ي تهرانشتي، درمانت بهدا پزشكي و خدمانشگاه علومانپزشكي داند مجله ددوره) ٢٩ ، شماره٤ ، زمستان١٣٩٥ ( ٢٨٨ درماني برور مر ﻫا ي سندرم اختﻼل درد عضﻼت صورت دكترصوريان آرش من ١ - دكترديرا پور شهي سا ١ - دكترفشارر زاده اات صدريم ساد م ٢  ١ - نشيار داماري بيه آموزشي گروشتي، درمانت بهدا پزشكي و خدمانشگاه علوم انپزشكي، دانده دانشكد صورت، د هاي دهان و فك و ي تهران، تهر ان، اير ان ٢ - ستاديار اماري بيه آموزشي گروشتي، درمات بهدا پزشكي و خدمانشگاه علومانپزشكي، دانده دانشكد صورت، د هاي دهان و فك و ني كاشان، كا شان ، ايران A review of treatment approaches of Myofascial Pain Dysfunction Syndrome Arash Mansuorian 1 , Sara Pourshahidi 1 , Maryam Sadat Sadrzadeh Afshar 2† 1- Associate Professor, Department of Oral and Maxillofacial Medicine, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran 2 † - Assistant Professor, Department of Oral and Maxillofacial Medicine, School of Dentistry, Kashan University of Medical Sciences, Kashan, Iran (m_sadrzade@alumnus.tums.ac.ir) Masticatory muscle pain is the second most frequent cause of orofacial pain after dental pain. Myofascial pain dysfunction syndrome (MPDS) is the most common form of temporomandibular joint dysfunction. MPDS is a pain that triggers from [sensitive] points in the muscles and fascia and is followed by spasm, tenderness to palpation, restricted movement, fatigue, and sometimes dysfunction. The researchers intended to collect comprehensive information about therapeutic interventions for myofascial pain through the conduction of a critical study based on evidence in the literature. In this review, 51 English articles, published between 1981 and 2013, were extracted from PubMed, Medline, Ovid, and Google Scholar. These articles were then reviewed in detail in two categories, namely pharmaceutical and non-pharmaceutical treatments. MPDS treatment should be first focused on the identification and correction of underlying causes. Thiocolchicoside (TCC), non-steroidal anti-inflammatory drugs (NSAIDs), and Cox-2 inhibitors are among promising pharmaceutical methods. On the other hand, ultrasound and laser therapy are among promising non-pharmaceutical methods. The complex mechanism of MPDS, along with its underlying peripheral and central nervous mechanisms may make MPDS, difficult to treat, especially in its chronic form. Key Words: Analgesics, Anticonvulsants, Muscle relaxants, Myofacial pain, Low level laser therapy Journal of Dental Medicine-Tehran University of Medical Sciences 2017;29(4):288-301  م ﺆ ﻟﻒ مس ﺆ ول : نشاني: كاشان- ار قدس راوندي بلو- دگاه علوم پزشكيكي دانشندانپزشه د انشكد كاشان- گروه آماري بي موزشي هاي صورت دهان و فك و تلﻔﻦ:٥٥٥٤٠٠٢١ ترونيك:ني اﻟك نشاm_sadrzade@alumnus.tums.ac.ir Downloaded from jdm.tums.ac.ir at 4:21 IRST on Saturday December 11th 2021