The Craniofacial Pain Center

Tufts University School of Dental Medicine


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Patients • Treatments

Patient Education and Home Care Program: This program enables patients to have a sense of self control. For this purpose ice, heat, electrical anesthesia (T.E.N.S.) and acupressure and relaxation training are the mainstays of a home care program. Spray and stretch of muscles and range of motion of the affected part is also beneficial. Electronic anesthesia should be used before and after to reduce pain and relax the part, to allow for better range of motion.

Pharmacotherapy: Involving NSAIDs, analgesics, anti-anxiety and anti-depressant agents, muscle relaxants are commonly used. Other neurologic or psychogenic medications may be prescribed by the appropriate specialist.

T.E.N.S. (Electronic Anesthesia): Useful in reduction of pain on an ongoing basis during treatments.

Orthopedic Appliance Therapy: Commonly used where musculoskeletal problems related to the masticatory system are suspected. Appliances help relax muscles, stabilize the temporomandibular joints and recapture some discs while normalizing maxillo-mandibular relationships.

Physical Therapy: Exercise, posture training and other sources of functional restoration are helpful in any musculoskeletal problem. It is also useful in pain reduction and rehabilitation.

Trigger Point and Joint Injections: Trigger point injections are done for joint pain and for musculoskeletal pain and dysfunctions. Many muscular trigger points can refer pain to the teeth.

Dental Occlusal Correction: As required to stabilize masticatory functions.

Medical and Psychological Interventions for Orofacial Pain: Neuralgic pains such as trigeminal neuralgia, deafferentation pains, chronic regional pain syndrome, and other orofacial pains of neuralgic origin are treated with multispeciality medical, dental, and psychological interventions.