Increased postoperative pain and consumption of analgesics following acupuncture

Ekblom, A.; Hansson, Per; Thomsson, M.; Thomas, M.

doi:10.1016/0304-3959(91)90092-c

Cited by 49 publications

(32 citation statements)

References 16 publications

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“…Onlv one stud) fulfilled more than 85% of the required criteria f37). Five studies fuifilJed between 707o and 84% of the ctiletia (39-41, 13 45, 4B), three met 6070 to 69% (38,46,52) and six studies met less than 60y. (42,47, 4q-SI, 5t.IJ"\en out of the l5 .tudip5 \^e.p in favour of acupuncture and 4 demonstrated no effect.…”

Section: Resurasmentioning

confidence: 99%

The Use of Acupuncture in Dentistry: A Systematic Review

Rosted

1998

Acupunct Med

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SummaryPublished controlled studies on the analgesic effect ot' acupuncturc in dentistry arc still relatively few, but those which lulfil predefined nethodological critetia are rcvlewed to assess if acupuncture is effective in this field. A literature search identifiecl 74 papers published between 1966 and 1996, and 18 are reviewed. Only l5 of the papers fulfil a number of predefined criteria: having a reterence Eroup t rndomi\dlion. blindtng -Jpptoptiate \tati5ti \ \urfi, ient follou up. etc. Ol lhe !5 pdpet, only one study meets more than Bso/a of the critetia, five meet 70-84/0, three studies meet 60-69/0, and six do not rcach 60% of the predefined criteria and are thus considered unreliahle Eleven out of the 15 studies were in favour of acupuncturc and showed standard acupunctute to be more effective than placebo, non-standard (sham) acupuncturc, or showed it ta be able to produce bettet ot similar results to an accepted tieatment pro, pdutp. lhc hi7her the sandad ol the papet the mote likpl\ it vas to ha\e d positite re'ull in farout of acupuncturc: all those in the excellent or good categoties gave a favourable rcsult. Acupuncturc prcved effective in 73/' of the reviewed papers for the treatment of Temperomandibular dysfunction or as an analgesic, and shoulcl be constdered as a reasonable alternative or supplement to currcnt dental pnctice in these ateas.is rife, and there is a clinical imoression that acupuncture can offer an alternative io the sedative drug. , 66r'ron t, u.ed. although no , ontrolled stuoteS are ava aote Like other clinical disciplines, dentists sometimes meet problems which do not respond to orthodox lrpd ma,1 . lr, ial pain may g \e i.erodidgnosrr( oif , rl. er, 5omelime. lhrouih fai urp ro ronsidpr musculoskeletal causes. Orthodox tredLnrenr may involve surgery, for instance on the sinuses, trigeminal nerve ablation, or removal of teeth, occasionally unnecessarily. There are many causes of facial pain, and there is often a muscul6skeletal compo.nent, but in general a high percentage respond to acupunctLtre clinically. Temperomandibular joint (TMJ) dysiunctron is commonly seen in dental practice. There is no standard treatment, but tranquil lisers, physiotherapy, occJusal splint and counselling afe treatments commonly tried. Here too acupuncture can be ol .lini, al bpncfi . Morc rarelv \ecl i. \jcjg.er\ .)ndromF. nhich ir a der reaqe in salira llolr associated with painful rheumatoid arthritis. Conventionall, treatment is Iimited to artificial saliva and analgesics. Again, acupuncture is found to be clinically helpful.I1 .eLe1l \edr. inlc.p\l in d, upunrlure for dcntist.y ha\ ;n.rpdsed dr laast pdrtlv becau,e of publi.hed results of its efficacy. However, the literature is not extensive and the results recorded vary considerably: frcm no elfect to significant improvdment The aim of this article is to iliscuss and leview methodically the published clinical trials to determine whether clear conclusions can be obtained for the use of acupuncture in dentistry.Methodologi cal co nside ratio...

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Section: Resurasmentioning

confidence: 99%

The Use of Acupuncture in Dentistry: A Systematic Review

Rosted

1998

Acupunct Med

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“…Ekblom et al 20 concluded that acupuncture application before or immediately after surgical removal of impacted mandibular third molars raised pain levels during postoperative period. However, acupuncture treatment was applied either before or after surgical procedure and electrical stimulation was not used in this study.…”

Section: Acupuncture For Postoperative Dental Painmentioning

confidence: 99%

Acupuncture: An Alternative Therapy in Dentistry and Its Possible Applications

Naik

Kiran

Yalamanchal

et al. 2014

Medical Acupuncture

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Background: Traditional Chinese acupuncture has a history of more than 2500 years and is one of the bestknown complementary and alternative therapies. Acupuncture stimulates the nervous system and alters the processing and perception of pain signals and also releases natural painkillers, such as endorphins and serotonin in the nervous system. Acupuncture's successful use for various dental conditions has been proven. Thus, it is important for the dental clinicians to be familiar with the applications of acupuncture for dental disorders. Objective: One aim of this article is to review related articles in the literature that have focused on acupuncture and its applications in dentistry. Another aim is to provide a quick sketch of acupuncture use in dentistry for dental clinicians. Materials and Methods: A detailed search was performed to identify systematic reviews and research articles, using PUBMED and the Cochrane Database of Systematic Reviews. Language was restricted to English. Key search terms were acupuncture in dentistry, myofacial pain, temporomandibular disorders, xerostomia, dental pain and gag reflex. Results: All of the current the authors independently extracted data for analysis and review. Two independent reviewers screened the titles and abstracts of all the articles for eligibility. When the reviewers noted that an abstract or title of an article indicated that the article was potentially useful, full copies were retrieved. Ultimately, 40 articles underwent full-text review. Conclusions: The research to date certainly offers valid applications of acupuncture in dentistry. Meanwhile, practical strategies with the highest success rates are needed to use in further interventions.

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“…In einer spä teren Studie, bei der die Akupunktur be reits intraoperativ durchgeführt wurde, konnte kein analgetischer Effekt beobach tet werden [4]. Ekblom et al [5] beobach teten sogar eine Zunahme von Schmer zen und Analgetikaverbrauch in der Aku punkturgruppe nach Kieferoperationen. Kotani et al [10] konnten dagegen zeigen, dass eine paravertebrale Nadelung bei Pa tienten, die sich abdominellen Eingrif fen unterziehen mussten, den postopera tiven Opiatbedarf um ca.…”

Section: Schlüsselwörterunclassified