RESUMEN
Pain is a complex phenomenon, causing discomfort, suffering and psychosocial morbidity. Myofascial Pain Dysfunction Syndrome (MPDS) is attributed to pain & inflammation of the muscles, with no definitive pathogenesis causing this syndrome. The purpose of this paper is to describe the multidisciplinary approach for the treatment of a 70 year old female patient who suffered from myofacial pain syndrome for the last 10 years. Combined with Trans-cutaneous electrical nerve stimulation (TENS), the construction of a complete denture in order to re-establish the proper vertical dimension leading to decrease in muscular activity thereby eliminating the underlying cause of disease and providing a definitive treatment for the patient with MPDS.
RESUMEN
The loss of the facial structures can have a physical, social and psychological impact on those affected .Maxillofacial prostheses which restore and replace stomatognathic and associated facial structures with artificial substitutes, aim to improve the patient aesthetics, restore and maintain health of the remaining structures and consequently provide physical and mental well being. Accurate impressions of these tissues facilitate a close adaptation of the custom prosthesis to the tissue bed resulting in better potential for movement by the patient. Treatment of such cases includes implants and acrylic eye prosthesis. Due to economic factors it may not be advisable in all patients. A custom-made ocular prosthesis is a good alternative. A case of a custom-made ocular acrylic prosthesis is presented here, which had acceptable fit, retention and esthetics.