Dry Needling in Treatment of Temporomandibular Joint Disorders: A Systematic Review

IF 2.2 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Clinical and Experimental Dental Research Pub Date : 2025-09-08 DOI:10.1002/cre2.70214

Mina Khayamzadeh, Farnoosh Razmara, Afagh Tavassoli

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Abstract

Objectives

Among the minimally invasive techniques for treating temporomandibular joint disorders (TMDs) is dry needling, which can be used as a potential treatment method. This study aims to review current knowledge to understand the impact of dry needling on treating TMDs.

Methods

This systematic review was carried out in alignment with the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A comprehensive literature search was performed using PubMed, Scopus, and Google Scholar. The search was done on the studies published between 2000 and 2024. Cochrane Collaboration's Risk of Bias tool for randomized controlled trials (RCTs) was applied to evaluate the risk of bias.

Results

A total of 673 studies were identified. Among these, 245 articles were assessed for eligibility; ultimately, 10 studies were made up of the final review. These studies evaluated several outcome measures, the most common of which were: the visual analog scale (VAS), verbal rating scale (VRS), electromyography (EMG), extent of mouth opening, pain symptomatology, myofascial trigger point pain, sonographic measurements, bilateral muscle palpation with a pressure algometer, Tinnitus Handicap Inventory (THI), and mandibular mobility. Most RCTs had a low risk of bias.

Conclusion

The findings consistently underscore the role of dry needling (DN) and other adjunctive therapies in improving clinical outcomes, particularly pain reduction and functional improvement.

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干针治疗颞下颌关节疾病的系统综述

目的在微创治疗颞下颌关节疾病（TMDs）的方法中，干针是一种有潜力的治疗方法。本研究旨在回顾目前的知识，以了解干针治疗tmd的影响。方法本系统评价按照系统评价和荟萃分析首选报告项目（PRISMA）中概述的指南进行。使用PubMed、Scopus和谷歌Scholar进行全面的文献检索。这项研究是在2000年至2024年间发表的研究中完成的。应用Cochrane协作组织的随机对照试验（rct）偏倚风险工具评估偏倚风险。结果共纳入673项研究。其中，245篇文章被评估为合格；最终，10项研究组成了最后的审查。这些研究评估了几种结果测量，其中最常见的是：视觉模拟量表（VAS）、言语评定量表（VRS）、肌电图（EMG）、张嘴程度、疼痛症状、肌膜触发点疼痛、超声测量、双侧肌肉触诊压力测量仪、耳鸣障碍量表（THI）和下颌活动度。大多数随机对照试验偏倚风险较低。结论：研究结果一致强调干针（DN）和其他辅助治疗在改善临床结果，特别是疼痛减轻和功能改善方面的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.30

自引率

5.60%

发文量

165

审稿时长

26 weeks

期刊介绍： Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.