doiSerbia

Transcutaneous electrical nerve stimulation therapy in reduction of orofacial pain

Đorđević Igor (Clinic for Prosthodontics, School of Dental Medicine, Belgrade)
Lazić Vojkan (Clinic for Prosthodontics, School of Dental Medicine, Belgrade)
Todorović Ana (Clinic for Prosthodontics, School of Dental Medicine, Belgrade)
Čairović Aleksandra (Clinic for Prosthodontics, School of Dental Medicine, Belgrade)
Veselinović Valentina (Medical Faculty, Department of Stomatology, University of Banja Luka, Banja Luka, Republic of Srpska)
Živković Slavoljub (Department of Restorative Dentistry and Endodontics, School of Dental Medicine, Belgrade)

Introduction. Patients with craniomandibular disorders suffer from hypertonic, fatigued and painful masticatory muscles. This condition can lead to limitation of mandibular jaw movements. All of these symptoms and signs are included in myofascial pain dysfunction syndrome. Transcutaneous electrical nerve stimulation (TENS) has been used for treatment of these patients. Objective. The aim of this study was to assess the effect of TENS therapy on chronic pain reduction in patients with the muscular dysfunction symptom. Methods. In order to evaluate the effect of TENS therapy before and after the treatment, Craniomandibular Index (Helkimo) was used. Pain intensity was measured by VAS. Patients had TENS treatment over two-week period. BURST TENS modality was used. Current intensity was individually adjusted. Results. Two patients did not respond to TENS therapy. Complete pain reduction was recorded in 8 patients, while pain reduction was not significantly different after TENS therapy in 10 patients. Conclusion. TENS therapy was confirmed as therapeutic procedure in orofacial muscle relaxation and pain reduction.

Keywords: pain, myofascial pain dysfunction syndrome, transcutaneous electrical nerve stimulation (TENS)