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Disorders of Masticatory Muscle: An Integrated Review

Shabnoor Shakeel, Sowbhagya Lakshmi

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Indian Journal of Dental Education 16(1):p 25-36, January-March 2023. | DOI: https://doi.org/10.21088/ijde.0974.6099.16123.3

How Cite This Article:

Shakeel S, Lakshmi S. Disorders of Masticatory Muscle: An Integrated Review. Indian J Dent Educ. 2023;16(1):25-36.

Timeline

Received : February 14, 2022         Accepted : October 20, 2022          Published : November 30, 2022

Abstract

Masticatory muscle pain (MMP) is a painful disorder involving the muscle of mastication, presenting with varied manifestations of jaw pain. These conditions range from the muscle pain being the primary condition or secondary to other diseases. A thorough clinical examination, following careful patient history will facilitate in establishing a tentative diagnosis following prompt treatment therapies. The article mainly empathies with the systematic overview of various type of masticatory muscle disorders in terms of their clinical implications, prevention and management and as well enlightens the importance of accurate identification and differentiation of MMP from primary temporomandibular joint disorders such as those involving pain from osteoarthritis, disc displacement, or jaw dysfunction.


References

  • 1.   Okeson JP. Bell’s Oral and Facial Pain. 7th ed. Chicago: Quintessence Publishing; 2014.
  • 2.   Fricton JR. Masticatory myofascial pain: an explanatory model of regional muscle pain syndromes. J Musculoskelet Pain. 2002;10(1-2):131-150.
  • 3.   Palla S, Farella M. Masticatory muscle pain. In: Mense S, Gerwin RD, editors. Muscle Pain: Diagnosis and Treatment. Berlin: Springer; 2010. p. 193-227.
  • 4.   Castroflorio T, Andrea B, Deregibus AP, Peter S. Masticatory muscle pain and disorders. [Incomplete citation].
  • 5.   Fricton JR. Masticatory myofascial pain: an explanatory model integrating clinical, epidemiological and basic science research. Bull Group Int Rech Sci Stomatol Odontol. 1999;41(1):14-25.
  • 6.   Reiter S, Goldsmith C, Emodi Perlman A, Friedman Rubin P, Winocur E. Masticatory muscle disorders diagnostic criteria: the American Academy of Orofacial Pain versus the research diagnostic criteria/temporomandibular disorders (RDC/TMD). J Oral Rehabil. 2012;39(12):941-947.
  • 7.   Peck CC, Goulet JP, Lobbezoo F, Schiffman EL, Alstergren P, Anderson GC, et al. Expanding the taxonomy of the diagnostic criteria for temporomandibular disorders. J Oral Rehabil. 2014;41(1):2-3.
  • 8.   Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, et al. Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache. 2014;28(1):6-27.
  • 9.   Clark GT. Classification, causation and treatment of masticatory myogenous pain and dysfunction. Oral Maxillofac Surg Clin North Am. 2008;20(2):145-157.
  • 10.   De Rossi SS, Stern I, Sollecito TP. Disorders of the masticatory muscles. Dent Clin North Am. 2013;57(3):449-464.
  • 11.   Okeson JP, Burch JG. Fundamentals of Occlusion and Temporomandibular Disorders. St. Louis: Mosby; 1985.
  • 12.   Nabhan AB. Enigma of myofascial pain dysfunction syndrome: A revisit of review of literature. Asian Pac J Health Sci. 2018;5(1):13-19.
  • 13.   Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol. 2011;25(2):185-198.
  • 14.   Laskin DM, Block S. Diagnosis and treatment of myofacial pain-dysfunction (MPD) syndrome. J Prosthet Dent. 1986;56(1):75-84.
  • 15.   Bennett R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol. 2007;21(3):427-445.
  • 16.   Bressler HB, Markus M, Bressler RP, Friedman SN, Friedman L. Temporal tendinosis: A cause of chronic orofacial pain. Curr Pain Headache Rep. 2020;24(5):1-9.
  • 17.   Shankland WE 2nd. Temporal tendinitis: a modified Levandoski panoramic analysis of 21 cases. Cranio. 2011;29(3):204-210.
  • 18.   Ernberg M, Alstergren P. Clinical Cases in Orofacial Pain. Chichester: John Wiley & Sons; 2017.
  • 19.   Francischetti FL, Ferraz Júnior AM, Ferreira LA, Carvalho AC, Guimarães JP. Chronic myalgia centrally mediated. RGO (Porto Alegre). 2014;62(2):197-200.
  • 20.   Miller FW, Lamb JA, Schmidt J, Nagaraju K. Risk factors and disease mechanisms in myositis. Nat Rev Rheumatol. 2018;14(5):255-268.
  • 21.   Melmed C, Shelton GD, Bergman R, Barton C. Masticatory muscle myositis: pathogenesis, diagnosis, and treatment. Compend Contin Educ Pract Vet. 2004;26(8):590-605.
  • 22.   Castroflorio T, Andrea B, Deregibus AP, Peter S. Masticatory muscle pain and disorders. [Duplicate/Incomplete].
  • 23.   Pingel J, Bartels EM, Nielsen JB. New perspectives on the development of muscle contractures following central motor lesions. J Physiol. 2017;595(4):1027-1038.
  • 24.   Lieber RL, Fridén J. Muscle contracture and passive mechanics in cerebral palsy. J Appl Physiol (1985). 2019;126(5):1492-1501.
  • 25.   Pasupathy S, Yuvaraj V. Peculiar presentation of bilateral temporalis muscle hypertrophy—report of a case and review of literature. Oral Maxillofac Surg. 2010;14(3):183-185.
  • 26.   Ali K, Sittampalam G, Malik MA. Bilateral temporalis hypertrophy. Int J Oral Maxillofac Surg. 2010;39(3):305-307.
  • 27.   Katsetos CD, Bianchi MA, Jaffery F, Koutzaki S, Zarella M, Slater R. Painful unilateral temporalis muscle enlargement: reactive masticatory muscle hypertrophy. Head Neck Pathol. 2014;8(2):187-193.
  • 28.   Rokadiya S, Malden NJ. Variable presentation of temporalis hypertrophy—a case report with literature review. Br Dent J. 2006;201(3):153-155.
  • 29.   Lowry TR, Helling E. Unilateral temporal muscle hypertrophy: a rare clinical entity. Ear Nose Throat J. 2003;82(3):198-199.
  • 30.   Wilson PS, Brown AM. Unilateral temporalis muscle hypertrophy: case report. Int J Oral Maxillofac Surg. 1990;19(5):287-288.
  • 31.   Guruprasad R, Rishi S, Nair PP, Thomas S. Masseter and medial pterygoid muscle hypertrophy. BMJ Case Rep. 2011;2011:bcr0720114557.
  • 32.   Özkan BT, Tabrizi R, Cigerim L. Management of bilateral masseter muscle hypertrophy. J Craniofac Surg. 2012;23(1):e14-16.
  • 33.   Rončević R. Masseter muscle hypertrophy: aetiology and therapy. J Maxillofac Surg. 1986;14:344-348.
  • 34.   Honée GL, Bloem JJ. On the differential diagnosis of masseter muscle hypertrophy (Case Report). J Maxillofac Surg. 1974;2:246-249.
  • 35.   Newton JP, Cowpe JG, McClure IJ, Delday MI, Maltin CA. Masseteric hypertrophy?: preliminary report. Br J Oral Maxillofac Surg. 1999;37(5):405-408.
  • 36.   Castro WH, Gomez RS, da Silva Oliveira J, Moura MD, Gomez RS. Botulinum toxin type A in the management of masseter muscle hypertrophy. J Oral Maxillofac Surg. 2005;63(1):20-24.
  • 37.   Favia G, Muzio LL, Serpico R, Maiorano E. Rhabdomyoma of the head and neck: clinicopathologic features of two cases. Head Neck. 2003;25(8):700-704.
  • 38.   Pavithran K, Doval DC, Mukherjee G, Kannan V, Kumaraswamy SV, Bapsy PP. Rhabdomyosarcoma of the oral cavity: report of eight cases. Acta Oncol. 1997;36(8):819-821.
  • 39.   Miloglu O, Altas SS, Buyukkurt MC, Erdemci B, Altun O. Rhabdomyosarcoma of the oral cavity: a case report. Eur J Dent. 2011;5(3):340-343.
  • 40.   Caserto BG. A comparative review of canine and human rhabdomyosarcoma with emphasis on classification and pathogenesis. Vet Pathol. 2013;50(5):806-826.
  • 41.   Sutcher HD, Underwood RB, Beatty RA, Sugar O. Orofacial dyskinesia: a dental dimension. JAMA. 1971;216(9):1459-1463.
  • 42.   Kobayashi RM. Orofacial dyskinesia: Clinical features, mechanisms and drug therapy. West J Med. 1976;125(4):277-288.
  • 43.   Bassett A, Remick RA, Blasberg B. Tardive dyskinesia: an unrecognized cause of orofacial pain. Oral Surg Oral Med Oral Pathol. 1986;61(6):570-572.
  • 44.   Lee KH. Oromandibular dystonia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;104(4):491-496.
  • 45.   Schneider R, Hoffman HT. Oromandibular dystonia: A clinical report. J Prosthet Dent. 2011;106(6):355-358.
  • 46.   Clauw DJ, Crofford LJ. Chronic widespread pain and fibromyalgia: what we know, and what we need to know. Best Pract Res Clin Rheumatol. 2003;17(4):685-701.
  • 47.   Julien N, Goffaux P, Arsenault P, Marchand S. Widespread pain in fibromyalgia is related to a deficit of endogenous pain inhibition. Pain. 2005;114(1-2):295-302.
  • 48.   Goldenberg DL. Diagnosis and differential diagnosis of fibromyalgia. Am J Med. 2009;122(12 Suppl):S14-21.

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

Whether all authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Shakeel S, Lakshmi S. Disorders of Masticatory Muscle: An Integrated Review. Indian J Dent Educ. 2023;16(1):25-36.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



Received Accepted Published
February 14, 2022 October 20, 2022 November 30, 2022

DOI: https://doi.org/10.21088/ijde.0974.6099.16123.3

Keywords

Masticatory muscle disorderMuscle painMyalgiaTendonitisMyositisMyospasmContracturesHypertrophyNeoplasmsMovement DisordersSystemic/central pain disordersFibromyalgia

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Received February 14, 2022
Accepted October 20, 2022
Published November 30, 2022

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.



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