Laser and acupuncture can be a treatment for myofascial temporomandibular disorder? A randomized, controlled, single-blind clinical trial
DOI:
https://doi.org/10.33448/rsd-v13i5.45819Keywords:
Temporomandibular joint; Temporomandibular joint disorders; Therapeutics; Acupuncture; Laser therapy.Abstract
Background: Temporomandibular disorder (TMD) is a set of conditions with a multifactor etiology that affect the temporomandibular joint and muscles of mastication. Objective: The aim of the present study was to assess the effectiveness of treatment for myofascial TMD using acupuncture and low-level laser therapy compared to occlusal splint. Methods: 23 patients recruited through announcements and online publications. The diagnosis of TMD was confirmed using the Research Diagnostic Criteria for TDM (RDC/TMD) and all participants had moderate to severe pain upon palpation. The participants were randomly allocated to three groups: Group 1–occlusal splint; Group 2–10 sessions of acupuncture (once per week); Group 3–low-level laser therapy at 48-h intervals until the remission of symptoms or until completing 10 sessions. The participants were submitted to evaluations before and after treatment as well as 30 days after the end of treatment involving the determination of pain intensity, maximum vertical mandibular movement, as well as extraoral and intraoral palpations e analyze intra e extra group. Results: Statistically significant improvements in pain intensity were found in the acupuncture and laser groups (p=0.002). Improvements in the masseter and temporal muscles as well as the lateral pole of the temporomandibular joint were achieved with acupuncture and laser. Significant improvement was found in the posterior mandibular region using all three treatment modalities. Improvement in the submandibular region was only achieved with laser therapy. Conclusion: Treatments with acupuncture and low-level laser were more effective at reducing symptoms in individuals with myofascial TMD compared occlusal splint.
References
Carvalho, C. M., De Lacerda, J. A., Dos Santos Neto, F. P., Cangussu, M. C., Marques, A. M. & Pinheiro, A. L. (2009). Wavelength effect in temporomandibular joint pain: a clinical experience. Lasers Med Sci. 25(2), 229-32. 10.1007/s10103-009-0695-y.
Turp, J. C., Komine, F. & Hugger, A. (2004). Efficacy of stabilization splints for the management of patients with masticatory muscle pain: a qualitative systematic review. Clin Oral Investig. 8 (4), 179-95.
Valesan, L. F., Da-Cas, C. D., Réus, J. C., Denardin, A. C. S., Garanhani, R. R., Bonotto, D. et al. (2021). Prevalence of temporomandibular joint disorders: a systematic review and meta-analysis. Clin Oral Investig. 25(2), 441-453. 10.1007/s00784-020-03710-w.
Simma, I., Gleditsch, J. M., Simma, L. & Piehslinger, E. (2009). Immediate effects of microsystem acupuncture in patients with oromyofacial pain and craniomandibular disorders (CMD), a double-blind, placebo-controlled trial. Br Dent J. 207: E26. 10.1038/sj.bdj.2009.959
Story, W. P., Durham, J., Al-Baghdadi, M., Steele, J. & Araujo-Soares, V. (2016). Self-management in temporomandibular disorders: a systematic review of behavioural components. J Oral Rehabil. 43(10), 759-70
Zhang, S. H., He, K. X., Lin, C. J., Liu, X. D., Wu, L., Chen, J. et al. (2020). Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Acta Odontol Scand. 78(8), 580-9
Shukla, D., & Muthusekhar, M. R. (2016). Efficacy of low-level laser therapy in temporomandibular disorders: A systematic review. National journal of maxillofacial surgery, 7(1), 62–66. https://doi.org/10.4103/0975-5950.196127
Cândido Dos Reis, A., Theodoro de Oliveira, T., Vidal, C. L., Borsatto, M. C., & Lima da Costa Valente, M. (2021). Effect of Auricular Acupuncture on the Reduction of Symptoms Related to Sleep Disorders, Anxiety and Temporomandibular Disorder (TMD). Alternative therapies in health and medicine, 27(2), 22–26.
Şen, S., Orhan, G., Sertel, S., Schmitter, M., Schindler, H. J., Lux, C. J., & Giannakopoulos, N. N. (2020). Comparison of acupuncture on specific and non-specific points for the treatment of painful temporomandibular disorders: A randomised controlled trial. Journal of oral rehabilitation, 47(7), 783–795. https://doi.org/10.1111/joor.12952
Fernandes, A. C., Duarte Moura, D. M., Da Silva, L. G. D., De Almeida, E. O., & Barbosa, G. A. S. (2017). Acupuncture in Temporomandibular Disorder Myofascial Pain Treatment: A Systematic Review. Journal of oral & facial pain and headache, 31(3), 225–232. https://doi.org/10.11607/ofph.1719
Toassi, R. F. C. & Petry, P. C. (2021). Metodologia científica aplicada à área da Saúde. (2a ed.), Editora da UFRGS
Naik, P. N., Kiran, R. A., Yalamanchal, S., Kumar, V. A., Goli, S., & Vashist, N. (2014). Acupuncture: An Alternative Therapy in Dentistry and Its Possible Applications. Medical acupuncture, 26(6), 308–314. https://doi.org/10.1089/acu.2014.1028
Catão, M. H. C. de V., Oliveira, P. S., Costa, R. de O., & Carneiro, V. S. M. (2013). Avaliação da eficácia do laser de baixa intensidade no tratamento das disfunções têmporo-mandibular: estudo clínico randomizado. Revista CEFAC, 15(6), 1601–1608. https://doi.org/10.1590/S1516-18462013005000052
Bianchini E.M.G. Ferreira L.P., Befi- Lopes D.M. & Limongi S.C.O. (2004) Articulação Temporomandibular e Fonoaudiologia. Tratado de Fonoaudiologia; 315-329.
Dimitroulis G. (1998). Temporomandibular disorders: a clinical update. BMJ (Clinical research ed.), 317(7152), 190–194. https://doi.org/10.1136/bmj.317.7152.190
Alves R. L. B. R., Silva P. F. S., Veiga P. H. A. & Daher C. R. M. (2010). A eficácia dos recursos fisioterapêuticos no ganho da amplitude de abertura bucal em pacientes com disfunções craniomandibulares. Rev Odontol UNESP.;39(1), 55-61.
Kinote A. P. B. M., Monteiro L. T., Vieira A. A. A., Ferreira N. M. N. & Abdon A. P. V. (2011). Perfil funcional de pacientes com disfunção temporomandibular em tratamento fisioterápico. Rev Bras Promoção Saúde. ;24(4), 306-312.
Schmid-Schwap, M., Simma-Kletschka, I., Stockner, A., Sengstbratl, M., Gleditsch, J., Kundi, M., & Piehslinger, E. (2006). Oral acupuncture in the therapy of craniomandibular dysfunction syndrome -- a randomized controlled trial. Wiener klinische Wochenschrift, 118(1-2), 36–42. https://doi.org/10.1007/s00508-005-0501-1
Zotelli, V. L., Grillo, C. M., Gil, M. L., Wada, R. S., Sato, J. E., & da Luz Rosário de Sousa, M. (2017). Acupuncture Effect on Pain, Mouth Opening Limitation and on the Energy Meridians in Patients with Temporomandibular Dysfunction: A Randomized Controlled Trial. Journal of acupuncture and meridian studies, 10(5), 351–359. https://doi.org/10.1016/j.jams.2017.08.005
Madani, A., Ahrari, F., Fallahrastegar, A., & Daghestani, N. (2020). A randomized clinical trial comparing the efficacy of low-level laser therapy (LLLT) and laser acupuncture therapy (LAT) in patients with temporomandibular disorders. Lasers in medical science, 35(1), 181–192. https://doi.org/10.1007/s10103-019-02837-x
Pérez A.C.N. (2010). Acupuntura Bioenergética e Moxabustão. Valladolid: Ediciones
Venezian G.C. (2009). Efeito do laser de baixa intensidade na dor à palpação, amplitude dos movimentos mandibulares e atividade eletromiográfica de portadores de disfunção temporomandibular [dissertação]. Ribeirão Preto: Faculdade De Odontologia De Ribeirão Preto, Universidade De São Paulo;
Shen, Y. F., Younger, J., Goddard, G., & Mackey, S. (2009). Randomized clinical trial of acupuncture for myofascial pain of the jaw muscles. Journal of orofacial pain, 23(4), 353–359.
Rezende M. C. R., Sant’anna C. B. M., Aguilar S. M. H. C., Bertoz A. P. M., Hall K. B., Dyonisio A. L. B., et al. (2013). Temporomandibular Disorders in Females: Acupuncture Compared to Occlusal Splint. Arch Health Invest. ;2(3), 08-14.
Porporatti, A. L., Costa, Y. M., Stuginski-Barbosa, J., Bonjardim, L. R., & Conti, P. C. R. (2015). Acupuncture therapeutic protocols for the management of temporomandibular disorders. Revista Dor, 16(1), 53–59. https://doi.org/10.5935/1806-0013.20150011
Grillo, C. M., Canales, G.deL., Wada, R. S., Alves, M. C., Barbosa, C. M., Berzin, F., & de Sousa, M.daL. (2015). Could Acupuncture Be Useful in the Treatment of Temporomandibular Dysfunction? Journal of acupuncture and meridian studies, 8(4), 192–199. https://doi.org/10.1016/j.jams.2014.12.001
Borin G. S., Corrêa E. C., Silva A. M. T. & Milanesi J. M. (2011). Acupuntura como recurso terapêutico na dor e na gravidade da desordem temporomandibular. Fisioter Pesqui. ;18(3), 217-222.
Vicente-Barrero, M., Yu-Lu, S. L., Zhang, B., Bocanegra-Pérez, S., Durán-Moreno, D., López-Márquez, A., Knezevic, M., Castellano-Navarro, J. M., & Limiñana-Cañal, J. M. (2012). The efficacy of acupuncture and decompression splints in the treatment of temporomandibular joint pain-dysfunction syndrome. Medicina oral, patologia oral y cirugia bucal, 17(6), e1028–e1033. https://doi.org/10.4317/medoral.17567
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