Dentistry Department, Federal University of Rio Grande Do Norte, Lagoa Nova, Brazil.
Cranio. 2023 Nov;41(6):501-507. doi: 10.1080/08869634.2021.1873605. Epub 2021 Jan 12.
To evaluate current studies to establish and compare the efficacy of traditional and laser acupuncture in reducing the signs and symptoms of temporomandibular disorders (TMD).
PubMed, Cochrane, Scopus, and Web of Science databases were searched. Clinical, controlled, and randomized trials written in English and having used traditional or laser acupuncture as therapy for TMD and RDC/TMD or DC/TMD as a diagnostic criterion for TMD were included.
Six studies that evaluated the intensity of pain and the level of mouth opening of the patients submitted to acupuncture were selected, and all showed improvement. However, similar results were also observed in the groups treated with occlusal splint and placebo acupuncture. Only one study evaluated laser acupuncture and showed a higher proportion of patients with remission of symptoms in the experimental group.
The traditional acupuncture seems to relieve the signs and symptoms of TMD, as well as laser acupuncture when associated with occlusal splint. However, more rigorous and high-quality clinical trials are needed.
评估现有研究，以确定和比较传统针灸和激光针灸在减轻颞下颌关节紊乱（TMD）症状和体征方面的疗效。
检索了 PubMed、Cochrane、Scopus 和 Web of Science 数据库。纳入了以英语撰写、采用传统或激光针灸作为 TMD 治疗方法、以 RDC/TMD 或 DC/TMD 作为 TMD 诊断标准的临床对照随机试验。
选择了 6 项评估接受针灸治疗的患者疼痛强度和张口程度的研究，所有研究均显示出改善。然而，接受咬合夹板和安慰剂针灸治疗的组也观察到了类似的结果。只有一项研究评估了激光针灸，显示实验组症状缓解的患者比例更高。
传统针灸似乎可以缓解 TMD 的症状和体征，激光针灸与咬合夹板联合应用时也是如此。然而，需要更多严格和高质量的临床试验。
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