Treatment alternatives for patients with masticatory myofascial pain
Article Abstract:
Patients with masticatory myofascial pain (MFP) may benefit from a range of therapies. MFP is muscular jaw pain characterized by tender spots called trigger points. The initial treatment recommended for MFP is self management, which relieves symptoms in 60% to 90% of patients. Self management includes applications of moist heat or ice, dietary changes, using over-the-counter anti-inflammatory drugs, resting the chewing muscles, and correcting stressful oral habits. Nonresponsive patients may benefit from stretching exercises, massage, or trigger point compression taught by a dentist or physical therapist. Trigger point injections rapidly and temporarily decrease symptoms in treatment-resistant cases. Acupuncture is an effective intervention, although the benefits wane over time. Patients who have contributing behavioral or psychosocial factors are candidates for biofeedback, relaxation therapy, and stress management. Combined therapies seem to produce the greatest symptom relief.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1995
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A simple technique for adjusting and polishing a soft splint
Article Abstract:
Dental soft splints can be rapidly adjusted and polished to ensure proper jaw displacement, fit, and finish. Soft splints cover the teeth to prevent damage in tooth-grinding patients, and discomfort in patients with jaw muscle pain. Thermoplastic vinyl is heated with a flame, then placed in the mouth. The dentist should align the jaw appropriately, then instruct the patient to bite down in the desired occlusive position. Ink marks or articulating paper are used to mark the occlusal imprints, which can be adjusted with a bur. A wipe with halothane-soaked gauze smooths the finish.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 1998
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Referred craniofacial pain patterns in patients with temporomandibular disorder
Article Abstract:
Temporomandibular disorder can cause pain in other parts of the face, according to a study of 196 patients. The most common sites of referred pain were the cheek, ear, and forehead.
Publication Name: Journal of the American Dental Association
Subject: Health
ISSN: 0002-8177
Year: 2000
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