Such people will feel sore cheeks when they open their mouths too wide, if they use too much force or for too long. However, some people will only feel pain on one side and not on the other after opening their mouths. This is a pathological factor, and it cannot be ruled out that it is a problem with the bite or the masseter muscle. It is very critical to find the cause and treat it. Mandibular joint disorder syndrome is common in young and middle-aged people. Its pathogenesis is not yet fully understood. The main feature of this disease is soreness and swelling in the joint area, which often occurs in young and middle-aged people. Symptoms include pain, snapping during movement, and difficulty opening the mouth. Most cases are joint dysfunction with a good prognosis; however, organic changes may occur in very rare cases. The main clinical manifestations of temporomandibular joint disorder syndrome include local soreness or pain, clicking and movement disorders. The pain may be located in the joint area or around the joints; it may be accompanied by tenderness of varying degrees. Joint soreness or pain is especially noticeable when chewing or opening the mouth. The snapping sound occurs when the mouth is opened. The sound can occur at different stages of mandibular movement and can be a crisp single sound or a series of fragmented sounds. The most common movement disorder is limited mouth opening, but excessive mouth opening or mandibular deviation when opening the mouth may also occur. In addition, it may be accompanied by symptoms such as temporal pain, dizziness, and tinnitus. Specific treatment measures include : 1. Correction of occlusal relationship is treated by dental specialists 2 . Blockade therapy can be performed with 3 to 5 ml of 0.25-0.5% procaine to block the lateral pterygoid muscle. The puncture point is at the midpoint of the sigmoid notch. The needle is inserted vertically to a depth of about 2.5 to 3 cm. The medicine is injected when no blood is aspirated. Often used for patients with wide mouth opening. 3. Ethyl chloride spray combined with massage can relieve masticatory muscle spasms. When spraying ethyl chloride, it should be in mist form, spray intermittently, and massage at the same time to prevent frostbite. And pay attention to protect your eyes and ears and stay away from fire. 4 . Acupuncture points: Xiaguan, Tinggong, Jiache, Hegu, Peiyifeng and Taiyang. 5 . Local physical therapies such as ultrashort wave, ion introduction, electrical excitement and magnetic therapy have certain therapeutic effects. During treatment, bad habits (such as unilateral chewing) should be corrected and the mouth should be prevented from opening too wide. |
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