Efficacy of dry needling in patients with myofascial temporomandibular disorders related to the masseter muscle

Ozden M. C., Atalay B., Ozden A. V., Cankaya A., Kolay E., Yildirim S.

CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, cilt.38, sa.5, ss.305-311, 2020 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 38 Sayı: 5
  • Basım Tarihi: 2020
  • Doi Numarası: 10.1080/08869634.2018.1526848
  • Dergi Adı: CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.305-311
  • Anahtar Kelimeler: Myofascial temporomandibular disorders, dry needling, trigger points, myofascial pain, masticatory muscles, masseter, deep dry needling, superficial dry needling, RESEARCH DIAGNOSTIC-CRITERIA, BOTULINUM TOXIN, TRIGGER POINTS, PAIN, MANAGEMENT, LIDOCAINE
  • İstanbul Üniversitesi-Cerrahpaşa Adresli: Evet

Özet

Objective This randomized, single-center clinical trial aimed to compare the efficacy of superficial dry needling (SDN) and deep dry needling (DDN) in patients with myofascial temporomandibular disorder (MTMD) related to the masseter muscle.Methods: Forty patients showing MTMD with trigger points in the masseter muscle were randomly assigned to groups. Dry needling of the masseter muscle was performed once per week for three weeks. Pressure pain threshold (PPT) measurements, visual analog scale scores, and maximal jaw opening were assessed.Results: Both patient groups showed significant pain reduction, but the SDN group showed significantly better pain reduction. The PPT measurements obtained in the follow-up examinations at three and six weeks were significantly better than the values in SDN and DDN groups.Discussion: SDN showed better pain-reduction efficacy in patients with MTMD. Further research with a larger size sample and a longer follow-up period will help elucidate the benefits of SDN.