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Acupuncture for Temporomandibular Disorders: A Systematic Review
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Quintessence Publishing: Journals: JOP
Journal of Orofacial Pain

Edited by Barry J. Sessle, BDS, MDS, BSc, PhD, FRSC

Official Journal of the American Academy of Orofacial Pain,
and the European, Australian, Asian, and Ibero-Latin Academies of Craniomandibular Disorders

ISSN 1064-6655

Publication:
Spring 2010
Volume 24 , Issue 2

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Acupuncture for Temporomandibular Disorders: A Systematic Review

Seung-Hun Cho, KMD, PhD/Wei-Wan Whang

Pages: 152162
PMID: 20401353

Aims: To assess the effectiveness of acupuncture for the symptomatic treatment of temporomandibular disorders (TMD) from a review of studies using randomized controlled trials (RCTs). Methods: Electronic databases were systematically searched for articles reporting RCTs investigating acupuncture for TMD. The methodological qualities of eligible studies were assessed using the criteria described in the Cochrane Handbook. Results: Nineteen reports were systematically reviewed. There was moderate evidence that classical acupuncture had a positive influence beyond those of placebo (three trials, 65 participants); had positive effects similar to those of occlusal splint therapy (three trials, 160 participants); and was more effective for TMD symptoms than physical therapy (four trials, 397 participants), indomethacin plus vitamin B1 (two trials, 85 participants), and a wait-list control (three trials, 138 participants). Only two RCTs addressed adverse events and reported no serious adverse events. Conclusion: This systematic review noted moderate evidence that acupuncture is an effective intervention to reduce symptoms associated with TMD. There is a need for acupuncture trials with adequate sample sizes that address the long-term efficacy or effectiveness of acupuncture.J Orofac Pain 2010;24:152162

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