Evaluation of the effects of occlusal splint and masseter muscle injection in patients with myofascial pain: a randomised controlled trial

Evaluation of Treatments for Myofascial Pain

Study Overview

This study looked at how effective occlusal splints and muscle injections are for patients with myofascial pain, a common issue in temporomandibular joint disorders (TMD).

Key Findings

  • Participants: 64 patients diagnosed with myofascial pain were divided into four groups.
  • Treatment Groups:
    • Group 1: Occlusal splint only
    • Group 2: Occlusal splint + lidocaine injection
    • Group 3: Lidocaine injection only
    • Group 4: Healthy volunteers (control group)
  • Results:
    • Pain levels decreased significantly in all groups (p = 0.001).
    • By the third month, pain in Groups 2 and 3 was nearly gone.
    • Maximum mouth opening (MMO) improved over time.
    • Muscle stiffness decreased in all treatment groups.

Conclusion

Both occlusal splints and lidocaine injections effectively reduced pain and improved mouth opening in patients with myofascial pain. All treatments showed similar positive outcomes.

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