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

Temporomandibular joint pain syndrome is diagnosed in 88% of paents.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 possibilies of improving the diagnosis and treatment of paents with painful temporomandibular joint dysfuncon on the background of peripheral trigeminal neuralgia.In this case, paents complain of intense, paroxysmal , radiang pain, which is provoked by irritaon of trigger zones.To assess pain syndrome was used visual analog pain intensity scale , which is expressed as face was "6" ( strong pain ).Aer establishing the diagnosis, the treatment consisted of eliminang the pain syndrome by using acupuncture reex analgesia and hardware irradiaon of the corresponding area with blue light in the B2 mode using the LuxDent " UFL 122" device.Then, occlusion restoraon was carried out by making an individual dental cap with subsequent prosthecs.During treatment, a personalized rehabilitaon program was followed, which assessed the duraon of pain on the quality of life, physical and mental state of the paent using appropriate quesonnaires.It was found that the combinaon of TMJ pathology with trigeminal neuralgia negavely aects dental health.The complex therapy included 12 sessions of acupuncture reexology and a course of radiaon (7 days), aer which the pain level decreased to "0-1" and subsequently disappeared completely, respecvely.The manufacture of an individual mouthguard contributed to the relaxaon of the lateral pterygoid muscles, the reducon of the load on the lower jaw with the subsequent restoraon of the funcon of the periarcular muscles and the normalizaon 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, aer what was noted improvement the paent's general condion .Control MRI showed normalizaon of the posion of the arcular heads and the eecveness of the proposed algorithm for the diagnosis and treatment of paents.