J Oral Med Pain.
2022 Dec;47(4):174-182. 10.14476/jomp.2022.47.4.174.
Management of Chronic Pain in Temporomandibular Disorders
- Affiliations
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- 1Department of Oral Medicine, Pusan Paik Hospital, Inje University, Busan, Korea
- 2Department of Oral Medicine, Dental and Life Science Institute, Pusan National University School of Dentistry, Yangsan, Korea
- 3Dental Research Institute, Pusan National University Dental Hospital, Yangsan, Korea
- 4Dental Clinic Center, Pusan National University Hospital, Busan, Korea
- KMID: 2552155
- DOI: http://doi.org/10.14476/jomp.2022.47.4.174
Abstract
- In chronic temporomandibular disorders (TMDs), constituent tissues such as muscles are sensitive to pain and psychological stress, which negatively affect the quality of life. In addition, since chronic TMDs is often accompanied by diseases such as psychological disorders and other chronic pain disorders, the diagnosis of those diseases and patient referrals are mandatory. The management of chronic pain in TMDs requires a multidisciplinary and holistic approach. Pharmacological therapy using cyclobenzaprine, serotonin and norepinephrine reuptake inhibitors, tricyclic antidepressants, progressive relaxation, and psychological approaches using cognitive behavioral therapy such as shifting negative thoughts about pain are all valid treatment options.
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