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Abstract


INTERNATIONAL DENTAL JOURNAL OF STUDENTS RESEARCH - VOLUME 2 ISSUE 4, January 2015

Pages: 05-10

CONVENTIONAL THERAPY AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) THERAPY IN THE TREATMENT OF MYOGENOUS TEMPOROMANDIBULAR DISORDER- A STUDY

Author: Dr. Harsha Puri1, Dr. Amit Ramchandani2, Dr Sonali Kadam3, Dr. Hemant Umarji4

Category: Case Report

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Abstract:

Patients with MPDS that has become chronic may present a frustrating medical situation, which may include persistent aggravation of pain, long term medication, repeated health care visits and an ongoing dependency on the health care system. Number of established local and systemic factors as etiology of MPDS has been known so it is not surprising therefore that the treatment modalities are equally diverse, varied and ineffective. Even the most optimistic and positive clinician is forced to accept that there is no significantly curative treatment modality to manage this complex problem. In our study an attempt is made to evaluate the efficacy of Transcutaneous electrical nerve stimulation (TENS) and conventional therapy in the management of MPDS.

Use of broad spectrum antibiotics in the dental setting has increased for therapeutic and prophylactic purposes in an alarming fashion. This is leading to the development of resistance to drugs and has become inefficient in curing infections. Studies throughout the world have shown that the prescription of antimicrobials by dentists is more prophylactic rather than treating a disease. Therefore, the inappropriate prescribing of antibiotics by dental practitioners is playing a significant role in the emergence of resistant microbial strains.

Materials and method – 60 patients were selected randomly after complete radiographic evaluation into 4 Groups of 15 each. Group A was given Conventional treatment, Group B TENS, Group C Combined Conventional and TENS treatment while Group D was Placebo group. All 4 groups were analysed under 4 parameters of VAS measurement, interincisal mouth opening, muscle tenderness and clicking.

Results – In group A, 86% cases showed complete relief of pain sensation with the use of conventional therapy. In group B, 60% cases showed complete relief of pain sensation, while the group C i.e. combined therapy showed maximum relief from pain of 93%. group D patient did not show any relief.

Conclusion - It can be concluded from this study that both conventional therapy and TENS therapy were effective in relieving the pain sensation in MPDS patients, Combined therapy was more effective in providing the faster relief from pain sensation compared to conventional therapy and TENS therapy

Keywords: Myofascial pain dysfunction syndrome, Transcutaneous electrical nerve stimulation, VAS

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