Effectiveness of Different Electrical Stimulation Modalities for Pain and Masticatory Function in Temporomandibular Disorders: A Systematic Review and Meta-Analysis

Serrano-Muñóz, Diego; Beltrán-Alacreu, Héctor; Álvarez, David Martín-Caro; Fernández-Pérez, Juan José; Aceituno-Gómez, Javier; Arroyo-Fernández, Rubén; Avendaño‐Coy, Juan

doi:10.1016/j.jpain.2023.01.016

Cited by 5 publications

(5 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Multiple systematic reviews have indicated that LLLT is an effective method for pain relief and improvement of functional outcomes in patients with TMDs, including both artrogenous and myogenous conditions [ 104 , 107 , 111 , 112 ]. While TENS leads to decreased electrical muscle activity in the masticatory muscles, a reduced masseter muscle thickness, enhanced functionality and comfort in daily activities, and alleviated pain linked to temporomandibular disorders (TMDs), the scientific evidence supporting these effects appears to be of moderate quality [ 109 , 110 ]. The findings of the meta-analysis revealed that LLLT exhibited superior short-term effectiveness compared to TENS in addressing TMD pain.…”

Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient care. The main objective of this article is to conduct a scoping review on the available treatment approaches to manage temporomandibular disorders (TMDs). An extensive search of the literature was performed on Scopus, Pubmed, Embase, and Web of Science. Systematic reviews published in the last 5 years were considered. Out of the 2183 publications identified, 109 studies were included in this review. Among them, 39 articles focused on the non-invasive approach, while 120 delved into the minimally invasive approach, and 15 explored the surgical approach. Non-invasive or conservative approaches like cognitive-behavioral therapy, physical therapy, and acupuncture offer effective pain management and functional improvements in TMDs. Emerging treatments offer promising alternatives for treating these disorders. Surgery should be reserved for severe cases, with conservative therapies used in conjunction with invasive procedures for optimal patient outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

View full text Add to dashboard Cite

show abstract

“…Future studies should include all TMD subgroups. The analgesic effect of TENS has been described in a systematic review and meta-analysis performed by Serrano-Muñoz et al [46]. The study by Shousha et al showed a significant short-term effect of low-level laser therapy on reducing masticatory muscle activity at rest, improving mouth opening, and reducing pain in the VAS scale compared to splint treatment [20].…”

Section: Discussionmentioning

confidence: 98%

Use of Surface Electromyography to Evaluate Effects of Therapeutic Methods on Masticatory Muscle Activity in Patients with Temporomandibular Disorders: A Narrative Review

Dorosz,

Mańko,

Ginszt

2024

JCM

View full text Add to dashboard Cite

The presented narrative review aims to present the impact of therapeutic methods on the masticatory muscle activity measured using surface electromyography (sEMG) in patients with temporomandibular disorders (TMDs). Original interventional studies with baseline data for diagnosed TMD groups with full-text articles in English published in scientific journals in the last ten years were included in the evaluation process. The following narrative review considered only clinical, controlled, and randomized studies. Articles that included the following parameters were qualified for this review: adult participants, diagnosis of temporomandibular disorder, the presence of a musculoskeletal dysfunction, no other severe comorbidities, use of therapeutic interventions, and sEMG measurement before and after the intervention. Ten papers were accepted and analyzed for the final evaluation in the presented review. Several studies using surface electromyographic examination prove the effectiveness of various therapies to normalize the bioelectrical activity of the masticatory muscles, either reduction during rest or increase during a functional task in patients diagnosed with temporomandibular disorders. This narrative review shows the influence of manual and physical treatments on electromyographic masticatory muscle activity, including soft tissue mobilization, transcutaneous electrical nerve stimulation, low-level laser therapy, and moist heat therapy. Changes in masticatory muscle activity coincided with changes in TMD-associated pain and range of mandibular mobility.

show abstract

“…For the treatment of patients in this category there are no uniform standards and treatment protocols, usually used, the non-surgical path is the first and main part. It consists of pharmacological therapies such as nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants and muscle relaxants and non-pharmacological treatment: biofeedback, LLLT, TENS [ 25 – 47 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of the transcutaneous electrostimulation in treatment dysfunctions of the TMJ associated with occlusion distortions

Khachatryan,

Hambartsoumian,

Tatintsyan

et al. 2023

BMC Oral Health

View full text Add to dashboard Cite

Background The study evaluation of the effectiveness the method of electrostimulation in treatment TMJ associated with occlusion disorders with the use of a patches by the company “Aganyan’’. Methods The study included 54 patients with temporomandibular dysfunction syndrome who had previously undergone endodontic dental treatment. In patients temporomandibular disorders (TMD) determined on the basis of Diagnostic criteria for temporomandibular disorders(DC/TMD).All patients had occlusion disorders due to errors after dental filling restoration. To diagnose the TMJ, a CT scan was used. The complex therapy also included therapy and with the use of a patches by the company “Aganyan’’. The wearable patch includes a flexible substrate, a binder an adhesive layer, with an electrode foil attached to it. Patients applied one patch behind each TMJ. The patches were applied for eight hours every third day for three months. All the patients were given full-fledged endodontic treatment and restoration of the crown part, taking into account anatomical features. Results The dynamics of the complex treatment of patients diagnosed with TMJ dysfunction syndrome showed that after treatment, the clinical symptoms gradually decreased and disappeared at the end of treatment. CT scan a year after treatment showed a normal ratio of TMJ elements. Сomplex treatment was effective in 87% of patients, after 3–5 months gradually decreased pain, noise in the joints, restriction of opening and closing of the mouth disappeared. Patients recovered their chewing functions, psycho-emotional state. Conclusion The results of the studies revealed a positive effects for the complex treatment dysfunctions syndrome TMJ the using the patches by the company “Aganyan” through electrical stimulation with low intensity.

show abstract

Effectiveness of Different Electrical Stimulation Modalities for Pain and Masticatory Function in Temporomandibular Disorders: A Systematic Review and Meta-Analysis

Cited by 5 publications

References 33 publications

Temporomandibular Disorders Management—What’s New? A Scoping Review

Temporomandibular Disorders Management—What’s New? A Scoping Review

Use of Surface Electromyography to Evaluate Effects of Therapeutic Methods on Masticatory Muscle Activity in Patients with Temporomandibular Disorders: A Narrative Review

Efficacy of the transcutaneous electrostimulation in treatment dysfunctions of the TMJ associated with occlusion distortions

Contact Info

Product

Resources

About