ABSTRACT
Orthodontic treatment has been associated with chronic extraoral pain that is often resistant to common treatments such as drugs or physiotherapy, adversely affecting patients' quality of life. In this case series, we discuss the potential impact of orthodontics on chronic cervical spine pain or gonalgia and explore the long-term effect of local anesthetic injections as a possible therapeutic intervention. Six orthodontic patients with chronic cervical spine pain or gonalgia that substantially affected their quality of life were treated with injections of 0.5% procaine into individual lesions and at palpable points of tissue tension in the oral mucosa and extraoral myofascial areas. All patients in this case series reported significant improvement in their chronic pain, with no residual pain recorded at the 6-month follow-up. Injecting local anesthetic at stress points in the oral mucosal and extraoral myofascial regions may be an effective treatment for post-orthodontic neck and knee pain. Further research is required to better understand the potential benefits of this intervention for patients experiencing orthodontic-related musculoskeletal pain.
Subject(s)
Chronic Pain , Musculoskeletal Pain , Humans , Anesthetics, Local/therapeutic use , Chronic Pain/drug therapy , Chronic Pain/etiology , Musculoskeletal Pain/drug therapy , Musculoskeletal Pain/etiology , Quality of Life , Injections , Neck Pain/drug therapyABSTRACT
El Papacárie(R) es un nuevo método de remoción química y mecánica del tejido cariado básicamente constituido por papaína, cloramina, azul de toluidina, sales y espesantes. El presente estudio tiene como objetivo presentar la utilización del sistema Papacárie(R) en lesiones de caries, demostrando su efectividad, así como el modus operandi del mismo