EVALUATION OF ULTRASOUND THERAPY AND TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION IN REDUCING PAIN FOR TEMPOROMANDIBULAR JOINT DISORDER

Abstract

Objective:Evaluation of reduction of pain using transelectric nerve stimulation (TENS) and ultra sound therapy in reduction of pain in temporomandibular joint disorders.Background: Common signs and symptoms involve mainly TMJ and masticatory muscles, Patients usually manifest pain in preauricular region, Joint click, Joint crepitus and restricted jaw movements. There is no well dened etiology or a single contributing factor although several associated factors have been identied as malocclusion, trauma, emotional stress, and par functional habits (e.g bruxism). Methodology: The study included a total of 30 patients who visited our OPD at PG Department of Oral medicine and Radiology ,Govt Dental College Srinagar during period(2020-2021) .Included patients were irrespective of Gender , were in age group 20-30 years, presented with signs and symptoms of pain in masticatory muscles being inclusion criteria, Patients were excluded on the basis of having any recent tmj dislocation , Hairy surfaces , radiculopathy or any other neurogical decits A Procedure : total of 30 patients were selected , falling in our inclusion criteria , study and procedure is explained to them , the patients are advised to not take any analgesic drugs during this time ,Subjects are randomly divided into two groups Group A: TENS recived for a duration of 15 min Group B: Recived a continous mode of ultrasound of 3Hz for a duration of 5 min , after 4 weeks , VAS score of pain is taken again. Results: there was signicant difference in mean values of VAS scoring between group A and group B , mean of group B being more than group A Conclusion : Hence in our study we conclude ultrasound is more effective compared to TENS in pain reduction for temporomandibular joint disorders.