The effect of musculoskeletal facial pain on registration of maxillomandibular relationships and treatment planning: a synthesis of the literature.
BACKGROUND
A significant number of patients exist who are in need of prosthodontic rehabilitation and who at the same time report musculoskeletal pain in the facial area.


OBJECTIVE
This article, which is based on an assessment of both the past and the most recent basic science and clinical literature, evaluates the effect of musculoskeletal facial pain on two static (physiologic rest position and centric relation) and two dynamic (protrusive border and lateral border movements) maxillomandibular relationships.


METHODS
To find the relevant studies addressing the association between musculoskeletal facial pain and maxillomandibular relationships, a MEDLINE search was conducted, which was complemented by a hand search in selected journals.


CONCLUSIONS
Musculoskeletal facial pain seems to variably affect the aforementioned positions and movements. Hence, the validity of maxillomandibular registrations in patients with existing facial pain is questioned. In those patients with facial pain who simultaneously are in need of a prosthodontic rehabilitation, clinicians should be cautious with regard to the timing of the restorative procedures.
Obrez
A
A
Department of Restorative Dentistry, College of Dentistry, University of Illinois at Chicago, 60612-7212, USA.
Türp
J C
JC
D016302:Centric Relation; D003766:Dental Occlusion; D017266:Dental Prosthesis; D005147:Facial Bones / Q000503:physiopathology*; D005152:Facial Muscles / Q000503:physiopathology*; D005157:Facial Pain / Q000503:physiopathology*; D006801:Humans; D007574:Jaw Relation Record; D008334:Mandible / Q000503:physiopathology; D008410:Masticatory Muscles / Q000503:physiopathology; D009068:Movement; D010347:Patient Care Planning; D015203:Reproducibility of Results; D013704:Temporomandibular Joint / Q000503:physiopathology; D014716:Vertical Dimension