Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders
<i>Background and Objectives</i>: The objective of our clinical trial was to determine the effectiveness of the deep dry needling technique (DDN) (neuromuscular deprogramming) as a first step in the treatment of temporomandibular disorders. <i>Methods and Materials</i>: The d...
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MDPI AG
2022-02-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/2/256 |
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| author | Juan Dib-Zakkour Javier Flores-Fraile Javier Montero-Martin Sara Dib-Zakkour Ibrahim Dib-Zaitun |
| author_facet | Juan Dib-Zakkour Javier Flores-Fraile Javier Montero-Martin Sara Dib-Zakkour Ibrahim Dib-Zaitun |
| author_sort | Juan Dib-Zakkour |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The objective of our clinical trial was to determine the effectiveness of the deep dry needling technique (DDN) (neuromuscular deprogramming) as a first step in the treatment of temporomandibular disorders. <i>Methods and Materials</i>: The double-blind randomized clinical trial comprised 36 patients meeting the inclusion criteria who had signed the corresponding informed consent form. The participants were randomly distributed into two groups, the Experimental group (Group E) and the Control group (Group C). Group E received bilateral DDN on the masseter muscle, while Group C received a simulation of the technique (PN). All the participants were evaluated three times: pre-needling, 10 min post-needling, and through a follow-up evaluation after 15 days. These evaluations included, among other tests: pain evaluation using the Visual Analog Scale (VAS) and bilateral muscle palpation with a pressure algometer; evaluation of the opening pattern and range of the mouth, articular sounds and dental occlusion using T-scans; and electromyography, which was used to evaluate the muscle tone of the masseter muscles, in order to control changes in mandibular position. <i>Results</i>: Digital control of occlusion using Tec-Scan (digital occlusion analysis) showed a significant reduction both in the time of posterior disclusion and in the time needed to reach maximum force in an MI position after needling the muscle, which demonstrated that there were variations in the static position and the trajectory of the jaw. The symmetry of the arch while opening and closing the mouth was recovered in a centric relation, with an increase in the opening range of the mouth after the procedure. <i>Conclusions</i>: facial pain is significantly reduced and is accompanied by a notable reduction in muscle activity after needling its trigger points. |
| first_indexed | 2024-03-09T21:29:18Z |
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| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T21:29:18Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-2e6b5db56424496baef9824d6257b32d2023-11-23T21:00:29ZengMDPI AGMedicina1010-660X1648-91442022-02-0158225610.3390/medicina58020256Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint DisordersJuan Dib-Zakkour0Javier Flores-Fraile1Javier Montero-Martin2Sara Dib-Zakkour3Ibrahim Dib-Zaitun4The Surgery and Odontostomatology Doctoral Program, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, University of Salamanca, 37007 Salamanca, SpainDepartament of Dentistry, University of Salamanca, 37007 Salamanca, SpainDepartment of Surgery, University of Salamanca, 37007 Salamanca, Spain<i>Background and Objectives</i>: The objective of our clinical trial was to determine the effectiveness of the deep dry needling technique (DDN) (neuromuscular deprogramming) as a first step in the treatment of temporomandibular disorders. <i>Methods and Materials</i>: The double-blind randomized clinical trial comprised 36 patients meeting the inclusion criteria who had signed the corresponding informed consent form. The participants were randomly distributed into two groups, the Experimental group (Group E) and the Control group (Group C). Group E received bilateral DDN on the masseter muscle, while Group C received a simulation of the technique (PN). All the participants were evaluated three times: pre-needling, 10 min post-needling, and through a follow-up evaluation after 15 days. These evaluations included, among other tests: pain evaluation using the Visual Analog Scale (VAS) and bilateral muscle palpation with a pressure algometer; evaluation of the opening pattern and range of the mouth, articular sounds and dental occlusion using T-scans; and electromyography, which was used to evaluate the muscle tone of the masseter muscles, in order to control changes in mandibular position. <i>Results</i>: Digital control of occlusion using Tec-Scan (digital occlusion analysis) showed a significant reduction both in the time of posterior disclusion and in the time needed to reach maximum force in an MI position after needling the muscle, which demonstrated that there were variations in the static position and the trajectory of the jaw. The symmetry of the arch while opening and closing the mouth was recovered in a centric relation, with an increase in the opening range of the mouth after the procedure. <i>Conclusions</i>: facial pain is significantly reduced and is accompanied by a notable reduction in muscle activity after needling its trigger points.https://www.mdpi.com/1648-9144/58/2/256temporomandibular dysfunctiondeep dry needling trigger pointsmyofacial painrandomized clinical trial |
| spellingShingle | Juan Dib-Zakkour Javier Flores-Fraile Javier Montero-Martin Sara Dib-Zakkour Ibrahim Dib-Zaitun Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders Medicina temporomandibular dysfunction deep dry needling trigger points myofacial pain randomized clinical trial |
| title | Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders |
| title_full | Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders |
| title_fullStr | Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders |
| title_full_unstemmed | Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders |
| title_short | Evaluation of the Effectiveness of Dry Needling in the Treatment of Myogenous Temporomandibular Joint Disorders |
| title_sort | evaluation of the effectiveness of dry needling in the treatment of myogenous temporomandibular joint disorders |
| topic | temporomandibular dysfunction deep dry needling trigger points myofacial pain randomized clinical trial |
| url | https://www.mdpi.com/1648-9144/58/2/256 |
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