Lincroft, NJ
(732) 842-5915
  • Patient Information
    • Introduction
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    • First Visit
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  • Procedures
    • Congenital and Developmental Disorders
      • Special Needs Patients
    • Anesthesia and Sedation
      • Anesthesia for Pediatric and Dental Procedures
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      • Ultherapy
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      • Juvederm
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      • Latisse
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      • Facial Resurfacing
    • Dental Implants
      • General Implant Informational Video
      • Teeth-in-an-Hour
      • Diem
      • Immediate Placement of Implants
      • Single Tooth Implants
      • Implant Supported Bridges
      • LOCATORĀ® Attachments and Dentures
      • Orthodontic Implants-Skeletal Anchors
    • Bone Grafting
      • Bone Grafting
      • About Bone Grafting
      • Jaw Bone Health
      • Jaw Bone Loss and Deterioration
      • Socket Preservation
      • Platelet Rich Plasma
      • Sinus Lift
      • Nerve Repositioning
      • Ridge Augmentation
    • Teeth and Dentoalveolar Surgery
      • Pre-Prosthetic Surgery
      • Wisdom Teeth
      • Impacted Canines
      • Primary or Baby Teeth
      • Infected and Fractured Teeth
      • Teeth with Periodontal Disease
      • Teeth with Associated Pathology
    • Fractures of the Facial and Jaw Bones
      • Lacerations and Soft Tissue Injuries
      • Injury to the Teeth
    • Orthognathic and Reconstructive Surgery
      • Orthognathic Surgery
      • Distraction Osteogenesis
    • Oral Pathology
      • Oral Pathology-Growths and Lesions
      • Dermatopathology and Skin Diseases
      • Autoimmune Diseases
      • Precancerous and Cancerous Growths
    • Temporomandibular Joint Disorders
      • Myofascial Pain Dysfunction
      • Craniofacial Pain
      • Migraines and Headaches
      • Neuralgia’a and Neurological Origin Pain
  • Meet Us
    • Meet Dr. John Frattellone
    • Meet The Staff
    • Office Tour
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Procedures

  • Congenital and Developmental Disorders
    • Special Needs Patients
  • Anesthesia and Sedation
    • Anesthesia for Pediatric and Dental Procedures
    • Anesthesia for Cosmetic and Surgical Procedures
  • Cosmetic Skin and Facial Procedures
    • Perlane
    • Ultherapy
    • Botox
    • Juvederm
    • Restylane
    • Latisse
    • Radiesse
    • Esthetician and Skin Care Treatments
    • Dermabrasion
    • Chemical Peels
    • Facial Resurfacing
  • Dental Implants
    • General Implant Informational Video
    • Teeth-in-an-Hour
    • Diem
    • Immediate Placement of Implants
    • Single Tooth Implants
    • Implant Supported Bridges
    • LOCATORĀ® Attachments and Dentures
    • Orthodontic Implants-Skeletal Anchors
  • Bone Grafting
    • Bone Grafting
    • About Bone Grafting
    • Jaw Bone Health
    • Jaw Bone Loss and Deterioration
    • Socket Preservation
    • Platelet Rich Plasma
    • Sinus Lift
    • Nerve Repositioning
    • Ridge Augmentation
  • Teeth and Dentoalveolar Surgery
    • Pre-Prosthetic Surgery
    • Wisdom Teeth
    • Impacted Canines
    • Primary or Baby Teeth
    • Infected and Fractured Teeth
    • Teeth with Periodontal Disease
    • Teeth with Associated Pathology
  • Fractures of the Facial and Jaw Bones
    • Lacerations and Soft Tissue Injuries
    • Injury to the Teeth
  • Orthognathic and Reconstructive Surgery
    • Orthognathic Surgery
    • Distraction Osteogenesis
  • Oral Pathology
    • Oral Pathology-Growths and Lesions
    • Dermatopathology and Skin Diseases
    • Autoimmune Diseases
    • Precancerous and Cancerous Growths
  • Temporomandibular Joint Disorders
    • Myofascial Pain Dysfunction
    • Craniofacial Pain
    • Migraines and Headaches
    • Neuralgia’a and Neurological Origin Pain

Myofascial Pain Dysfunction

Symptoms and Signs

Symptoms include pain and tenderness of the masticatory muscles and often pain and limitation of jaw excursion. Both nocturnal bruxism and sleep-disordered breathing (such as obstructive sleep apnea and upper airway resistance syndrome) can lead to headache that is more severe on awakening and gradually subsides during the day. Such pain must be distinguished from giant cell arteritis. Daytime symptoms, including jaw muscle fatigue, jaw pain, and headaches, may worsen if bruxing continues throughout the day.

The jaw deviates when the mouth opens but usually not as suddenly or always at the same point of opening as it does with internal temporomandibular joint derangement. Exerting gentle pressure, the examiner can open the patient’s mouth another 1 to 3 mm beyond unaided maximum opening.

Diagnosis

• Clinical evaluation

• Sometimes polysomnography

A simple test may aid the diagnosis: two or three tongue blades are placed between the rear molars on each side, and the patient is asked to close the mouth gently. The distraction produced in the joint space may ease the symptoms. X-rays usually do not help except to rule out arthritis. If giant cell arteritis is suspected, ESR is measured.

Polysomnography should be done if sleep-disordered breathing is suspected.

Treatment

• Mild analgesics

• Splint or mouth guard

• An anxiolytic at bedtime can be considered

• Physical therapy modalities may be considered

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Lincroft Oral Surgery • Address: 515 Newman Springs Rd Lincroft NJ 07738 • Phone: Lincroft Oral Surgery Phone Number (732) 842-5915 • Fax: (866) 290-6363
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