Myofascial Pain Dysfunction Syndrome Treatment by Occlusal Equilibration Using T-Scan and Electromyography for the Precise Analysis of Muscle Activity
Journal Title: Indian Journal of Dental Advancements - Year 2017, Vol 9, Issue 3
Abstract
Context: A relationship between functional disorders of the masticatory system and headache was reported already in 1956, with spectacular reduction in chronic/recurrent headaches by the use of biteplanes. There are many types of headaches and many etiologic possibilities and it is extremely important that a differential diagnosis is made before. One of them is myofascial pain dysfunction syndrome which requires such diagnosis and treatment. Aims and Objectives: To report the reports the results of patients with chronic myofascial pain syndrome (MFPDS) treated by occlusal equilibration using immediate complete anterior guidance development (ICAGD) by Kerstein as the treatment option. Materials and Methods: Seventy five patients diagnosed as myofascial pain dysfunction syndrome cases were taken up to be treated by ICAGD technique as described by Kerstein. The common complaints of the patients were pain in the masseter & temporal muscles, jaw tiredness in the mornings, night bruxing & difficulty in chewing. This technique involves occlusal equilibration to remove all posterior interferences and establish anterior guidance. The patients were treated over 3 visits one week apart and followed for three years. Results: The symptoms reduction occurred for all the patients after the first correction in about 5–10 days. In about a period of 3 years review, no recurrence was seen of the chronic myofascial symptoms. Conclusion: In the present study it is seen that the treatment of 75 patients with MFPDS with occlusal equilibration using digital analysis of occlusion by T-scan, electromyography and joint vibration analysis technology which is quantifying of occlusal forces against time has brought relief of symptoms in about week to ten days time.
Authors and Affiliations
Prafulla Thumati, Padmaja S
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