[Temporomandibular myoarthropathy syndrome--a frequent cause of facial pain]

Abstract

The temporo-mandibular joint syndrome (syn.: myofascial pain syndrome) is a frequent cause of facial pain. Originally, occlusal disturbances were thought to be of primary etiopathogenetic importance. However, the significance of psychological factors has been recognized during the past few years. Therefore, the treatment of patients with myofascial pain syndrome not only concerns dentists, but also general practitioners. In this report, the clinical examination, differential diagnosis and the therapeutic concept are described in order to increase interdisciplinary understanding of the temporo-mandibular joint syndrome. Additionally, the authors present their own experiences using local anesthesia therapeutically in 34 patients with myofascial pain syndrome. The symptoms remained unchanged in eight patients (24%), clinical improvement was seen in 17 patients (50%) and nine patients (26%) were free of disease after treatment.