TREATMENTS FOR PAIN CONTROL IN TEMPOROMANDIBULAR MUSCLE DYSFUNCTIONS: A NARRATIVE REVIEW

Abstract

Temporomandibular disorders are well known for compromising the masticatory functional quality, resulting in a painful clinical conditions that may be chronic or transient. In cases of temporomandibular muscle dysfunctions (TMD-M), the most indicated therapies are those that improve the sustained muscle contraction. Many effective therapeutic approaches are currently available to mitigate the TMD-M related pain, whose techniques have already been analyzed by a large number of systematic reviews and meta-analysis.This study aims to review the most relevant syntheses and results of the systematic studies already made and gather baseline evidence of pain control in TMD-M. This research is based on systematic bibliographic protocol about the different treatment modalities for TMD-M. Some interventions that modulate the pain at peripheral and central levels are suppressors, such as drugs, low-level laser, manual therapy, acupuncture, and palcebo. Other interventions, such as botulinum toxin, platelet-rich plasma. and ozone therapy, have been seen as viable alternatives to control symptoms, but they require research with a larger patient sample size so that their efficiency can be proven and be useful to the clinical practice. Temporomandibular disorders are well known for compromising the masticatory functional quality, resulting in a painful clinical conditions that may be chronic or transient. In cases of temporomandibular muscle dysfunctions (TMD-M), the most indicated therapies are those that improve the sustained muscle contraction. Many effective therapeutic approaches are currently available to mitigate the TMD-M related pain, whose techniques have already been analyzed by a large number of systematic reviews and meta-analysis.This study aims to review the most relevant syntheses and results of the systematic studies already made and gather baseline evidence of pain control in TMD-M. This research is based on systematic bibliographic protocol about the different treatment modalities for TMD-M. Some interventions that modulate the pain at peripheral and central levels are suppressors, such as drugs, low-level laser, manual therapy, acupuncture, and palcebo. Other interventions, such as botulinum toxin, platelet-rich plasma. and ozone therapy, have been seen as viable alternatives to control symptoms, but they require research with a larger patient sample size so that their efficiency can be proven and be useful to the clinical practice.