[Idiopathic facial pain. Part 2: Treatment and prognosis].
The present paper introduces a new concept in the physiopathology and treatment of the called "temporomandibular disfunction". This paper was divided into two parts, the first explained the definition, etiology and hypothesis of the idiopathic facial pain. In this second part, its treatment, prognosis and recommendations are explained. The treatment consists basically in counselling, and, in a second stage, the use of tricylic antidepressants or similar drugs is used. Occlusal devices are some times used, but have been of less value. Arthroscopy can be used in resistant patients, and surgery is usually not indicated. The present management is based on a working model developed in this department and in other world centres, and is revolutionising the clinical management of the patients with idiopathic facial pain.
Reher
P
P
Department of Oral & Maxillofacial Surgery, Eastman Dental Institute/UCL, Londres, Inglaterra.
Harris
M
M
D005157:Facial Pain / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D006801:Humans; D011379:Prognosis; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*
Dor facial idiopática. 2a Parte: Tratamento e prognóstico.