Acupuncture in management of acute dental pain – A systematic review and meta-analysis

IF 5.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Japanese Dental Science Review Pub Date : 2023-03-10 DOI:10.1016/j.jdsr.2023.02.005

Moritz Müller , Christine Schmucker , Johannes Naumann , Nadine Schlueter , Roman Huber , Ann-Kathrin Lederer

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Abstract

Acute dental pain is a common issue leading to dental consultation. Besides causal therapy, patients are treated with acupuncture, but efficacy in acute dental pain is still not clarified. We aimed to evaluate results of recent research to estimate the efficacy of acupuncture compared to pain-relieving approaches in treatment of acute dental pain. A systematic review of controlled trials being published between database inception and 2020 were conducted to evaluate the efficacy of acupuncture (alone or as complementary therapy) compared to local anesthesia or conventional analgesic medications in acute dental pain (intraoperatively and postoperatively) and to clarify whether acupuncture reduces the use of postoperative analgesic medications. Of 1672 publications, 23 publications met the inclusion criteria. From these, 11 randomized controlled trials (n = 668) reported on the efficacy of acupuncture on postoperative acute dental pain. Patients, who received acupuncture, showed lower pain scores postoperatively compared to sham acupuncture (Relative Risk −0.77, 95% Confidence interval −1.52 to −0.03). Overall, the results suggest a potential role of acupuncture in improving acute dental pain intraoperatively and postoperatively as well as improving the efficacy of local anesthesia, but the results are limited due to methodological shortcomings emphasizing the necessity for future high-quality research.

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针刺治疗急性牙痛的系统回顾和荟萃分析

急性牙痛是导致牙科咨询的常见问题。除了因果疗法外，患者还接受针灸治疗，但对急性牙痛的疗效仍不明确。我们旨在评估最近的研究结果，以评估针灸与止痛方法治疗急性牙痛的疗效。对数据库成立至2020年期间发表的对照试验进行了系统回顾，以评估针灸（单独或作为补充治疗）与局部麻醉或常规镇痛药物相比治疗急性牙痛（术中和术后）的疗效，并澄清针灸是否减少了术后镇痛药的使用药物。在1672份出版物中，有23份出版物符合纳入标准。其中，11项随机对照试验（n=668）报道了针灸治疗术后急性牙痛的疗效。与假针灸相比，接受针灸治疗的患者术后疼痛评分较低（相对风险-0.77，95%置信区间-1.52至-0.03）。总体而言，研究结果表明，针灸在改善术中和术后急性牙痛以及提高局部麻醉疗效方面具有潜在作用，但由于强调未来高质量研究的必要性的方法论缺陷，结果有限。

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

Japanese Dental Science Review DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

9.90

自引率

1.50%

发文量

审稿时长

32 days

期刊介绍： The Japanese Dental Science Review is published by the Japanese Association for Dental Science aiming to introduce the modern aspects of the dental basic and clinical sciences in Japan, and to share and discuss the update information with foreign researchers and dentists for further development of dentistry. In principle, papers are written and submitted on the invitation of one of the Editors, although the Editors would be glad to receive suggestions. Proposals for review articles should be sent by the authors to one of the Editors by e-mail. All submitted papers are subject to the peer- refereeing process.