• Merve Damla Korkmaz and KaracayBasak CigdemBC0000-0001-6422-5450Ahi Evran University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation - Kırşehir, Turkey..
• University of Health Sciences, Kanuni Sultan Suleyman Training and Research Hospital, Department of Physical Medicine and Rehabilitation - Istanbul, Turkey.
• Rev Assoc Med Bras (1992). 2023 Jan 1; 69 (12): e20230622e20230622.

ObjectiveThe aim of this study was to demonstrate the effect of myofascial pain with referral from the trigger points in the masseter muscles on the clinical symptoms and functional limitations of the temporomandibular joint in participants with disc displacement with reduction.MethodsThis prospective, cross-sectional study recruited participants aged 18-45 years with disc displacement with reduction with/without myofascial pain with referral in the masseter muscles based on the inclusion criteria. Maximum mouth opening and the presence of probable awake bruxism were assessed. The "Graded Chronic Pain Scale version 2.0" and "Jaw Function Limitation Scale-8" were used to evaluate Diagnostic Criteria for Temporomandibular Disorders Axis II. Pain levels were measured using the Visual Analog Scale.ResultsA comparison between the disc displacement with reduction and disc displacement with reduction+myofascial pain with referral groups revealed statistically significant differences in Visual Analog Scale (p<0.001), the presence of awake bruxism (p=0.038), and Graded Chronic Pain Scale version 2.0 (p=0.010). However, no statistically significant difference was observed between the two groups concerning maximum mouth opening and Jaw Function Limitation Scale-8.ConclusionParticipants with both disc displacement with reduction and myofascial pain with referral in the masseter muscle exhibited higher pain intensity, a higher prevalence of awake bruxism, and increased pain-related disability compared to those with disc displacement with reduction alone.

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