IMPROPER MANAGEMENT OF MYOFACIAL PAIN DYSFUNcTION SYNDROM (MPD) IS A GATE FOR TEMPORO-MANDIBULAR JOINT DYSFUNCTION (TMD)

Objective: The masticatory system is the working unit of the body which mainly responsible for speaking, swallowing and chewing. The system is made of T.M.J. Ligaments, teeth and muscles of mastication. The path anatomical constellation of articular and muscular dysfunctions around T.M.J. are termed T.M.J. disorders (T.MDs) which associated with local or widespread symptoms including pain and tenderness in and around the masticatory apparatus. The aim of this study was to prove that, the proper management of myofacial pain dysfunction syndrome (MPD) will prevent T.M.J dysfunction.
Patients and Methods: the study included 210 patients with MPD, in 103 patient, MPD was the only symptoms while in 107 patients there were pathological problems in the neighbouring anatomical structures beside MPD symptoms. Avoidance of psychological stress was prescribed for all patients (n=210) beside various treatment modalities.
Results: all patients with MPD and other pathological problems in neighbouring anatomical structures are compoletely recovered (p<0.01), while ten from 103 patients with only MPD symptoms did not recover and T.M.J dysfunction affirmed in them, while the remaing patients in the same group (93 patients) are completely recovered (P<0.05).
Conclusion: the proper management of myofacial pain dysfunction syndrome will prevent further T.M.J dysfunction.