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Treatment of Myofascial Pain Dysfunction Syndrome in an Edentulous Patient – A Case Report

Authors: Benaiffer Agrawal; Somkuwar, Kirti;

Treatment of Myofascial Pain Dysfunction Syndrome in an Edentulous Patient – A Case Report

Abstract

{"references": ["1. Al-Ani Z, Gray RJ, Davies SJ, Sloan P, Glenny AM: Stabilization splint therapy for the treatment of temporomandibular myofascial pain: a systematic review. Journal of Dental Education, 2005;69(11):1242-1250", "2. Blasberg B, Greenberg MS: Temporomandibular Disorders. In: Burket's Oral Medicine Diagnosis & Treatment. MS Greenberg, M Glick (Eds.); 10th Edn.; BC Decker Inc., Canada, 2003;pp271-306", "3. Carlsson GE:Symptoms of mandibular dysfunction in complete denture wearers. Journal of Dentistry, 1976;4(6):265-270", "4. Dommerholt J, Bron C, Franssen J: Myofascial trigger points. An evidence informed review. In: Myofiacial Trigger prints: Pathophysiology and Evidence-Informed Diagnosis & Management. J Domnerhalt, P. Huijibregth (Eds.); Jones & Bartletts Publisher, Canada 2009; pp 17-50.", "5. Dunteman ED, Swarm RA: Atypical Facial \"Neuralgia\". Anesthesia & Analgesia, 1995;80(1):188-190.", "6. Edmiston GF, Laskin DM: Changes in Consistency of Occlusal Contact in Myofascial Pain-Dysfunction (MPD) Syndrome. Journal of Dental Research, 1978;57(1): 27- 30.", "7. Gerwin R: Differential diagnosis of trigger points. Journal of Musculoskeletal pain, 2004;12(3 &4):23-28", "8. Jacob RF, Zarb GA, Bolender CL: Waxing and processing the Dentures, their Insertion and Follow-up. In: Prosthodontic Treatment for Edentulous Patients; Complete Dentures and Implant-Supported Prosthess. G A Zarb, CL Bolender, S E Eckert, AH Fenton, R F Jacob, R Mericske-Stern (Eds.); 12th Edn.; Mosby: An Imprint of Elsevier, St. Louis, 2004;pp389-426.", "9. Lous I: The importance of referred pain in myogenic headache. Headache: The Journal of Head and Face Pain, 1976;16(3):119-122", "10. Mohl ND, Drinnan AJ: Anatomy and physiology of the edentulous mouth. In: Essentials of Complete Dentures Prosthodontics. S Winkler (Eds.); 2nd Edn.; A.I.T.B.S Publisher & Distributer, Delhi, 2000;pp1-14.", "11. Monteith B: The role of the free-way space in the generation of muscle pain among denture-wearers. Journal of Oral Rehabilitation, 1984;11(5):483-498.", "12.Tarhan C, Inan L, Karaoglan B, Yorgancioglu R: TENS: Treatment in Cervicogenic Headache. Physical Medicine, 1999; 2(2):13-17.", "13.Tortopidis D, Lyon M F, Baxendale RH: Bite force, endurance and masseter muscle fatigue in healthy edentulous subjects and those with TMD. Journal of Oral Rehabilitation,1999;26(4):321-328."]}

Pain is a complex phenomenon, causing discomfort, suffering and psychosocial morbidity. Myofascial Pain Dysfunction Syndrome (MPDS) is attributed to pain & inflammation of the muscles, with no definitive pathogenesis causing this syndrome. The purpose of this paper is to describe the multidisciplinary approach for the treatment of a 70 year old female patient who suffered from myofacial pain syndrome for the last 10 years. Combined with Trans-cutaneous electrical nerve stimulation (TENS), the construction of a complete denture in order to re-establish the proper vertical dimension leading to decrease in muscular activity thereby eliminating the underlying cause of disease and providing a definitive treatment for the patient with MPDS.

Keywords

Temporomandibular Joint, Myofascial pain syndrome, Trans – cutaneous electric nerve stimulation

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