnosis and treatment plan should be personalized, led by doctors, and completed with the cooperation of patients. This article describes the “gradient sequential treatment” of temporomandibular joint disorders.
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Open Access
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Open Access
Special Article
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To observe the clinical efficacy of multipoint radiofrequency thermal coagulation on trigeminal neuralgia management.
180 patients diagnosed as primary trigeminal neuralgia were included in this study. The patients were randomly divided into three groups, 60 patients in treatment group, 60 patients in the first control group and 60 patients in second control group respectively. Multipoint radiofrequency ablation therapy was utilized in the treatment group, radiofrequency thermal coagulation therapy on trigeminal ganglion was applied in the first control group and patients in second control group were treated by nerve block therapy. Then the curative effect of the three groups after the treatment was compared and analyzed.
To the curative effects, the VAS score showed insignificant difference between treatment group and the first control group (P>0.05), while an significant difference between treatment group and the second control group (P<0.05). To the complications concerned, higher occurrence was found in the first control group. There was no significant difference between the treatment group and the first control group in the recurrence rate (P>0.05).
The minimally invasive multipoint radiofrequency ablation on the treatment of trigeminal neuralgia has significant effect with fewer complications and higher patients safety.
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