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Points in the reddest and most swollen areas near the palatine arch
and the tonsils are treated with 2 J each. Additionally, 2 J are delivered
just under the angulus mandibulae bilaterally. The total dosage is 1418 J. If jaw function is reduced, this will also ~ normalised fhirty
quickly.
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Once again, there is a serious lack of controlled clinical experimental
material. However, those who have atlempted to treat pharyngitis
with the laser have lillie doubt as to its effectiveness.!t is possible to
eliminate pain while swallowing in 9 out of 10 patients within 10
minutes after laser treatment. In cases of severe tonsillitis, pain can be
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system.
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The practical teason for discussing these ailments separatelyis that' ",,:ie,
laser treatment and patient reaction to treatment differs !ion! that'
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discussed
previousthis
chapters
a number
of ways.that is the mostt'
Generallyin
speaking,
is theingroup
of ailments
difficult to treat with the laser. On the other hand, one can loften
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Accordingto duration
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Centrill
According to origin
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Accurding to locntion
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Peripheral
Viscerally
According to scope
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Facialpain
Back pain
Pain in extrcmities,eiC.
The pain description should include the followingpoints:
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Start
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Atypical trigemillal
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Locatiun
Pain rlmrarteristics
Process
Pain intensity
Proloking or
aggra,'ating f:\ctors
Pain-redu~ing
f:\ctors
Prc,'ious trcatmcnt
Improvement
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Facial pain
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tions?
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I. infraorbial foramen
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2. mental foramen
3. supraorbital foramen
4. mandibular foramen
Radicular!pain in
the extremities
7. angulus mandibulae
})Caffcrcnl pain
Anaesthesia dolorosa
8. hinge of tl1Cjaw
9. the tcmples
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Phantom pains
Post-herpetic pains
Facial
. pain
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Typical
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trigemillal
Radjating.
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by:
several mimJtes.
,
lIeuralgia is characterised
The pain most often occurs during the day and can be triggeredby
talking, chcwing, brushing the teeth, or while eating and drinking.
Many patients have an area of skin or mucous membrane which is
scns,itivc to slight stimulations which set off the pains, a so-called
."trigger zone",
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The points
h~veTlus
beenwill
located
are treated
with an
appJ1
dosage
fromwhich
0.5 - 4!/.
be discussed
in more
detailla
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Pain
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If, during the coursc ofthcrapy, positivc trcatment rcsponsc does not
occur, thc paticnt should bc recxamincu in order tu locate any,tcmJcr
spots which may have been overlooked earlier. It is also important to
note any new tender spots which have appeared as a result of the
changes which have taken place during therapy.
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Palpation tenderness 0
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With regard to trigeininal patients who have undergone a neurosurgical procedure or alcohol blocks, please refer to the section on deafTcrent pain.
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Time
Pain phase
I Dosages
First trcatment
Points/duration
acutc
- dosagc
PCI'point
subacute
chronic
tcnder spots
IJ
1.5 J
2J
trigger points
0.5 J
0.5 - I J
0,5 - I J
Treatment reaction
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The first part of the course of therapy is called the "pain phase", which
nonnally lasts 3
-,6 weeks.
III.15.2
Allhc
suproaorbital
fofamc n
At the ruot
of the nose,
near the eye i
At the
inIl'aorbital
foramcn
Temple
Jaw joint
:.
Ramus
Ncar the
caninc tceth
Angulus
At the base
of the foramen
mcntalis
Ill. 15.3
A schemalic represenlation of Ihe most common extraoral POinlS trcaled in conjunclion wilh facial pain. The allachmenl of slcrnocleidomasloideus
as well as al
v~rtebrae C I-C2 should be normally be treated. 100.
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ill uften
e~periencc a period of
more inlense pain IQllo\\cd
b)' a ~riod of relaxation.
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