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01 December 2021 : Clinical Research  

Comparison of the Effects of Myotherapy in Patients with Myofascial Pain with and without Self-Reported Sleep Bruxism Using The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I Questionnaire

Małgorzata Gałczyńska-Rusin ORCID logo1ACE*, Małgorzata Pobudek-Radzikowska1ABF, Agata Prylińska-Czyżewska1BEF, Zofia Maciejewska-Szaniec1DEF, Krzystof Gawriołek1BCD, Izabela Strużycka2CEF, Agata Czajka-Jakubowska1AEFG

DOI: 10.12659/MSM.934917

Med Sci Monit 2021; 27:e934917

Abstract

BACKGROUND: This study aimed to compare the effects of myotherapy using sublingual relaxation splints and stretching exercises in 110 patients with myofascial pain with and without self-reported sleep bruxism using The Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I Questionnaire.

MATERIAL AND METHODS: The study involved 110 patients with myofascial pain. The diagnosis was based on the RDC/TMD questionnaire. The number of painful muscle sites (PMS) and the range of maximum mouth opening (MMO) were assessed 2 times – at the first visit and after 3 months. Then, the influence of possible bruxism on the treatment was assessed.

RESULTS: The mean age of the patients was 26.8 years (SD 5.4); 89% of the subjects were women; and 60.9% of the patients reported bruxism. Each patient was instructed to perform muscle stretching at the first visit and after 1 week all patients received a sublingual relaxation splint. The number of PMS decreased and the range of MMO increased in both groups after a period of 3 months of treatment (P<0.05). Significant differences were observed in the obtained treatment effects between the patients with and without possible bruxism.

CONCLUSIONS: This study evaluated the effectiveness of the sublingual relaxation splint and stretching exercises in patients with myofascial pain. Patients at a single center in Poland who reported myofascial pain that was not associated with self-reported sleep bruxism had a significantly better response to myotherapy when compared to patients with self-reported sleep bruxism.

Keywords: bruxism, Myofascial Pain Syndromes, Occlusal Splints, Temporomandibular Joint Dysfunction Syndrome

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Editorial

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Scientific Editor, Medical Science Monitor, International Scientific Information, Inc., Melville, NY, USA

DOI: 10.12659/MSM.935624

Med Sci Monit 2021; 27:e935624

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750