Myofacial pain dysfunction syndrome and different treatments modalities

Objective: The aim of this study is to examine the effectiveness of four modality of treatments for myofacial pain dysfunction syndrome (MPDS). The MPDS represents one of the most important pain in the face. It is important to identify the most effective therapeutic modality in the management of hypersensitive points in the masseter muscle and lesser extend temporalis muscle known as “trigger points”(TrPs) to ablating muscle spasms and restoring normal muscle length of the masticatory muscle and alleviating pain and improving mouth range of motion in patients with myofascial pain dysfunction syndrom. Material and Methods: The present randomized comparative study was on 97 patients, assigned as four groups to four treatment modalities as follow : Group I: patients treated with pharmacological treatment including Non steroidal anti inflammatory (NSAID), myoreaxent and antidepressant or and anticonvulsant drugs. Group 2: patients treated by wearing occlusal splint (night guard) with olive oil local massage. Group 3: treated by physiotherapy with US and transcutenous nerve stimulation (TENS). Group 4: treated with trigger point dry needling All the patients were further evaluated for maximum inter incisor subjective evaluation regarding muscle pain. Results: All the four treatment modalities will alleviate the MFPD in different percentage with different local and systemic side effects. Conclusion: The findings suggest that occlusal splint with olive oil and US therapy with TENS is the most suitable treatment for alleviating pain and improving mouth range of motion with satisfaction of the patient and change the patients mode in addition to the less side effect.