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An Alternative Treatment Method for Temporomandibular Joint Disorders: Acupuncture

Year 2023, Volume: 9 Issue: 3, 103 - 110, 01.12.2023

Abstract

Although there is no standard method in the treatment of temporomandibular joint disorders which has multifactorial etiology, various alternatives can be used together depending on the patient's symptoms and etiology. The main objective of treatment is to relieve the patient's pain. Today, in addition to traditional treatment methods, alternatives such as acupuncture are gaining an increasing area of use, especially in the treatment of muscle and neurological origin pain.
In studies examining the effect of acupuncture on pain, it has been found to have a short-term analgesic effect. In recent years, it has become widespread in the treatment of temporomandibular disorders as an alternative or as an additional method to other treatments. When various studies evaluating the effectiveness of acupuncture in the temporomandibular region are examined, a wide variety of results are encountered. Along with the studies that have been observed to relieve pain in the temporomandibular region, there are also studies that have been reported to have no effect. It has been determined that this difference in results is due to the lack of a standard examination method in the studies and to a wide variety of differences in material-method.
In our study, effect of acupuncture in temporomandibular joint disorders was mentioned; It is aimed to examine different views in the literature on the subject by mentioning various studies in this field.

References

  • Gray RJM, Davies SJ, Quayle AA, Davies S. A Clinical Guide to Temporomandibular Disorders. British Dental Journal; 1995.
  • Peixoto KO, da Silva Bezerra A, Melo RA, de Resende CMBM, de Almeida EO, Barbosa GAS. Short-Term Effect of Scalp Acupuncture on Pain, Sleep Disorders, and Quality of Life in Patients with Temporomandibular Disorders: A A Randomized Clinical Trial. Pain Med. 2021;22(4):905–14.
  • Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002 Apr;81(4):284–8.
  • Pergamalian A, Rudy TE, Zaki HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent. 2003 Aug;90(2):194–200.
  • Okeson J. Management Temporomandibular Disorders and Occlusion. 4th ed. St. Louis, Mo, USA: Mosby; 1998.
  • Balasubramaniam R, de Leeuw R, Zhu H, Nickerson RB, Okeson JP, Carlson CR. Prevalence of temporomandibular disorders in fibromyalgia and failed back syndrome patients: a blinded prospective comparison study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Aug;104(2):204–16.
  • Noiman M, Garty A, Maimon Y, Miller U, Lev- Ari S. Acupuncture for Treating Temporomandibular Disorder: Retrospective Study on Safety and Efficacy. JAMS Journal of Acupuncture and Meridian Studies. 2010;3(4):260–6.
  • Al-Ani MZ, Davies SJ, Gray RJM, Sloan P, Glenny AM. Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database Syst Rev. 2004;(1):CD002778.
  • Greene CS. Managing the care of patients with temporomandibular disorders: a new guideline for care. J Am Dent Assoc. 2010 Sep;141(9):1086–8.
  • Wieckiewicz M, Boening K, Wiland P, Shiau YY, Paradowska-Stolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain. 2015;16:106.
  • Tatli U, Benlidayi ME, Ekren O, Salimov F. Comparison of the effectiveness of three different treatment methods for temporomandibular joint disc displacement without reduction. Int J Oral Maxillofac Surg. 2017 May;46(5):603–9.
  • Acupuncture Regulatory Working Group. The Statutory Regulation of the Acupuncture Profession. The Prince of Wales’s Foundation for Integrated Health. 2003;(September):12.
  • Lian Y, Chen C, Hammes M, Kolster B. Seirin Bildatlas Der Akupunktur. Marburg: Könemann Verlagsgesellschaft mbH; 1999.
  • Thayer MLT. The Use of Acupuncture in Dentistry. Dent Update. 2007;(34):244–50.
  • Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol. 2008 Aug;85(4):355–75.
  • Moffet HH. How might acupuncture work? A systematic review of physiologic rationales from clinical trials. BMC Complement Altern Med. 2006 Jul;6:25.
  • Çifter ED, Yengin E, Özel Yıldız S, Usta A. Investigation of the Effectiveness of Occlusal Splint, Acupuncture and Pharmacological Treatment in Myofascial Pain. Journal of Traditional Medical Complementary Therapies. 2018;1(3):115–26.
  • Helms J. Acupuncture Energetics: A Clinical Approach for Physicians. 1995. 19–70 p.
  • Jensen LB, Jensen SB. Effect of acupuncture on tension headache and urinary catecholamine excretion. Scand J Dent Res. 1982 Oct;90(5):397–403.
  • Murase K, Kawakita K. Diffuse noxious inhibitory controls in anti-nociception produced by acupuncture and moxibustion on trigeminal caudalis neurons in rats. Jpn J Physiol. 2000 Feb;50(1):133–40.
  • Andersson S, Lundeberg T. Acupuncture--from empiricism to science: functional background to acupuncture effects in pain and disease. Med Hypotheses. 1995 Sep;45(3):271–81.
  • World Health Organization. Acupuncture:Review and Analysis of Reports on Controlled Clinical Trials. 2002;
  • Naik PN, Kiran RA, Yalamanchal S, Kumar VA, Goli S, Vashist N. Acupuncture: An Alternative Therapy in Dentistry and Its Possible Applications. Med Acupunct. 2014 Dec 1;26(6):308–14.
  • Vicente-Barrero M, Yu-Lu SL, Zhang B, Bocanegra- Pérez S, Durán-Moreno D, López-Márquez A, et al. The efficacy of acupuncture and decompression splints in the treatment of temporomandibular joint paindysfunction syndrome. Med Oral Patol Oral Cir Bucal. 2012;17(6):1028–33.
  • Rosted P. Practical recommendations for the use of acupuncture in the treatment of temporomandibular disorders based on the outcome of published controlled studies. Oral Dis. 2001;7(2):109–15.
  • Hui KK, Liu J, Makris N, Gollub RL, Chen AJ, Moore CI, et al. Acupuncture modulates the limbic system and subcortical gray structures of the human brain: evidence from fMRI studies in normal subjects. Hum Brain Mapp. 2000;9(1):13–25.
  • Rott W. Acupuncture in clinical therapy. Acta Neuroveg (Wien). 1950;1(5):518–29.
  • Rosted P. The use of acupuncture in dentistry: a systematic review. Acupunct Med. 1998;16(1):43–8.
  • List T, Helkimo M, Andersson S, Carlsson GE. Acupuncture and occlusal splint therapy in the treatment of craniomandibular disorders. Part I. A comparative study. Swed Dent J. 1992;16(4):125–41.
  • Fernandes A, Moura D, Da Silva L, De Almeida E, Barbosa G. Acupuncture in Temporomandibular Disorder Myofascial Pain Treatment: A Systematic Review. J Oral Facial Pain Headache. 2017;31(3):225–32.
  • Şen S, Orhan G, Sertel S, Schmitter M, Schindler HJ, Lux CJ, et al. Comparison of acupuncture on specific and non-specific points for the treatment of painful temporomandibular disorders: A randomised controlled trial. J Oral Rehabil. 2020;47(7):783–95.
  • Gonzalez-Perez LM, Infante-Cossio P, Granados- Nunez M, Urresti-Lopez FJ, Lopez-Martos R, Ruiz- Canela-Mendez P. Deep dry needling of trigger points located in the lateral pterygoid muscle: Efficacy and safety of treatment for management of myofascial pain and temporomandibular dysfunction. Med Oral Patol Oral Cir Bucal. 2015 May;20(3):e326-33.
  • Grillo CM, Canales GD la T, Wada RS, Alves MC, Barbosa CMR, Berzin F, et al. Could Acupuncture Be Useful in the Treatment of Temporomandibular Dysfunction? JAMS Journal of Acupuncture and Meridian Studies. 2015;8(4):192–9.
  • Ferreira LA, de Oliveira RG, Guimarães JP, Carvalho ACP, De Paula MVQ. Laser acupuncture in patients with temporomandibular dysfunction: a randomized controlled trial. Lasers Med Sci. 2013 Nov;28(6):1549– 58.
  • Dietrich L, Rodrigues IVS, De Assis Costa MDM, Carvalho RF, Da Silva GR. Acupuncture in temporomandibular disorders painful symptomatology: An evidence-based case report. Eur J Dent. 2020;14(4):692–6.
  • Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan;13(1):3–10.
  • Rancan SV, Bataglion C, Bataglion SA, Bechara OMR, Semprini M, Siéssere S, et al. Acupuncture and temporomandibular disorders: a 3-month follow-up EMG study. J Altern Complement Med. 2009 Dec;15(12):1307– 10.
  • Jung A, Shin BC, Lee MS, Sim H, Ernst E. Acupuncture for treating temporomandibular joint disorders: A systematic review and meta-analysis of randomized, sham-controlled trials. J Dent. 2011;39(5):341–50.

Temporomandibular Eklem Bozukluklarında Alternatif Bir Tedavi Yöntemi:Akupunktur

Year 2023, Volume: 9 Issue: 3, 103 - 110, 01.12.2023

Abstract

Multifaktöriyel etiyolojiye sahip temporomandibular eklem rahatsızlıklarının tedavisinde standart bir yöntem bulunmamakla birlikte, hastanın semptomları ve etiyolojisine bağlı olarak çeşitli alternatifler bir arada kullanılabilir. Tedavinin temel amacı hastanın ağrısının giderilmesidir. Günümüzde geleneksel tedavi yöntemlerine ek olarak akupunktur gibi alternatifler de özellikle kas ve nörolojik kaynaklı ağrı tedavilerinde giderek artan bir kullanım alanı kazanmaktadır.
Akupunkturun ağrı üzerindeki etkisini inceleyen çalışmalarda, kısa vadeli analjezik etkisi olduğu tespit edilmiştir. Son yıllarda temporomandibular rahatsızlıkların tedavisinde de alternatif olarak veya diğer tedavilere ek bir yöntem olarak kullanımı yaygınlaşmıştır. Akupunkturun temporomandibular bölgedeki etkinliğinin değerlendirildiği çeşitli çalışmalar incelendiğinde çok çeşitli sonuçlarla karşılaşılmaktadır. Temporomandibular bölgedeki ağrıyı giderdiği gözlenen çalışmalarla birlikte, etkisi olmadığının bildirildiği araştırmalara da rastlanmaktadır. Sonuçlardaki bu farklılığın çalışmalarda standart bir inceleme yöntemi olmaması ve materyal-metoddaki çok çeşitli farklılıklara bağlı olduğu tespit edilmiştir.
Çalışmamızda, temporomandibular eklem rahatsızlıklarında akupunkturun etki mekanizmasına değinilmiş; bu alandaki çeşitli çalışmalardan bahsedilerek konuyla ilgili literatürdeki farklı görüşlerin incelenmesi amaçlanmıştır.

References

  • Gray RJM, Davies SJ, Quayle AA, Davies S. A Clinical Guide to Temporomandibular Disorders. British Dental Journal; 1995.
  • Peixoto KO, da Silva Bezerra A, Melo RA, de Resende CMBM, de Almeida EO, Barbosa GAS. Short-Term Effect of Scalp Acupuncture on Pain, Sleep Disorders, and Quality of Life in Patients with Temporomandibular Disorders: A A Randomized Clinical Trial. Pain Med. 2021;22(4):905–14.
  • Huang GJ, LeResche L, Critchlow CW, Martin MD, Drangsholt MT. Risk factors for diagnostic subgroups of painful temporomandibular disorders (TMD). J Dent Res. 2002 Apr;81(4):284–8.
  • Pergamalian A, Rudy TE, Zaki HS, Greco CM. The association between wear facets, bruxism, and severity of facial pain in patients with temporomandibular disorders. J Prosthet Dent. 2003 Aug;90(2):194–200.
  • Okeson J. Management Temporomandibular Disorders and Occlusion. 4th ed. St. Louis, Mo, USA: Mosby; 1998.
  • Balasubramaniam R, de Leeuw R, Zhu H, Nickerson RB, Okeson JP, Carlson CR. Prevalence of temporomandibular disorders in fibromyalgia and failed back syndrome patients: a blinded prospective comparison study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Aug;104(2):204–16.
  • Noiman M, Garty A, Maimon Y, Miller U, Lev- Ari S. Acupuncture for Treating Temporomandibular Disorder: Retrospective Study on Safety and Efficacy. JAMS Journal of Acupuncture and Meridian Studies. 2010;3(4):260–6.
  • Al-Ani MZ, Davies SJ, Gray RJM, Sloan P, Glenny AM. Stabilisation splint therapy for temporomandibular pain dysfunction syndrome. Cochrane Database Syst Rev. 2004;(1):CD002778.
  • Greene CS. Managing the care of patients with temporomandibular disorders: a new guideline for care. J Am Dent Assoc. 2010 Sep;141(9):1086–8.
  • Wieckiewicz M, Boening K, Wiland P, Shiau YY, Paradowska-Stolarz A. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain. 2015;16:106.
  • Tatli U, Benlidayi ME, Ekren O, Salimov F. Comparison of the effectiveness of three different treatment methods for temporomandibular joint disc displacement without reduction. Int J Oral Maxillofac Surg. 2017 May;46(5):603–9.
  • Acupuncture Regulatory Working Group. The Statutory Regulation of the Acupuncture Profession. The Prince of Wales’s Foundation for Integrated Health. 2003;(September):12.
  • Lian Y, Chen C, Hammes M, Kolster B. Seirin Bildatlas Der Akupunktur. Marburg: Könemann Verlagsgesellschaft mbH; 1999.
  • Thayer MLT. The Use of Acupuncture in Dentistry. Dent Update. 2007;(34):244–50.
  • Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol. 2008 Aug;85(4):355–75.
  • Moffet HH. How might acupuncture work? A systematic review of physiologic rationales from clinical trials. BMC Complement Altern Med. 2006 Jul;6:25.
  • Çifter ED, Yengin E, Özel Yıldız S, Usta A. Investigation of the Effectiveness of Occlusal Splint, Acupuncture and Pharmacological Treatment in Myofascial Pain. Journal of Traditional Medical Complementary Therapies. 2018;1(3):115–26.
  • Helms J. Acupuncture Energetics: A Clinical Approach for Physicians. 1995. 19–70 p.
  • Jensen LB, Jensen SB. Effect of acupuncture on tension headache and urinary catecholamine excretion. Scand J Dent Res. 1982 Oct;90(5):397–403.
  • Murase K, Kawakita K. Diffuse noxious inhibitory controls in anti-nociception produced by acupuncture and moxibustion on trigeminal caudalis neurons in rats. Jpn J Physiol. 2000 Feb;50(1):133–40.
  • Andersson S, Lundeberg T. Acupuncture--from empiricism to science: functional background to acupuncture effects in pain and disease. Med Hypotheses. 1995 Sep;45(3):271–81.
  • World Health Organization. Acupuncture:Review and Analysis of Reports on Controlled Clinical Trials. 2002;
  • Naik PN, Kiran RA, Yalamanchal S, Kumar VA, Goli S, Vashist N. Acupuncture: An Alternative Therapy in Dentistry and Its Possible Applications. Med Acupunct. 2014 Dec 1;26(6):308–14.
  • Vicente-Barrero M, Yu-Lu SL, Zhang B, Bocanegra- Pérez S, Durán-Moreno D, López-Márquez A, et al. The efficacy of acupuncture and decompression splints in the treatment of temporomandibular joint paindysfunction syndrome. Med Oral Patol Oral Cir Bucal. 2012;17(6):1028–33.
  • Rosted P. Practical recommendations for the use of acupuncture in the treatment of temporomandibular disorders based on the outcome of published controlled studies. Oral Dis. 2001;7(2):109–15.
  • Hui KK, Liu J, Makris N, Gollub RL, Chen AJ, Moore CI, et al. Acupuncture modulates the limbic system and subcortical gray structures of the human brain: evidence from fMRI studies in normal subjects. Hum Brain Mapp. 2000;9(1):13–25.
  • Rott W. Acupuncture in clinical therapy. Acta Neuroveg (Wien). 1950;1(5):518–29.
  • Rosted P. The use of acupuncture in dentistry: a systematic review. Acupunct Med. 1998;16(1):43–8.
  • List T, Helkimo M, Andersson S, Carlsson GE. Acupuncture and occlusal splint therapy in the treatment of craniomandibular disorders. Part I. A comparative study. Swed Dent J. 1992;16(4):125–41.
  • Fernandes A, Moura D, Da Silva L, De Almeida E, Barbosa G. Acupuncture in Temporomandibular Disorder Myofascial Pain Treatment: A Systematic Review. J Oral Facial Pain Headache. 2017;31(3):225–32.
  • Şen S, Orhan G, Sertel S, Schmitter M, Schindler HJ, Lux CJ, et al. Comparison of acupuncture on specific and non-specific points for the treatment of painful temporomandibular disorders: A randomised controlled trial. J Oral Rehabil. 2020;47(7):783–95.
  • Gonzalez-Perez LM, Infante-Cossio P, Granados- Nunez M, Urresti-Lopez FJ, Lopez-Martos R, Ruiz- Canela-Mendez P. Deep dry needling of trigger points located in the lateral pterygoid muscle: Efficacy and safety of treatment for management of myofascial pain and temporomandibular dysfunction. Med Oral Patol Oral Cir Bucal. 2015 May;20(3):e326-33.
  • Grillo CM, Canales GD la T, Wada RS, Alves MC, Barbosa CMR, Berzin F, et al. Could Acupuncture Be Useful in the Treatment of Temporomandibular Dysfunction? JAMS Journal of Acupuncture and Meridian Studies. 2015;8(4):192–9.
  • Ferreira LA, de Oliveira RG, Guimarães JP, Carvalho ACP, De Paula MVQ. Laser acupuncture in patients with temporomandibular dysfunction: a randomized controlled trial. Lasers Med Sci. 2013 Nov;28(6):1549– 58.
  • Dietrich L, Rodrigues IVS, De Assis Costa MDM, Carvalho RF, Da Silva GR. Acupuncture in temporomandibular disorders painful symptomatology: An evidence-based case report. Eur J Dent. 2020;14(4):692–6.
  • Tough EA, White AR, Cummings TM, Richards SH, Campbell JL. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomised controlled trials. Eur J Pain. 2009 Jan;13(1):3–10.
  • Rancan SV, Bataglion C, Bataglion SA, Bechara OMR, Semprini M, Siéssere S, et al. Acupuncture and temporomandibular disorders: a 3-month follow-up EMG study. J Altern Complement Med. 2009 Dec;15(12):1307– 10.
  • Jung A, Shin BC, Lee MS, Sim H, Ernst E. Acupuncture for treating temporomandibular joint disorders: A systematic review and meta-analysis of randomized, sham-controlled trials. J Dent. 2011;39(5):341–50.
There are 38 citations in total.

Details

Primary Language Turkish
Subjects Prosthodontics, Health Care Administration
Journal Section Review
Authors

Ersin Arıcan 0000-0002-2037-7548

Ali Balık 0000-0002-3630-831X

Meltem Özdemir Karataş 0000-0001-7132-9936

Publication Date December 1, 2023
Submission Date April 16, 2023
Published in Issue Year 2023 Volume: 9 Issue: 3

Cite

Vancouver Arıcan E, Balık A, Özdemir Karataş M. Temporomandibular Eklem Bozukluklarında Alternatif Bir Tedavi Yöntemi:Akupunktur. Aydin Dental Journal. 2023;9(3):103-10.

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