Multidisciplinary Department of Medical, Surgical and Dental Sciences, Campania University Luigi Vanvitelli, Naples, Italy.
Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, India.
BMC Oral Health. 2024 Feb 3;24(1):174. doi: 10.1186/s12903-023-03806-1.
The aim of this study is to perform a qualitative and quantitative analysis of the scientific literature regarding the use of acupuncture and laser acupuncture in the treatment of pain associated with temporomandibular disorders (TMDs). The aim of this article was to assess the clinical evidence for acupuncture and laser acupuncture therapies as treatment for temporomandibular joint disorder (TMD).
This systematic review includes randomized clinical trials (RCTs) of acupuncture and laser acupuncture as a treatment for TMD compared to other treatments. Systematic searches were conducted in 3 electronic databases up to July 2023; PubMed, EMBASE, and SCOPUS databases. All RCTs of acupuncture for TMD were searched without language restrictions. Studies in which no clinical data and complex interventions were excluded. The Cochrane risk of bias tool (RoB 2) tool was employed to analyze randomized controlled trials. A Meta-analysis was performed in order to investigate a quantitative analysis comparing acupuncture and laser acupuncture to placebo.
A total of 11 RCTs met our inclusion criteria. The findings show that acupuncture is short-term helpful for reducing the severity of TMD pain with muscle origin. Meta-analysis revealed that the Acupuncture group and Laser Acupuncture group had a higher efficacy rate than the Placebo control group, showing a high efficacy of Acupuncture and Laser Acupuncture group in the treatment of temporomandibular.
In conclusion, our systematic review demonstrate that the evidence for acupuncture as a symptomatic treatment of TMD is limited. Further rigorous studies are, however, required to establish beyond doubt whether acupuncture has therapeutic value for this indication. However high efficacy of Laser Acupuncture in the treatment of temporomandibular disorders was reported.
本研究旨在对针灸和激光针灸治疗颞下颌关节紊乱症（TMD）相关疼痛的科学文献进行定性和定量分析。本文旨在评估针灸和激光针灸治疗颞下颌关节紊乱症（TMD）的临床证据。
本系统评价包括针灸和激光针灸治疗 TMD 的随机对照试验（RCT）与其他治疗方法的比较。系统检索了截至 2023 年 7 月的 3 个电子数据库：PubMed、EMBASE 和 SCOPUS 数据库。检索了针灸治疗 TMD 的所有 RCT，无语言限制。排除了无临床数据和复杂干预的研究。采用 Cochrane 偏倚风险工具（RoB 2）分析随机对照试验。进行 Meta 分析，以调查比较针灸和激光针灸与安慰剂的定量分析。
共有 11 项 RCT 符合纳入标准。研究结果表明，针灸在短期治疗肌源性 TMD 疼痛的严重程度方面是有帮助的。Meta 分析显示，针灸组和激光针灸组的疗效率高于安慰剂对照组，表明针灸和激光针灸组在治疗颞下颌方面具有较高的疗效。
总之，我们的系统评价表明，针灸作为 TMD 症状治疗的证据有限。然而，需要进一步进行严格的研究，以确定针灸是否对该适应症具有治疗价值。然而，激光针灸治疗颞下颌紊乱症的疗效较高。
