Volume 17, Number 2, June 2005

Botulinum Toxin Type A Injection for the Management of Myofascial Temporomandibular Pain Disorder


Kin-Man Lee, James Chow, Edward Hui, William Li

Tideman Maxillofacial Centre, Central, Hong Kong

Abstract
Objective:
To evaluate the effect of botulinum toxin type A injection on pain in myofascial temporomandibular disorder.
Patients and Methods: Six patients with temporomandibular myofascial pain were treated with injection of botulinum toxin type A into the painful muscles. The effect was evaluated clinically and by questionnaires completed pre- and postinjection.
Results: All patients showed clinical remission of pain symptoms without any adverse effects during the follow-up period (range, 5 to 12 months).
Conclusion: Botulinum toxin type A injection appears to be effective for the treatment of temporomandibular myofascial pain. This pilot study provides the basis for a large-scale prospective study with a longer follow-up to confirm the findings and conclusions.

Key words:
Botulinum toxin type A, Myofascial pain syndromes, Temporomandibular joint disorders

Asian J Oral Maxillofac Surg. 2005;17:100-103.

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