Other options include fenoprofen, flurbiprofen, mefenamic acid, ketoprofen, indomethacin, and piroxicam. Individualize dosage and increase cautiously to avoid adverse effects. Prescribe benzodiazepines for significant muscle pain or spasm. Cyclobenzaprine may be prescribed in patients unable to tolerate benzodiazepines. Clinical efficacy of this drug for TMJ has not been studied.
Prognosis is improved with early diagnosis.
TMJ disorders often progress to a chronic state. Some cases may be self-limiting. Patients with ear symptomatology tend to have a prolonged course of illness. Instruct patient to apply moist heat to affected area for no longer than 15 minutes per application. Educate patient about bruxism and the need to avoid clenching and grinding teeth.