Evaluation of botulinum toxin injection in masticatory muscles for managing temporomandibular disorders pain.
Hegazy, A., Elmohandes, W., El Feky, A. (2022). Evaluation of botulinum toxin injection in masticatory muscles for managing temporomandibular disorders pain.. EKB Journal Management System, 25(3), 301-310. doi: 10.21608/ajdsm.2021.59343.1153
Ahmed Hegazy Hegazy; Wael Elmohandes; Ahmed Hussein El Feky. "Evaluation of botulinum toxin injection in masticatory muscles for managing temporomandibular disorders pain.". EKB Journal Management System, 25, 3, 2022, 301-310. doi: 10.21608/ajdsm.2021.59343.1153
Hegazy, A., Elmohandes, W., El Feky, A. (2022). 'Evaluation of botulinum toxin injection in masticatory muscles for managing temporomandibular disorders pain.', EKB Journal Management System, 25(3), pp. 301-310. doi: 10.21608/ajdsm.2021.59343.1153
Hegazy, A., Elmohandes, W., El Feky, A. Evaluation of botulinum toxin injection in masticatory muscles for managing temporomandibular disorders pain.. EKB Journal Management System, 2022; 25(3): 301-310. doi: 10.21608/ajdsm.2021.59343.1153

Evaluation of botulinum toxin injection in masticatory muscles for managing temporomandibular disorders pain.

Al-Azhar Journal of Dental Science
Article 3, Volume 25, Issue 3, July 2022, Page 301-310  XML PDF (937.21 K)
Document Type: Original Article
DOI: 10.21608/ajdsm.2021.59343.1153
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Authors
Ahmed Hegazy Hegazy email 1; Wael Elmohandes2; Ahmed Hussein El Feky2
110 El Nabawy El Mohandis 6
2Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Boys, Cairo, Al Azhar University
Abstract
Objective: to evaluate injection of botulinum toxin in masseter and temporalis muscles as a treatment modality for temporomandibular disorders pain.
Subjects and Methods: A total of 14 patients diagnosed with TMD were selected from the Out-Patient Clinic of the Oral Surgery Department at Faculty of Dental Medicine, Cairo-boys, Al-Azhar University, Egypt. Study included patients with myofascial pain, pain associated with disc displacement with reduction, pain associated with hypermobility of the T.M.J. Patients with unilateral or bilateral disease were accepted equally. They were divided into 2 groups study group which received the botulinum toxin injections and control group which received 0.9% saline solution. Patients had 4 follow ups in total first at the injection session then after 1 months, after 3 months and after 6 months post injection. 4 parameters were recorded Pains scores on the VAS, vertical mouth opening, Tenderness to palpation and Masseter muscle activity using EMG.
Results: Results revealed that, there was statistically a significantly (p=0.004) lower pain values and increased mouth opening reported after 6 months of botulinum toxin injection.
Conclusion: the injection of botulinum toxin is effective in decreasing pain and increasing mouth opening in patient diagnosed with TMDs.
Keywords
botulinum toxin; temporomandibular disorders; pain relief
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