Dr.Manoj Kumar.S BDS, MDS-Prosthodontics, FICOI, MICOI, Board Certified Dentist-Canada

MYOFACIAL PAIN DYSFUNCTION SYNDROME Temporomandibular joint disorders are among the most misdiagnosed and mistreated disorders in medicine. Though, a lot of research is constantly being carried out, TMJ problems raise many question, some of which remain unanswered or debatable, because of the complex nature of this joint. MPDS is a pain disorder, in which unilateral pain is referred from the trigger points in myofacial structures, to the muscles of the head and neck. Pain is constant, dull in nature, in contrast to the sudden sharp, shooting, intermittent pain of neuralgias (chronic pain).But the pain may range from mild to intolerable. SYMPTOMS MPDS exhibits varied symptoms. One particular patient may complain of all the various symptoms, whereas in another patient only a single symptom may be present. THE MOST COMMON SYMPTOMS ARE: • Headaches • Earaches • Tenderness in the jaws • Dry mouth • Fatigue • clicking or popping sound in the jaws • Neck or shoulder pain • Dizziness and ligh

INTRODUCTION Oral complications are common in cancer patients especially head and neck cancers. Oral cavity is at high risk of side effects from chemotherapy and radiation therapy. Some of the reasons are:  chemotherapy and radiation therapy stops the growth of cancer cells and by doing so , it also stops the normal cells lining the cancer.  they also cause changes in mucosal lining , normal salivation and healthy balance of bacteria.  wear and tear. Preventive measures may lessen the severity of the complications. LIST OF COMPLICATIONS: 1.Mucositis. 2.Bleeding. 3.Pain. 4.Taste changes. 5.Infections. 6.Dry mouth.( Xerostomia ) 7.Dental caries & periodontal problems 8.Jaw stiffness. 9.Osteonecrosis. 10.Tissue & bone loss. 11.Malnutrition. CLINICAL PRESENTATION OF THESE COMPLICATIONS: 1. MUCOSITIS:  caused by both chemo & radiation therapies.  red, burn like sores o