Trigger points on both sides should be treated because of the interrelation of the musculature and jaw structures. Preventive Procedures For the TMJ patient after a dental appointment, applying ice followed by moist heat on the masseter and temporalis TrPs a few times a day may ease the pain. Tell your patient to avoid chewing gum and hard chewy foods, to limit mouth opening, and to chew foods as evenly as possible on both sides of the mouth. Instruct patients to brace their chin and limit mouth opening, even when yawning. You might even demonstrate Spray and Stretch to the patient's spouse or companion.
Ischemic compression using acupressure techniques is also often effective.
Prescribing an anti-inflammatory medication the day before, the day of, and the day after the dental appointment can be very helpful. Also, consider prescribing a mild muscle relexant like Skelaxin, as well. First discuss current medications already being taken. With FMS and MPS, medications may change frequently. Don't initiate any irreversible procedure such as endodontic therapy, oral surgery, or equilibration.