Night guard(tmj orthosis, occlusal appliance) is highly effective to manage tmd, but it depends on who fabricated the appliance. Seeing a competent
tmj specialist is advised. Conventional NSAID,such as
ibuprofen is generally not effective for tmd. Tricyclic antidepressant,such as amitryptyline , is more effective than NSAIDs.Seeing an orofacial pain specialist is advised if pharmacologic management is intervened.