PDF: Chronic Temporomandibular Pain Treatment Using Sodium Diclofenac

Temporomandibular disorders (TMD) are a subgroup of musculoskeletal and rheumatologic disturbs that affects the orofacial region.

They are characterized by masticatory muscle pain and temporomandibular joint (TMJ) dysfunction, and usually restricted to head and neck.

VIDEO: Diagnosis and management of common orofacial pain disorders - Prof John Gibson

In Dentistry, temporomandibular pain is the second most frequent complain, only less common than dental pain.

Masticatory muscle pain is probably consequence of traumas or algogenic substances release derived of overloaded activity.

Those events could cause microlesions on myofibrils and the release of inflammatory mediators, like bradikinin and prostaglandin E2, that induce and facilitate nociception and lead to an inhibitory reflex activity of muscular activity in the central nervous system.

This study evaluate spontaneous pain after and before administration of sodium diclofenac, isolated or associated to carisoprodol, acetaminophen and caffeine, in chronic temporomandibular disorders (TMD) patients.