Treatment - Pharmacotherapy
Pharmacotherapy | Splint
- Analgesic drugs
Most patients will have used these by the time they seek
treatment - probably a combination of aspirin,
paracetamol and codeine. Though commonly used, they do
not play a big role in the treatment of TMD as there is
no point in just masking the pain.
- N.S.A.I.D (Non-steroidal anti-inflammatory drugs)
Anti inflammatories are useful in the treatment of pain
dysfunction syndrome and osteoarthrosis.
- Tricyclic anti-depressants
Their use in the management of TMD is controversial.
However low doses are claimed to have a muscle relaxant
and analgesic properties, so may be used in the
management of the muscular symptoms associated with
Useful for their side effects as a muscle relaxant in the
treatment of acute muscle spasm and disc displacement
without reduction. When prescribed as an anti-depressant,
a dose of 50mg is recommended. However, a dose of 10mg or
less at night is enough to ensure their pterygoid muscles
get a good night's sleep.