Comprehensive approach for management of orofacial pain: A case report

Introduction: The temporomandibular joint, associated tissues, and one or both masticatory muscles can be impacted by a collection of clinical illnesses known as temporomandibular disorders (TMDs). It falls under the subgroup of musculoskeletal disorders and is the most prevalent cause of orofacial nondental pain. The absence of empirically validated evidence of a cause-and-effect relationship is the reason for the ongoing dispute and controversy surrounding the causes of TMDs in dentistry. Case Description: A 28-year-old female patient presented with a history of pain and clicking in right and left temporomandibular joint (TMJ) while opening and closing of mouth. On examination she had generalized attrition in lower arch and anterior deep bite. On palpation, pain and clicks in right and left TMJ, during mouth opening and closing movements were present. Lateral pterygoid muscle and masseter muscle were tender bilaterally. The patient was diagnosed with Disc displacement with reduction and reciprocal clicks on right and left TMJ along with myalgia in relation to masseter and lateral pterygoid bilaterally. Three phases of a comprehensive treatment were suggested. The objective of treatment was resolution of pain, clicks and aesthetics. Conclusion: A multidisciplinary strategy involving an orofacial pain specialist, orthodontist, prosthodontist, and physiotherapist resulted in total remission of the patient's complaint and increased quality of life. The patient's cooperation also contributed to successful treatment completion.