Myofascial Pain of the Jaw Muscles: Comparison of Short-Term Effectiveness of Botulinum Toxin Injections and Fascial Manipulation Technique

@article{GuardaNardini2012MyofascialPO,
  title={Myofascial Pain of the Jaw Muscles: Comparison of Short-Term Effectiveness of Botulinum Toxin Injections and Fascial Manipulation Technique},
  author={Luca Guarda-Nardini and Antonio Stecco and Carla Stecco and Stefano Masiero and Daniele Manfredini},
  journal={CRANIO{\textregistered}},
  year={2012},
  volume={30},
  pages={102 - 95}
}
Abstract A randomized controlled trial was performed to compare the short-term effectiveness of botulinum toxin injections and physiatric treatment provided by means of Fascial Manipulation techniques in the management of myofascial pain of jaw muscles. Thirty patients with a Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) diagnosis of myofascial pain were randomized to receive either single-session botulinum toxin injections (Group A) or multiple-session Fascial… 
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The qualitative analysis suggested that local anesthetics and BTX-A were inconsistently effective at mitigating pain across all follow-up periods, but the quantitative results suggest that patients overall experience more pain relief with local anesthetic injections.
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Needling therapies within masticatory muscles provide satisfactory effects while being simple, safe and accessible procedures although there still is a need for high quality clinical trials investigating especially injections of non-Botox substances and needling within lateral and medial pterygoid muscles.
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  • Medicine
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  • 2020
TLDR
Botulinum toxin is an effective treatment for patients with temporomandibular myofascial pain and sleep bruxism, and ratings of the visual analogue scale (VAS) decreased significantly at the three follow-up points relative to baseline values.
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  • Medicine
    Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
  • 2019
TLDR
The therapeutic efficacy of BTX was unclear and Randomized controlled trials with better methodological criteria need to be carried out to evaluate the real effectiveness ofBTX.
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TLDR
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TLDR
It was found that the research on the use of botulinum toxin type A for myofascial pain contributed to improving the treatments that existed until that time for this clinical condition.
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TLDR
Regardless of the dose, BoNT-A was as effective as OA on MFP, and it is suggested the use of low doses of Bo NT-A in MFP patients that do not benefit from conservative treatments are suggested.
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