Effectiveness of acupuncture for temporomandibular disorders and associated symptoms

Garbelotti, Thânia Orlando; Turci, Andressa Mendonça; Serigato, Julia Maria V. do Amaral; Pizzol, Karina Eiras Dela Coleta; Franco-Micheloni, Ana Lúcia

doi:10.5935/1806-0013.20160076

Cited by 13 publications

(13 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Different letters indicate statistically significant difference. Equal letters indicate statistically not significant difference; (3) p-value of t-test for paired samples (baseline versus after 6 weeks of treatment); (4) p-value of t-test for paired samples (baseline versus after 4 months of treatment); (5) p-value of t-test for paired samples (6 weeks of treatment versus after 4 months of treatment). (2) <0.001 <0.001 (1) Mann-Whitney test for independent samples (acupuncture versus occlusal splint); (2) Friedman test for paired samples (baseline versus after 6 weeks of treatment; baseline versus after 4 months of treatment; 6 weeks of treatment versus after 4 months of treatment); different letters indicate statistically significant difference; equal letters indicate statistically not significant difference.…”

Section: Resultsmentioning

confidence: 99%

“…Symptoms most frequently reported by patients are muscle fatigue, facial pain, headache, TMJ pain, and chewing muscle pain. Ear pain, mandibular movement limitation, tinnitus may be present in some cases, especially in joint dysfunction 3 . It is important to know some of the factors that can contribute to the development and maintenance of TMD, such as teeth clenching, bruxism (grinding or clenching), biting foreign objects such as pens or nails, chewing gum, head posture or presenting factors related to stress, depression, and anxiety or traumatic events, malocclusions and occlusal maladjustments, such as missing teeth [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acupuncture in the treatment of temporomandibular muscle dysfunction

Boscaine

Pontes

Castillo

et al. 2019

Brazilian Journal of Pain

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: Temporomandibular dysfunction consists of frequent non-dental pain in the orofacial region of multifactorial origin and interdisciplinary treatment, among them, acupuncture. The treatment of temporomandibular dysfunction acts both in muscle relaxation and pain control, trying to achieve the physical, mental, and emotional balance of the patient, thus reducing anxiety and improving the quality of life. The objective of this study was to evaluate acupuncture as a treatment for temporomandibular dysfunction. METHODS: A total of 34 volunteers screened and selected at the Federal University of Mato Grosso do Sul, diagnosed with muscle dysfunction according to the Research Diagnostic Criteria. They were randomly divided into two equal groups: group 1 treated with occlusal plaque, massage, thermotherapy and selfcare guidelines; and group 2 treated with six acupuncture sessions lasting 30 minutes each. The pain was evaluated by the visual analog scale, and an algometer to assess the muscular tension of the temporal and masseter muscles. The limitation of mouth opening was measured with the use of calipers. The Mann-Whitney test was used for the non-normal distribution (visual analog scale and tension threshold) between the two groups (G1 and G2), and the Friedman test to compare the assessment periods (beginning of the treatment, after six weeks and four months) with a significance level of 5%. RESULTS: There was no difference in mouth opening, visual analog scale scores, or muscle tension threshold in relation to the type of treatment used. Both groups improved after six weeks of treatment. There was no statistical difference in the values obtained after six weeks and after four months.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Acupuncture in the treatment of temporomandibular muscle dysfunction

Boscaine

Pontes

Castillo

et al. 2019

Brazilian Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Acupuncture point selection was based on previous studies of TMD 22,23 and on TCM theories of meridian energy release and acupoint functions 24 . Sixteen needle insertions were performed per subject per session, and all patients received the same treatment at all sessions in order to minimise variations across treatments.…”

Section: Methodsmentioning

confidence: 99%

Acupuncture for pain, mandibular function and oral health‐related quality of life in patients with masticatory myofascial pain: A randomised controlled trial

Salles‐Neto

Paula²,

Romero

et al. 2020

J of Oral Rehabilitation

View full text Add to dashboard Cite

Background Masticatory myofascial pain is the most prevalent muscular temporomandibular disorders (TMD). It primarily affects masseter and temporal muscles. Several treatments, including acupuncture, have been recommended. However, systematic reviews have highlighted gaps in studies and absence of conclusive results. Objectives We performed a randomised controlled clinical trial to evaluate the effectiveness of acupuncture in improving pain, mandibular function and oral health‐related quality of life in women with masticatory myofascial pain. Methods Thirty‐six patients diagnosed with masticatory myofascial pain according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were divided into the following two groups: acupuncture and control (non‐penetrating acupuncture).Treatment was performed weekly for 5 weeks, and pain, mandibular function and oral health‐related quality of life were evaluated one week before treatment, one week after treatment and one month after treatment. Non‐parametric and parametric tests were used for comparisons between times and treatment groups (significance level of P ≤ .05). Results The acupuncture group showed a significant reduction in pain (P ≤ .01), which was not observed in the control group. Pain intensity was reduced by 61% and 84% at 1 week and 1 month after treatment, respectively. Both groups showed significant improvements in mandibular function and oral health‐related quality of life over time (P ≤ .01). Statistical analysis did not show a significant difference between the groups for any other evaluated outcome (P > .05). Conclusion Although acupuncture was effective in pain reduction, non‐specific factors may have influenced mandibular function and oral health‐related quality of life improvements in both groups, and this needs to be further addressed.

show abstract

“…It is accepted that the needle penetration causes a micro-inflammation process improving blood circulation and neurotransmitters release, such as serotonin, encephalin, and endorphin, which prevent the propagation of painful stimuli [36][37][38] . In addition, acupuncture promotes muscle relaxation, reestablishing body and mind balance, with recent studies showing benefits in anxiety, depression, and insomnia 6,36,37 . For TMD patients, acupuncture is suggested as an adjunctive and important method with positive effects such as decreased muscle tension and pain 35 .…”

Section: Acupuncturementioning

confidence: 99%

Non-invasive therapies for management of temporomandibular disorders: a systematic review

Brochado

Jesus

Martins

et al. 2019

CBR

View full text Add to dashboard Cite

Introduction: As a multifactorial disease, temporomandibular disorders (TMD) require a complex therapeutic approach, being noninvasive therapies the first option for most patients. The aim of this study was to perform a systematic review to analyze the most common non-invasive therapies used for TMD management. Methods: The review was done by searching electronic databases to identify controlled clinical trials related to pharmacologic and non-invasive treatments. Of all potential articles found, 35 were included in this review. Results: Low-level laser therapy (LLLT), occlusal splints (OS) and oral exercises/ behavior education (OE/BE) were the most common therapies used. LLLT showed significant results in pain and movement improvement in most studies. OS was usually combined to other therapies and resulted in improvement of pain. OE/BE showed significant results when combined with ultrasound, LLLT, and manual therapy. Conclusions: Non-invasive treatments can provide pain relief and should be prescribed before surgical procedures. LLLT was the therapy with the higher number of studies showing positive results. Based in heterogeneity of treatment protocols, diagnostic and outcomes criteria used, new well-designed randomized controlled trials (RCT) are necessary.

show abstract

Effectiveness of acupuncture for temporomandibular disorders and associated symptoms

Cited by 13 publications

References 23 publications

Acupuncture in the treatment of temporomandibular muscle dysfunction

Acupuncture in the treatment of temporomandibular muscle dysfunction

Acupuncture for pain, mandibular function and oral health‐related quality of life in patients with masticatory myofascial pain: A randomised controlled trial

Non-invasive therapies for management of temporomandibular disorders: a systematic review

Contact Info

Product

Resources

About