Argueta-Figueroa Liliana, Flores-Mejía Luis Angel, Ávila-Curiel Beatriz Xóchitl, Flores-Ferreyra Blanca Irma, Torres-Rosas Rafael
CONACyT - Facultad de Odontología, Universidad Autónoma "Benito Juárez" de Oaxaca, Oaxaca, México.
Sponsored Researcher, School of Public Health, Imperial College, London, United Kingdom.
Eur J Dent. 2022 Jul;16(3):500-513. doi: 10.1055/s-0041-1740220. Epub 2022 Mar 8.
This systematic review aimed to compare the efficacy of nonpharmacological therapies for painful temporomandibular joint disorders. The protocol was registered on International Prospective Register of Systematic Reviews (PROSPERO) database (CRD42020171364). The search was performed on the electronic databases PubMed, Google Scholar, Clinical Trials, and Web of Science. The eligibility criteria were randomized controlled trials in patients diagnosed with painful temporomandibular joint disorders comparing the pain relief between conventional treatment and nonpharmacological therapies such as acupuncture, physiotherapy, low-level laser, and massage. Fourteen articles were included in this review. At the overall bias of the studies included, 71.42% exhibited some concerns and 28.57% had high risk. The efficacy of nonpharmacological interventions was found to be moderate in the short term and variable in the long term for pain reduction in patients with temporomandibular joint disorders. The evidence pointed out that acupuncture, laser therapy, and physiotherapy are potentially useful interventions for pain relief in patients with temporomandibular joint disorders. However, there is a lack of consistency and short-term follow-up in the studies to determine the lasting of such effect.
本系统评价旨在比较非药物疗法治疗颞下颌关节疼痛性疾病的疗效。该方案已在国际系统评价前瞻性注册库（PROSPERO）数据库（CRD42020171364）中注册。检索在电子数据库PubMed、谷歌学术、临床试验和科学网中进行。纳入标准为诊断为颞下颌关节疼痛性疾病的患者中的随机对照试验，比较传统治疗与针灸、物理治疗、低强度激光和按摩等非药物疗法之间的疼痛缓解情况。本评价纳入了14篇文章。在所纳入研究的总体偏倚方面，71.42%存在一些问题，28.57%具有高风险。发现非药物干预在短期内对颞下颌关节疾病患者减轻疼痛的疗效中等，长期疗效则存在差异。证据指出，针灸、激光疗法和物理治疗可能是缓解颞下颌关节疾病患者疼痛的有用干预措施。然而，研究中缺乏一致性且随访时间短，无法确定这种效果的持久性。
