Alliance Oral Surgery
Barnegat
609-978-6400
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    • Temporomandibular Joint Disease
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Procedures & Services

  • Congenital and Developmental Disorders
    • Special Needs Patients
  • Anesthesia and Sedation
    • Anesthesia for Pediatric and Dental Procedures
    • Anesthesia for Cosmetic and Surgical Procedures
  • Cosmetic Skin and Facial Procedures
    • Perlane
    • Botox
    • Ultherapy
    • Juvederm
    • Restylane
    • Latisse
    • Radiesse
    • Esthetician and Skin Care Treatment
    • Dermabrasion
    • Chemical Peels
    • Facial Resurfacing
  • Dental Implants
    • Teeth-in-an-Hour
    • Diem
    • Immdediate Placment of Implants
    • Single Tooth Implants
    • Implant Supported Bridges
    • Locator Attachment and Dentures
    • Orthodontic Implants-Skeletal Anchors
  • Bone Grafting
    • Jaw Bone Health
    • Jawbone Loss and Deterioration
    • About Bone Grafting
    • Ridge Augmentation
    • Sinus Lift
    • Nerve Repositioning
    • Platelet Rich Plasma
    • Socket Preservation
  • Teeth and Dentoalveolar Surgery
    • Wisdom Teeth
    • Pre-Prosthetic Surgery
    • Impacted Canines
    • Primary or Baby Teeth
    • Infected or Fractured Teeth
    • Teeth with Periodontal Disease
    • Teeth with Associated Pathology
  • Trauma and Fractures
    • Fractures of the Facial and Jaw Bones
    • Lacerations and Soft Tissue Injuries
    • Injury to the Teeth
  • Orthognathics and Reconstructive Surgery
    • Orthognathic Surgery (Jaw Surgery)
    • Distraction Osteogenesis
  • Oral Pathology
    • Oral Pathology-Growth and Lesions
    • Dermatopathology and Skin Diseases
    • Autoimmune Diseases
    • Precancerous and Cancerous Growths
  • Temporomandibular Joint Disease
    • Myofascial Pain Dysfunction
    • Craniofacial Pain
    • Migraine’s and Headaches
    • Neuralgia’s and Neurological Origin Pain

Myofascial Pain Dysfunction

Symptoms and Signs

Symptoms include pain and tenderness of the masticatory muscles and often pain and limitation of jaw excursion. Both nocturnal bruxism and sleep-disordered breathing (such as obstructive sleep apnea and upper airway resistance syndrome) can lead to headache that is more severe on awakening and gradually subsides during the day. Such pain must be distinguished from giant cell arteritis. Daytime symptoms, including jaw muscle fatigue, jaw pain, and headaches, may worsen if bruxing continues throughout the day.

The jaw deviates when the mouth opens but usually not as suddenly or always at the same point of opening as it does with internal temporomandibular joint derangement. Exerting gentle pressure, the examiner can open the patient’s mouth another 1 to 3 mm beyond unaided maximum opening.

Diagnosis

• Clinical evaluation

• Sometimes polysomnography

A simple test may aid the diagnosis: two or three tongue blades are placed between the rear molars on each side, and the patient is asked to close the mouth gently. The distraction produced in the joint space may ease the symptoms. X-rays usually do not help except to rule out arthritis. If giant cell arteritis is suspected, ESR is measured.

Polysomnography should be done if sleep-disordered breathing is suspected.

Treatment

• Mild analgesics

• Splint or mouth guard

• An anxiolytic at bedtime can be considered

• Physical therapy modalities may be considered

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Barnegat Office • Address: 329 South Main Street Barnegat NJ 08005 • Phone: Barnegat Office Phone Number 609-978-6400 • Fax: 866-290-6363
Middletown Office • Address: 79 Oak Hill Road Middletown NJ 07701 • Phone: Middletown Office Phone Number 732-842-3100 • Fax: 866-290-6363

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