Re: Sidebottom AJ, Patel AA, Amin J. Botulinum injection for the management of myofascial pain in the masticatory muscles. A prospective outcome study

We read with interest this paper which provides valuable evidence for the use of botulinum toxin as an alternative treatment for masticatory pain when conservative methods fail. However, we wish to draw clinicians’ attention to the fact that not all Primary Care Trusts (PCT) fund this treatment in the National Health Service (NHS). Our PCT views the paper as level C evidence and does not consider it adequate to overturn guidance from the National Institute of Dental and Craniofacial Research (NIDCR) in the United States of America, stating that more research is needed. It also notes that there is no reference to botulinum toxin treatment for temporomandibular joint (TMJ) pain in the relevant clinical knowledge summary of the National Institute for Health and Care Excellence (NICE CKS). It is disappointing to note that this summary has not been revised since 2010.
Source: The British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Authors: Tags: Letter to the Editor Source Type: research