Temporomandibular Eklem Bozukluklarında Alternatif Bir Tedavi Yöntemi:Akupunktur
Multifaktöriyel etiyolojiye sahip temporomandibular eklem rahatsızlıklarının tedavisinde standart bir yöntem bulunmamakla birlikte, hastanın semptomları ve etiyolojisine bağlı olarak çeşitli alternatifler bir arada kullanılabilir. Tedavinin temel amacı hastanın ağrısının giderilmesidir. Günümüzde geleneksel tedavi yöntemlerine ek olarak akupunktur gibi alternatifler de özellikle kas ve nörolojik kaynaklı ağrı tedavilerinde giderek artan bir kullanım alanı kazanmaktadır.
Akupunkturun ağrı üzerindeki etkisini inceleyen çalışmalarda, kısa vadeli analjezik etkisi olduğu tespit edilmiştir. Son yıllarda temporomandibular rahatsızlıkların tedavisinde de alternatif olarak veya diğer tedavilere ek bir yöntem olarak kullanımı yaygınlaşmıştır. Akupunkturun temporomandibular bölgedeki etkinliğinin değerlendirildiği çeşitli çalışmalar incelendiğinde çok çeşitli sonuçlarla karşılaşılmaktadır. Temporomandibular bölgedeki ağrıyı giderdiği gözlenen çalışmalarla birlikte, etkisi olmadığının bildirildiği araştırmalara da rastlanmaktadır. Sonuçlardaki bu farklılığın çalışmalarda standart bir inceleme yöntemi olmaması ve materyal-metoddaki çok çeşitli farklılıklara bağlı olduğu tespit edilmiştir.
Çalışmamızda, temporomandibular eklem rahatsızlıklarında akupunkturun etki mekanizmasına değinilmiş; bu alandaki çeşitli çalışmalardan bahsedilerek konuyla ilgili literatürdeki farklı görüşlerin incelenmesi amaçlanmıştır.
An Alternative Treatment Method for Temporomandibular Joint Disorders: Acupuncture
Although there is no standard method in the treatment of temporomandibular joint disorders which has multifactorial etiology, various alternatives can be used together depending on the patient's symptoms and etiology. The main objective of treatment is to relieve the patient's pain. Today, in addition to traditional treatment methods, alternatives such as acupuncture are gaining an increasing area of use, especially in the treatment of muscle and neurological origin pain.
In studies examining the effect of acupuncture on pain, it has been found to have a short-term analgesic effect. In recent years, it has become widespread in the treatment of temporomandibular disorders as an alternative or as an additional method to other treatments. When various studies evaluating the effectiveness of acupuncture in the temporomandibular region are examined, a wide variety of results are encountered. Along with the studies that have been observed to relieve pain in the temporomandibular region, there are also studies that have been reported to have no effect. It has been determined that this difference in results is due to the lack of a standard examination method in the studies and to a wide variety of differences in material-method.
In our study, effect of acupuncture in temporomandibular joint disorders was mentioned; It is aimed to examine different views in the literature on the subject by mentioning various studies in this field.
___
- Gray RJM, Davies SJ, Quayle AA, Davies S. A
Clinical Guide to Temporomandibular Disorders. British
Dental Journal; 1995.
- Peixoto KO, da Silva Bezerra A, Melo RA, de
Resende CMBM, de Almeida EO, Barbosa GAS.
Short-Term Effect of Scalp Acupuncture on Pain,
Sleep Disorders, and Quality of Life in Patients with
Temporomandibular Disorders: A A Randomized Clinical
Trial. Pain Med. 2021;22(4):905–14.
- Huang GJ, LeResche L, Critchlow CW, Martin MD,
Drangsholt MT. Risk factors for diagnostic subgroups
of painful temporomandibular disorders (TMD). J Dent
Res. 2002 Apr;81(4):284–8.
- Pergamalian A, Rudy TE, Zaki HS, Greco CM. The
association between wear facets, bruxism, and severity of
facial pain in patients with temporomandibular disorders.
J Prosthet Dent. 2003 Aug;90(2):194–200.
- Okeson J. Management Temporomandibular
Disorders and Occlusion. 4th ed. St. Louis, Mo, USA:
Mosby; 1998.
- Balasubramaniam R, de Leeuw R, Zhu H,
Nickerson RB, Okeson JP, Carlson CR. Prevalence
of temporomandibular disorders in fibromyalgia and
failed back syndrome patients: a blinded prospective
comparison study. Oral Surg Oral Med Oral Pathol Oral
Radiol Endod. 2007 Aug;104(2):204–16.
- Noiman M, Garty A, Maimon Y, Miller U, Lev-
Ari S. Acupuncture for Treating Temporomandibular
Disorder: Retrospective Study on Safety and Efficacy.
JAMS Journal of Acupuncture and Meridian Studies.
2010;3(4):260–6.
- Al-Ani MZ, Davies SJ, Gray RJM, Sloan P, Glenny
AM. Stabilisation splint therapy for temporomandibular
pain dysfunction syndrome. Cochrane Database Syst
Rev. 2004;(1):CD002778.
- Greene CS. Managing the care of patients with
temporomandibular disorders: a new guideline for care.
J Am Dent Assoc. 2010 Sep;141(9):1086–8.
- Wieckiewicz M, Boening K, Wiland P, Shiau YY,
Paradowska-Stolarz A. Reported concepts for the treatment
modalities and pain management of temporomandibular
disorders. J Headache Pain. 2015;16:106.
- Tatli U, Benlidayi ME, Ekren O, Salimov F.
Comparison of the effectiveness of three different
treatment methods for temporomandibular joint disc
displacement without reduction. Int J Oral Maxillofac
Surg. 2017 May;46(5):603–9.
- Acupuncture Regulatory Working Group. The
Statutory Regulation of the Acupuncture Profession.
The Prince of Wales’s Foundation for Integrated Health.
2003;(September):12.
- Lian Y, Chen C, Hammes M, Kolster B. Seirin
Bildatlas Der Akupunktur. Marburg: Könemann
Verlagsgesellschaft mbH; 1999.
- Thayer MLT. The Use of Acupuncture in Dentistry.
Dent Update. 2007;(34):244–50.
- Zhao ZQ. Neural mechanism underlying acupuncture
analgesia. Prog Neurobiol. 2008 Aug;85(4):355–75.
- Moffet HH. How might acupuncture work? A
systematic review of physiologic rationales from clinical
trials. BMC Complement Altern Med. 2006 Jul;6:25.
- Çifter ED, Yengin E, Özel Yıldız S, Usta A.
Investigation of the Effectiveness of Occlusal Splint,
Acupuncture and Pharmacological Treatment in
Myofascial Pain. Journal of Traditional Medical
Complementary Therapies. 2018;1(3):115–26.
- Helms J. Acupuncture Energetics: A Clinical
Approach for Physicians. 1995. 19–70 p.
- Jensen LB, Jensen SB. Effect of acupuncture on
tension headache and urinary catecholamine excretion.
Scand J Dent Res. 1982 Oct;90(5):397–403.
- Murase K, Kawakita K. Diffuse noxious inhibitory
controls in anti-nociception produced by acupuncture
and moxibustion on trigeminal caudalis neurons in rats.
Jpn J Physiol. 2000 Feb;50(1):133–40.
- Andersson S, Lundeberg T. Acupuncture--from
empiricism to science: functional background to
acupuncture effects in pain and disease. Med Hypotheses.
1995 Sep;45(3):271–81.
- World Health Organization. Acupuncture:Review
and Analysis of Reports on Controlled Clinical Trials.
2002;
- Naik PN, Kiran RA, Yalamanchal S, Kumar VA,
Goli S, Vashist N. Acupuncture: An Alternative Therapy
in Dentistry and Its Possible Applications. Med Acupunct.
2014 Dec 1;26(6):308–14.
- Vicente-Barrero M, Yu-Lu SL, Zhang B, Bocanegra-
Pérez S, Durán-Moreno D, López-Márquez A, et al.
The efficacy of acupuncture and decompression splints
in the treatment of temporomandibular joint paindysfunction
syndrome. Med Oral Patol Oral Cir Bucal.
2012;17(6):1028–33.
- Rosted P. Practical recommendations for the use of acupuncture in the treatment of temporomandibular
disorders based on the outcome of published controlled
studies. Oral Dis. 2001;7(2):109–15.
- Hui KK, Liu J, Makris N, Gollub RL, Chen AJ,
Moore CI, et al. Acupuncture modulates the limbic
system and subcortical gray structures of the human
brain: evidence from fMRI studies in normal subjects.
Hum Brain Mapp. 2000;9(1):13–25.
- Rott W. Acupuncture in clinical therapy. Acta
Neuroveg (Wien). 1950;1(5):518–29.
- Rosted P. The use of acupuncture in dentistry: a
systematic review. Acupunct Med. 1998;16(1):43–8.
- List T, Helkimo M, Andersson S, Carlsson GE.
Acupuncture and occlusal splint therapy in the treatment
of craniomandibular disorders. Part I. A comparative
study. Swed Dent J. 1992;16(4):125–41.
- Fernandes A, Moura D, Da Silva L, De Almeida E,
Barbosa G. Acupuncture in Temporomandibular Disorder
Myofascial Pain Treatment: A Systematic Review. J Oral
Facial Pain Headache. 2017;31(3):225–32.
- Şen S, Orhan G, Sertel S, Schmitter M, Schindler
HJ, Lux CJ, et al. Comparison of acupuncture on specific
and non-specific points for the treatment of painful
temporomandibular disorders: A randomised controlled
trial. J Oral Rehabil. 2020;47(7):783–95.
- Gonzalez-Perez LM, Infante-Cossio P, Granados-
Nunez M, Urresti-Lopez FJ, Lopez-Martos R, Ruiz-
Canela-Mendez P. Deep dry needling of trigger points
located in the lateral pterygoid muscle: Efficacy and
safety of treatment for management of myofascial pain
and temporomandibular dysfunction. Med Oral Patol
Oral Cir Bucal. 2015 May;20(3):e326-33.
- Grillo CM, Canales GD la T, Wada RS, Alves
MC, Barbosa CMR, Berzin F, et al. Could Acupuncture
Be Useful in the Treatment of Temporomandibular
Dysfunction? JAMS Journal of Acupuncture and
Meridian Studies. 2015;8(4):192–9.
- Ferreira LA, de Oliveira RG, Guimarães JP, Carvalho
ACP, De Paula MVQ. Laser acupuncture in patients
with temporomandibular dysfunction: a randomized
controlled trial. Lasers Med Sci. 2013 Nov;28(6):1549–
58.
- Dietrich L, Rodrigues IVS, De Assis Costa
MDM, Carvalho RF, Da Silva GR. Acupuncture in
temporomandibular disorders painful symptomatology:
An evidence-based case report. Eur J Dent.
2020;14(4):692–6.
- Tough EA, White AR, Cummings TM, Richards
SH, Campbell JL. Acupuncture and dry needling in
the management of myofascial trigger point pain: a
systematic review and meta-analysis of randomised
controlled trials. Eur J Pain. 2009 Jan;13(1):3–10.
- Rancan SV, Bataglion C, Bataglion SA, Bechara
OMR, Semprini M, Siéssere S, et al. Acupuncture and
temporomandibular disorders: a 3-month follow-up EMG
study. J Altern Complement Med. 2009 Dec;15(12):1307–
10.
- Jung A, Shin BC, Lee MS, Sim H, Ernst E.
Acupuncture for treating temporomandibular joint
disorders: A systematic review and meta-analysis
of randomized, sham-controlled trials. J Dent.
2011;39(5):341–50.