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Radiofrequency Surgery

The Soniquence 4-MHz radiofrequency(RF) surgical unit is an extremely exciting technology offered at Big Island Oral Surgery. This unit operates at a higher frequency on the electromagnetic spectrum between AM and FM radio frequencies. The radiowave electrode tip does not become heated. The tissue is cut by a process known as intracellular volatilization. As the radiowaves are channeled from the electrode tip to the tissues, energy is created within the tissue, causing steam that bursts the cells of the tissue. Although all incision modalities produce lateral tissue damage, much less lateral tissue damage is produced than a typical scalpel incision or incisions made with heat cauterization. Discolored facial lesions including nevi, skin tags, fibromas,  and other benign facial lesions can be removed with the potential for much less scarring and discoloration than conventional removal with scalpel or thermal instruments.
This innovative approach not only enhances the precision of surgical procedures but also significantly improves patient comfort and recovery times, particularly in spine surgeries. Because the Soniquence RF unit minimizes thermal damage to surrounding tissues, patients often experience less postoperative pain and swelling, leading to a quicker return to normal activities.
In addition to its applications in facial lesion removal, radiofrequency surgery is gaining traction in various fields of oral and maxillofacial surgery. It can be used for procedures involving soft tissue excisions, such as the removal of excess gum tissue or the treatment of certain oral lesions. The versatility of the 4-MHz RF unit means it can be adapted to meet the specific needs of each patient, providing tailored surgical solutions with optimal outcomes.
At Big Island Oral Surgery, our commitment to utilizing cutting-edge technology ensures that our patients receive the highest standard of care. The integration of radiofrequency surgery into our practice is a testament to our dedication to advancing surgical techniques, improving patient experiences, and achieving superior results.
As we continue to explore the potential of radiofrequency technology, our team remains focused on ongoing education and training to maximize its benefits for our patients, particularly in peripheral nerve treatments. We invite you to learn more about how the Soniquence 4-MHz RF surgical unit can enhance your treatment options, including radiofrequency ablation for back pain, and contribute to a positive surgical experience. 

Frequently Asked Questions

Q: What is radiofrequency surgery?

A: Radiofrequency surgery, also known as radiofrequency ablation (RFA), is a minimally invasive procedure that uses radiofrequency waves to target and disrupt nerve tissue, effectively interrupting the nerve’s ability to send pain signals, providing pain relief for various conditions.

Q: How does the RFA procedure work?

A: The RFA procedure involves the application of radiofrequency current to specific nerves, often guided by imaging techniques like x-ray, to achieve effective nerve block. This current generates heat, which destroys nerve tissue responsible for transmitting pain, helping to manage chronic pain conditions such as back pain and joint pain.

Q: Who can benefit from radiofrequency ablation?

A: Patients suffering from chronic pain conditions such as back and neck pain, facet joint pain, or neuropathic pain may benefit from RFA. It is particularly effective for individuals who have not found relief with other pain management strategies, including physical therapy or medication.

Q: Is the RFA procedure painful?

A: Most patients report minimal discomfort during the RFA procedure, as a local anesthetic is typically administered to numb the area. Some patients may feel slight pressure or warmth during the application of radiofrequency waves.

Q: How long does it take to recover from a radiofrequency ablation?

A: Recovery time varies by individual, but many patients return to normal activities within a few days after the RFA procedure. Some may experience immediate pain relief, while others may see gradual improvement over a few weeks with the use of pain medicine.

Q: How long does the pain relief from RFA last?

A: The duration of pain relief can vary from person to person. Many patients experience long-lasting pain relief for several months, while others may find relief lasting over a year. Repeat procedures can be performed as necessary, especially in cases where the targeted nerve continues to cause discomfort.

Q: Are there any risks associated with radiofrequency ablation?

A: Like any medical procedure, RFA carries some risks, including potential nerve damage, infection, or allergic reactions to anesthesia. However, serious complications are rare, and the procedure is generally considered safe when performed by an experienced provider familiar with nerve block techniques.

Q: How does RFA compare to other pain management options?

A: RFA is a minimally invasive procedure that often provides longer-lasting pain relief compared to traditional pain management options like medication or physical therapy. It targets the source of pain directly by interrupting the nerve’s ability to transmit pain signals.

Q: Can RFA be used for conditions other than back pain?

A: Yes, radiofrequency ablation can be used to treat various pain conditions beyond back pain, including neck pain, joint pain, and pain related to specific nerves, enhancing the patient’s pain management options. It is effective for patients dealing with chronic pain across different areas of the body.

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Dr. Rotwein can treat a variety of problems related to the mouth, teeth and facial regions. Contact us today to schedule an appointment!