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Dr Stephen J Davies
BDS , M.D.Sc., D.G.D.P.(UK)
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Treatment

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Treatment - Pharmacotherapy

Counselling | Physiotherapy | Pharmacotherapy | Splint therapy

  • 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 TMD.
  • Benzodiazepines
    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.