Ear Acupuncture Therapy for Masticatory Myofascial and Temporomandibular Pain: A Controlled Clinical Trial

Luciano Ambrósio Ferreira1, Eduardo Grossmann2, Eduardo Januzzi3, Rafael Soares Gonçalves4, Fernando Antonio Guedes Mares5, Marcos Vinícius Queiróz de Paula6, Antônio Carlos Pires Carvalho7
1Departamento de Radiologia da Faculdade de Medicina, Universidade Federal do Rio de Janeiro, Rua Luiz Andrade Silveira 207, Centenário, 36045-280 Juiz de Fora, MG, Brazil
2Universidade Federal do Rio Grande do Sul, Rua Coronel Corte Real 513, Petrópolis, 90630-080 Porto Alegre, RS, Brazil
3Facsete/Ciodonto Faculdade de Tecnologia de Sete Lagoas, Avenida Prudente Morais 287, Sala 703, 30350-093 Belo Horizonte, MG, Brazil
4Facsete/Ciodonto Faculdade de Tecnologia de Sete Lagoas, Rua Padre Marinho 98, Santa Efigênia, 30140-040 Belo Horizonte, MG, Brazil
5Escola Paulista de Medicina, Unifesp, Avenida Brasil 1438, Sala 906, Funcionários, 30140-003 Belo Horizonte, MG, Brazil
6Faculdade de Odontologia, Universidade Federal de Juiz de Fora (UFJF), s/n, Martelos, 36036-330 Juiz de Fora, MG, Brazil
7Departamento de Radiologia da Faculdade de Medicina, Universidade Federal do Rio de Janeiro, CCS, Avenida Carlos Chagas Filho 373, Bloco K, 2° Andar, Sala 49, Cidade Universitária, Ilha do Fundão, 21941-902 Rio de Janeiro, RJ, Brazil

Tóm tắt

Ear acupuncture works by reducing painful sensations with analgesic effect through microsystem therapy and has been demonstrated to be as effective as conventional therapies in the control of facial pain. This clinical trial aimed to evaluate the adjuvant action of auricular acupuncture through an observation of the evolution of temporomandibular and masticatory myofascial symptoms in two groups defined by the therapies elected: auricular acupuncture associated with occlusal splint (study) and the use of the occlusal splint plate alone (control). We have selected 20 patients, who were randomly allocated into two groups of ten individuals. Symptoms were evaluated in five different moments, every seven days. We analyzed the orofacial muscle and joint palpation in order to measure the intensity of the experienced pain. Both groups showed a statistically significant decrease in muscle and joint symptoms (p<0.05). However, comparisons between the groups showed an expressive and significant reduction of symptomatology in the study group (p<0.05) already on the first week of therapy. According to the results, to the methodological criteria developed and statistical analysis applied, the conclusion is that auricular acupuncture therapy has synergistic action on conventional occlusal splint treatment. It was demonstrated to be effective in the reduction of symptoms in the short term.

Từ khóa


Tài liệu tham khảo

2001, Journal of Orofacial Pain, 15, 93

10.1590/s2176-94512010000300014

10.1007/s10484-008-9059-9

10.1093/ejo/cjr095

10.1007/s10103-013-1273-x

2011

2009, Agri, 21, 89

10.1007/s12548-009-0015-y

2005, Journal of Dental Education, 69, 1242, 10.1002/j.0022-0337.2005.69.11.tb04023.x

2003, Revista Paulista de Odontologia, 24, 24

2014, Journal of the Canadian Dental Association, 80, e49

10.1089/acm.2008.0484

1992, Acta Odontologica Scandinavica, 50, 375, 10.3109/00016359209012785

10.1136/aim.24.1.16

10.1001/archotol.125.3.269

2007, Acta Science Veterinary, 35, 277

10.1016/j.neuroscience.2011.07.076

10.1016/j.pneurobio.2008.05.004

10.1590/s0103-84782001000600029

1990, Physical Therapy, 70, 24, 10.1093/ptj/70.1.24

2006

2013

10.1034/j.1601-0825.2001.0070208.x

10.1007/s00508-005-0501-1

10.1136/aim.21.4.138

2006, Archivo Médico de Camaguey, 10, 65

1992, Journal of Craniomandibular Disorders : Facial & Oral Pain, 6, 301

2001

2006

2009, Revista de Odontologia da UNESP, 38, 379

2010, Revista de Odontologia da Universidade Cidade de São Paulo, 22, 185

2011, Odontologia Clínico-Científica, 10, 189

2009, Revista Internacional de Acupuntura, 3, 6, 10.1016/S1887-8369(09)70433-8

10.1111/j.1365-2842.2008.01913.x

2005

2006, Ciência Odontológica Brasileira, 9, 84