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

Ferreira LA, Grossmann E, Januzzi E, Gonçalves RT, Mares FA, de Paula MV, Carvalho AC - Evid Based Complement Alternat Med (2015)

Bottom Line: 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.Both groups showed a statistically significant decrease in muscle and joint symptoms (p < 0.05).It was demonstrated to be effective in the reduction of symptoms in the short term.

View Article: PubMed Central - PubMed

Affiliation: Departamento 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.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

Ear acupuncture: (a) needles inserted into acupoints; (b) protection with hypoallergenic tape.
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fig3: Ear acupuncture: (a) needles inserted into acupoints; (b) protection with hypoallergenic tape.

Mentions: The same dentist was responsible for the occlusal adjustment on the acrylic splints (Figure 2) of both groups and for the weekly follow-up. The splint was used during nighttime sleep. The G2 patients received ear acupuncture in addition to the splint occlusal treatment, as showed in Figures 3(a) and 3(b). Therefore, the same acupuncturist used the electroacupuncture locator and stimulator therapy (EL30, NKL Ltd., Brusque, SC, Brazil) and intradermal needles of 1.0 mm in the ear region. The areas selected were those related to analgesia and to the systems of the orofacial structures affected. They received the microsystem technique [21, 28, 29]. Ear skin was cleaned with alcohol 70% and the ear channel was protected with dry cotton to prevent accidental needle insertion. The therapeutic approach was held weekly, in 5 sessions. Each session took about 50 minutes. During the session, the occlusal splint was checked and adjusted, retained needles were removed, and new needles were inserted and secured in the antagonist ear. The retention of needles in each ear lasted 5 days, on average.


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

Ferreira LA, Grossmann E, Januzzi E, Gonçalves RT, Mares FA, de Paula MV, Carvalho AC - Evid Based Complement Alternat Med (2015)

Ear acupuncture: (a) needles inserted into acupoints; (b) protection with hypoallergenic tape.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4553336&req=5

fig3: Ear acupuncture: (a) needles inserted into acupoints; (b) protection with hypoallergenic tape.
Mentions: The same dentist was responsible for the occlusal adjustment on the acrylic splints (Figure 2) of both groups and for the weekly follow-up. The splint was used during nighttime sleep. The G2 patients received ear acupuncture in addition to the splint occlusal treatment, as showed in Figures 3(a) and 3(b). Therefore, the same acupuncturist used the electroacupuncture locator and stimulator therapy (EL30, NKL Ltd., Brusque, SC, Brazil) and intradermal needles of 1.0 mm in the ear region. The areas selected were those related to analgesia and to the systems of the orofacial structures affected. They received the microsystem technique [21, 28, 29]. Ear skin was cleaned with alcohol 70% and the ear channel was protected with dry cotton to prevent accidental needle insertion. The therapeutic approach was held weekly, in 5 sessions. Each session took about 50 minutes. During the session, the occlusal splint was checked and adjusted, retained needles were removed, and new needles were inserted and secured in the antagonist ear. The retention of needles in each ear lasted 5 days, on average.

Bottom Line: 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.Both groups showed a statistically significant decrease in muscle and joint symptoms (p < 0.05).It was demonstrated to be effective in the reduction of symptoms in the short term.

View Article: PubMed Central - PubMed

Affiliation: Departamento 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.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus