Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 39–45
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EFFECTIVENESS OF NSAIDS AND TCA IN THE MANAGEMENT OF TEMPOROMANDIBULAR DISORDERS-RETROSPECTIVE STUDY

Sharuniveda Sankaranarayanan*, Shilpa Syam, Dhanvanth Murali, Alok Kumar, Junu Henry

Department of Oral Medicine, Radiology And Special care Dentistry, Saveetha Dental College And Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai 600077 Tamil Nadu, India. · Department of Oral Medicine and Radiology, Priyadarshini Dental College and Hospital, Tiruvallur, Tamil Nadu, India · 3Department of Oral Medicine and Radiology, Mithila Minority Dental College and Hospital, Darbhanga, Bihar, India. · Department of Prosthodontics, Crown & Bridge, Sree Mookambika institute of Dental sciences, Kulasekharam, Tamil Nadu, India.

Received: 2026-04-08 · Published: 2025-05-20

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Originally published in Bulletin of Stomatology and Maxillofacial Surgery, 2025 — https://doi.org/10.58240/1829006X-2025.21.4-39.

Original title
EFFECTIVENESS OF NSAIDS AND TCA IN THE MANAGEMENT OF TEMPOROMANDIBULAR DISORDERS-RETROSPECTIVE STUDY
Authors
Sharuniveda Sankaranarayanan, Shilpa Syam, Dhanvanth Murali, Alok Kumar, Junu Henry
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-05-20
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.4-39

Abstract

Purpose: Temporomandibular Disorders (TMD) encompasses a group of disorders involving joint - disc disorders, masticatory muscles and degenerative joint disorders. It is important to use a management strategy that is safe, economical, and effective for patients. While surgical approaches are hindered by certain complications, non-invasive therapies offer these benefits and are therefore considered the first line of treatment for TMDs. Existing literature suggests a lacuna of studies analyzing the effect of Tricyclic Antidepressants (TCA) on TMDs in comparison to NonSteroidal Anti-inflammatory Drugs (NSAIDs). The aim of this study was to assess the effectiveness of NSAIDs and TCA in managing Temporomandibular Disorders. Materials and Methods: Data of diagnosed TMD patients who were treated during the time span between January 2022 and January 2024, was retrieved retrospectively from the institutional electronic database. 50 patients were included, and they were divided up into two groups based on the treatment protocol followed. Patients in Group A were managed with NSAIDs, while patients in Group B were managed with TCAs. Outcome measures including pain relief (VAS score), maximal mouth opening were assessed. Results: 28% patients treated with TCA showed complete pain reduction and 44% patients showed improved mouth opening compared to NSAID s group which showed 12% reduction in pain and 32% improvement in mouth opening. Conclusion: TCA wasfound to be more effective in relieving pain and improved mouth opening compared to NSAIDs when supplemented with physical therapy. TCAs can be a viable therapeutic option for TMDs.
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