Acupuncture in Temporomandibular Disorders Painful Symptomatology: An Evidence-Based Case Report

Abstract

Temporomandibular dysfunction (TMD) is complex and multifactorial. Its etiology involves various factors, such as malocclusion, psychological patterns, parafunctional habits, and the temporomandibular joint anatomy. Symptoms include myofascial pain, joint clicking, mouth opening limitation, headaches, earaches, and neck pain, comprising one of the greatest causes of nondental pain. Acupuncture has been used to treat these conditions by acting locally both in muscle relaxation and pain management as well as reaching physical, mental, and emotional balance. The aim of this study is to present a brief literature review reporting the efficacy of acupuncture on TMDs and a case report in which the painful symptomatology of TMD was treated with a systemic protocol, based on scientific evidence and concepts of traditional Chinese medicine. Acupuncture may be a complementary treatment for TMD, and in this case report, it eliminated the patient’s painful symptomatology.

Keywords

acupuncture - case report - tempormandibular dysfunction - traditional Chinese medicine

Publikationsverlauf

Artikel online veröffentlicht:
01. Oktober 2020

• References

• 1 De Rossi SS, Greenberg MS, Liu F, Steinkeler A. Temporomandibular disorders: evaluation and management. Med Clin North Am 2014; 98 (06) 1353-1384
• 2 Grillo CM, Canales GdeL, Wada RS. et al. Could acupuncture be useful in the treatment of temporomandibular dysfunction?. J Acupunct Meridian Stud 2015; 8 (04) 192-199
• 3 Fernandes AC, Duarte Moura DM, Da Silva LGD, De Almeida EO, Barbosa GAS. Acupuncture in temporomandibular disorder myofascial pain treatment: a systematic review. J Oral Facial Pain Headache 2017; 31 (03) 225-232
• 4 Ferreira LA, de Oliveira RG, Guimarães JP, Carvalho AC, De Paula MV. Laser acupuncture in patients with temporomandibular dysfunction: a randomized controlled trial. Lasers Med Sci 2013; 28 (06) 1549-1558
• 5 Sener S, Akgunlu F. Correlation between the condyle position and intra-extraarticular clinical findings of temporomandibular dysfunction. Eur J Dent 2011; 5 (03) 354-360
• 6 Gauer RL, Semidey MJ. Diagnosis and treatment of temporomandibular disorders. Am Fam Physician 2015; 91 (06) 378-386
• 7 Carvalho LSC, Nascimento OJM, Rodrigues LL, Matta APDC. Relationship between expanded disability status scale scores and the presence of temporomandibular disorders in patients with multiple sclerosis. Eur J Dent 2018; 12 (01) 144-148
• 8 Kindler S, Samietz S, Houshmand M. et al. Depressive and anxiety symptoms as risk factors for temporomandibular joint pain: a prospective cohort study in the general population. J Pain 2012; 13 (12) 1188-1197
• 9 Alrashdan MS, Alkhader M. Psychological factors in oral mucosal and orofacial pain conditions. Eur J Dent 2017; 11 (04) 548-552
• 10 Fan AY, Miller DW, Bolash B. et al. Acupuncture’s role in solving the opioid epidemic: evidence, cost-effectiveness, and care availability for acupuncture as a primary, non-pharmacologic method for pain relief and management-white paper 2017. J Integr Med 2017; 15 (06) 411-425
• 11 Branco CA, Fonseca RB, Borges RF, Venezian GC, Magri LV, Mazzetto MO. Perception of the signs and symptoms of temporomandibular disorder in females by using the ProTMDMulti protocol and the visual analog scale before and after acupuncture treatment. Cranio 2016; 34 (02) 118-123
• 12 Itoh K, Asai S, Ohyabu H, Imai K, Kitakoji H. Effects of trigger point acupuncture treatment on temporomandibular disorders: a preliminary randomized clinical trial. J Acupunct Meridian Stud 2012; 5 (02) 57-62
• 13 Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992; 6 (04) 301-355
• 14 Politti F, Casellato C, Kalytczak MM, Garcia MB, Biasotto-Gonzalez DA. Characteristics of EMG frequency bands in temporomandibullar disorders patients. J Electromyogr Kinesiol 2016; 31: 119-125
• 15 Sacco IC, Gomes AA, Otuzi ME, Pripas D, Onodera AN. A method for better positioning bipolar electrodes for lower limb EMG recordings during dynamic contractions. J Neurosci Methods 2009; 180 (01) 133-137
• 16 Han JS. Acupuncture analgesia: areas of consensus and controversy. Pain 2011; 152 (Suppl. 03) S41-S48
• 17 Fricton J. Myogenous temporomandibular disorders: diagnostic and management considerations. Dent Clin North Am 2007; 51 (01) 61-83
• 18 Okeson JP, de Leeuw R. Differential diagnosis of temporomandibular disorders and other orofacial pain disorders. Dent Clin North Am 2011; 55 (01) 105-120
• 19 Rai S, Ranjan V, Misra D, Panjwani S. Management of myofascial pain by therapeutic ultrasound and transcutaneous electrical nerve stimulation: a comparative study. Eur J Dent 2016; 10 (01) 46-53
• 20 Gaskin DJ, Richard P. The economic costs of pain in the United States. J Pain 2012; 13 (08) 715-724
• 21 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; 20 (03) e326-e333
• 22 Maciocia G. The Foundations of Chinese Medicine. 3rd ed. Oxford: Churchill Livingstone; 2015
• 23 Merrill RL. Central mechanisms of orofacial pain. Dent Clin North Am 2007; 51 (01) 45-59
• 24 Auvenshine RC. Temporomandibular disorders: associated features. Dent Clin North Am 2007; 51 (01) 105-127
• 25 Auvenshine RC. Acute vs. chronic pain. Tex Dent J 2000; 117 (07) 14-20