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CASE REPORT
Year : 2018  |  Volume : 18  |  Issue : 2  |  Page : 181-185

A new adjunctive tool to aid in the diagnosis of myogenous temporomandibular disorder pain originating from the masseter and temporalis muscles: Twin-block technique


1 Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, USA
2 Adjunct Faculty, Orofacial Pain and Temporomandibular Disorders Eastman Institute for Oral Health, 625 Elmwood Ave, Rochester, NY, USA

Correspondence Address:
Dr. Mythili Kalladka
Adjunct Faculty, Orofacial Pain and Temporomandibular Disorders Eastman Institute for Oral Health, 625 Elmwood Ave, Rochester, NY-14620
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jips.jips_293_17

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Myogenous temporomandibular disorder (TMD) is the most common type of nonodontogenic pain. The diagnosis is often elusive since diagnosing such conditions often requires a more comprehensive patient assessment. At present, there is no simple one-step diagnostic test to help render a definitive diagnosis of myogenous TMD pain. The twin-block injection can serve as a diagnostic aid to facilitate diagnosis of such myogenous TMD. The twin-block injection blocks the innervation to both the temporalis and masseter muscles, the two most common sources of referred pain to the teeth. This article reviews the twin-block technique along with a case report illustrating its potential role in the diagnosis and management of myogenous TMD pain of masseteric and temporalis origin.


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