Evaluation of Pain Regression in Patients With Myofascial Facial Pain Using Dextrose, Local Anaesthesia and Saline.

Inclusion Criteria: \- 1. Presence of active myofacial pains in jaw muscles, previously identified by manual palpation. 2\. Age ≥ 18 years. 3. Willingness to follow instructions Exclusion Criteria: * 1\. Therapeutic intervention for myofascial pain within the past month before the study, such as using of medications for pain control or wearing of occlusal splint. 2\. Clinical conditions such as pregnancy. 3. Medical problems that may interfere with the procedures such as bleeding disorders, trigeminal neuralgia. 4\. Recent facial or neck trauma; medication or adjunctive treatment (eg, physiotherapy) that could not be stopped during the study; or allergy to local anesthetic solutions. 5\. Cognitive impairment or exhibited inadequate cooperation.