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KMID : 1101020220470040174
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Journal of Oral Medicine and Pain
2022 Volume.47 No. 4 p.174 ~ p.182
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Management of Chronic Pain in Temporomandibular Disorders
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Kim Kyung-Hee
Ju Hye-Min
Jeong Sung-Hee
Ahn Yong-Woo
Jeon Hye-Mi
Ok Soo-Min
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Abstract
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In chronic temporomandibular disorders (TMDs), constituent tissues such as muscles are sensitive to pain and psychological stress, which negatively affect the quality of life. In addition, since chronic TMDs is often accompanied by diseases such as psychological disorders and other chronic pain disorders, the diagnosis of those diseases and patient referrals are mandatory. The management of chronic pain in TMDs requires a multidisciplinary and holistic approach. Pharmacological therapy using cyclobenzaprine, serotonin and norepinephrine reuptake inhibitors, tricyclic antidepressants, progressive relaxation, and psychological approaches using cognitive behavioral therapy such as shifting negative thoughts about pain are all valid treatment options.
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KEYWORD
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Chronic pain, Pharmacological therapy, Temporomandibular joint disorders
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Listed journal information
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