Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials

Abstract Objective 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 cl...

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Main Authors: Fabrizio Di Francesco, Giuseppe Minervini, Yuliia Siurkel, Marco Cicciù, Alessandro Lanza
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03806-1
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author Fabrizio Di Francesco
Giuseppe Minervini
Yuliia Siurkel
Marco Cicciù
Alessandro Lanza
author_facet Fabrizio Di Francesco
Giuseppe Minervini
Yuliia Siurkel
Marco Cicciù
Alessandro Lanza
author_sort Fabrizio Di Francesco
collection DOAJ
description Abstract Objective 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). Materials and methods 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. Results 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. Conclusions 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.
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spelling doaj.art-54794a35b3f24432a7b64eb192aa40de2024-03-05T20:34:19ZengBMCBMC Oral Health1472-68312024-02-0124111010.1186/s12903-023-03806-1Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trialsFabrizio Di Francesco0Giuseppe Minervini1Yuliia Siurkel2Marco Cicciù3Alessandro Lanza4Multidisciplinary Department of Medical, Surgical and Dental Sciences, Campania University Luigi VanvitelliSaveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha UniversityInternational European University School of MedicineDepartment of General Surgery and Medical-Surgical Specialties, School of Dentistry, University of CataniaMultidisciplinary Department of Medical, Surgical and Dental Sciences, Campania University Luigi VanvitelliAbstract Objective 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). Materials and methods 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. Results 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. Conclusions 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.https://doi.org/10.1186/s12903-023-03806-1AcupunctureTemporomandibular disordersTMDLaser
spellingShingle Fabrizio Di Francesco
Giuseppe Minervini
Yuliia Siurkel
Marco Cicciù
Alessandro Lanza
Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials
BMC Oral Health
Acupuncture
Temporomandibular disorders
TMD
Laser
title Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials
title_full Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials
title_fullStr Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials
title_full_unstemmed Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials
title_short Efficacy of acupuncture and laser acupuncture in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials
title_sort efficacy of acupuncture and laser acupuncture in temporomandibular disorders a systematic review and meta analysis of randomized controlled trials
topic Acupuncture
Temporomandibular disorders
TMD
Laser
url https://doi.org/10.1186/s12903-023-03806-1
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