Widespread pain and the effectiveness of oral splints in myofascial face pain

Raphael, Karen G.; Marbach, Joseph J.

doi:10.14219/jada.archive.2001.0173

Cited by 121 publications

(110 citation statements)

References 29 publications

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“…In conclusion increased chronicity was observed for MMP patients with comorbid FM that also seemed to be more resistant to occlusal splint treatment (Raphael and Marbach 2001).…”

Section: Temporomandibular Disorders and Fibromyalgiamentioning

confidence: 74%

“…Similar effects of non-occluding splints on TMJ pain and clicking have been observed (Conti et al 2006). The presence of widespread pain reduces the effectiveness of oral splints and suggests that these should be prescribed for patients with regional myofascial face pain only (Raphael and Marbach 2001). The number needed to treat (NNT) for occlusal appliances in the treatment of TMDs has been calculated (Forssell and Kalso 2004).…”

Section: Occlusal Splintsmentioning

confidence: 91%

See 1 more Smart Citation

Masticatory myofascial pain, and tension-type and chronic daily headache

Benoliel¹,

Sharav²

2008

Orofacial Pain and Headache

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“…In conclusion increased chronicity was observed for MMP patients with comorbid FM that also seemed to be more resistant to occlusal splint treatment (Raphael and Marbach 2001).…”

Section: Temporomandibular Disorders and Fibromyalgiamentioning

confidence: 74%

Section: Occlusal Splintsmentioning

confidence: 91%

Masticatory myofascial pain, and tension-type and chronic daily headache

Benoliel¹,

Sharav²

2008

Orofacial Pain and Headache

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“…This discrepancy is explained by placebo effect [51] and its neurobiological mechanisms [10,11,37]. Nevertheless, two randomised controlled trials showed that splints have specific effects for localised masticatory muscle pain [32,123]. If splints do have any therapeutic effect, their physiological action on jaw motor activity is unknown, or at best is suppositional [133].…”

Section: Muscle Painmentioning

confidence: 99%

Localised muscle pain and dysfunction: a review of theoretical and suppositional biological effects of jaw exercises

Fougeront

Fleiter

2010

J. Stomat. Occ. Med.

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For the treatment of localised masticatory muscle pain, it is still unknown whether exercises have any efficacy. The understanding of these supposed biological effects is linked to the pathophysiological model of localised myofascial pain and dysfunction (MPD). (1) Motor activity: In MPD, the pain adaptation model implies that there is an agonist-antagonist co-activation. In healthy muscles, training exercises allow a tendency to a switch from agonist-antagonist co-activation towards reciprocal inhibition, either during isometric contractions or during isokinetic contractions. (2) Hemodynamics: In MPD, a hypoperfusion is supposed. In healthy muscle, training exercises enhance the functional hyperaemia.(3) Histology: (a) In females with localised trapezius myalgia, but not in males, there is a decrease in capillarisation. Exercises induce capillary angiogenesis in healthy muscles, and also in females with trapezius myalgia. (b) In myalgic females, but not in males, there is a tendency towards a higher proportion of type I fibres; exercises decrease the proportion of type I fibres, with a reciprocal increase of type IIA fibres (phenotypic conversion). (4) Biochemistry: There may be a cytochrome c oxidase (COX) deficiency that could explain the lower ATP concentrations in female patients. Exercises induce a decrease in the proportion of COX-negative fibres. Finally, a 10-week training program might have specific positive effects. Physiological mastication could be both a natural means of re-education and one of the goals of treatment.

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“…Raphael and Marbach [18] found that TMD patients with widespread pain (possibly related to FM) did not improve with an active splint, while those patients with local pain who received the active splint did. Carlson et al [19] followed 600 patients with a temporomandibular muscle and joint disorder at 18 months (n = 517) and 36 months (n = 364) to determine the effects of specific baseline risk factors, including widespread pain and FM, on the progression from non-chronic pain status to chronic pain status (increase pain and disability).…”

Section: Fibromyalgia In Patients With Temporomandibular Disordermentioning

confidence: 99%

The relationship of temporomandibular disorders and fibromyalgia: Implications for diagnosis and treatment

Fricton

2004

Current Science Inc

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Although most cases of temporomandibular disorders (TMD) are mild and self-limiting, approximately 10% of patients develop severe disorders associated with chronic pain. It has been found that the widespread pain, depression, and sleep disorders associated with fibromyalgia (FM) may play a significant role in the chronicity of patients with TMD. This paper reviews the characteristics and relationship between TMD and FM and discusses how the similar mechanisms and diagnostic and treatment strategies for both disorders suggest that there is a close relationship between them.

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Widespread pain and the effectiveness of oral splints in myofascial face pain

Cited by 121 publications

References 29 publications

Masticatory myofascial pain, and tension-type and chronic daily headache

Masticatory myofascial pain, and tension-type and chronic daily headache

Localised muscle pain and dysfunction: a review of theoretical and suppositional biological effects of jaw exercises

The relationship of temporomandibular disorders and fibromyalgia: Implications for diagnosis and treatment

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