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

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dc.contributor.authorSağlam, Reyhan
dc.contributor.authorDelilbaşı, Çağrı
dc.contributor.authorSayın Özel, Gülsüm
dc.contributor.authorDurur Subaşı, Irmak
dc.date.accessioned2025-08-28T10:35:28Z
dc.date.available2025-08-28T10:35:28Z
dc.date.issued2024
dc.departmentİstanbul Medipol Üniversitesi, Diş Hekimliği Fakültesi, Ağız, Diş ve Çene Cerrahisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Diş Hekimliği Fakültesi, Protetik Diş Tedavisi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Uluslararası Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractMyofascial pain is one of the common symptoms in patients with temporomandibular joint disorders (TMD). Occlusal splint (OS) and masticatory muscle trigger point (TP) local injections are primary treatment options. We aimed to investigate the effects of these treatments using clinical and elastography measures. Patients who were diagnosed with myofascial pain according to Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) were included. There were 16 patients in each group. Group 1 was treated with occlusal splint, Group 2 was treated with occlusal splint and masseter muscle lidocaine injection, Group 3 was treated with masseter muscle lidocaine injection and Group 4 consisted of healthy volunteers. Degree of pain and maximum mouth opening (MMO) were recorded. Masseter muscle stiffness was evaluated by Shear wave elastography. Measurements were repeated at 1st and 3rd months of post-treatment. Pain decreased at all times in all the patients (p = 0.001). Pain in Group 2 and Group 3 approached 0 level at 3rd month. MMO increased from baseline to 1st month and from 1st month to 3rd month and masseter stiffness decreased from baseline to 1st month and to 3rd month (p = 0.001) in all groups. Occlusal splint and masseter muscle lidocaine injection were effective in reducing pain and increasing MMO in patients with myofascial pain. All treatments reduced masseter muscle stiffness. All the treatment modalities had clinically similar and successful outcomes.
dc.identifier.citationSağlam, R., Delilbaşı, Ç., Sayın Özel, G. ve Durur Subaşı, I. (2024). Evaluation of the effects of occlusal splint and masseter muscle injection in patients with myofascial pain: a randomised controlled trial. Journal of Oral and Facial Pain and Headache, 38(3), 64-76. http://dx.doi.org/10.22514/jofph.2024.028
dc.identifier.doi10.22514/jofph.2024.028
dc.identifier.endpage76
dc.identifier.issn2333-0384
dc.identifier.issn2333-0376
dc.identifier.issue3
dc.identifier.pmid39800573
dc.identifier.scopus2-s2.0-85205217542
dc.identifier.scopusqualityQ2
dc.identifier.startpage64
dc.identifier.urihttp://dx.doi.org/10.22514/jofph.2024.028
dc.identifier.urihttps://hdl.handle.net/20.500.12511/13036
dc.identifier.volume38
dc.identifier.wosWOS:001330372700007
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSağlam, Reyhan
dc.institutionauthorDelilbaşı, Çağrı
dc.institutionauthorSayın Özel, Gülsüm
dc.institutionauthorDurur Subaşı, Irmak
dc.institutionauthorid0000-0003-3347-1151
dc.institutionauthorid0000-0001-8833-5259
dc.institutionauthorid0000-0003-3122-4499
dc.language.isoen
dc.relation.ispartofJournal of Oral and Facial Pain and Headache
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectMasseter Muscle
dc.subjectMasticatory Muscle Disorders
dc.subjectOcclusal Splint
dc.subjectShear Wave Elastography
dc.subjectTemporomandibular Disorders
dc.subjectTrigger Point Injection
dc.titleEvaluation of the effects of occlusal splint and masseter muscle injection in patients with myofascial pain: a randomised controlled trial
dc.typeArticle

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