Abstract
Temporomandibular myofascial pain presents a major challenge in the diagnosis of temporomandibular
disorders (TMD). Due to the characteristics of this condition, intramuscular injection
procedures are often needed for adequate control of symptoms and treatment. Thus,
the aim of this systematic review was to evaluate the effectiveness of dry needling
and injection with different substances in temporomandibular myofascial pain. Electronic
databases PubMed, EMBASE, CENTRAL/Cochrane, Lilacs, Scopus, Web of Science and CAPES
Catalog of Dissertations and Theses were searched for randomized clinical trials until
January 2018. Manual search was performed in relevant journals and in the references/citations
of the included studies. The selection of studies was carried out by two independent
reviewers according to eligibility criteria. From 7128 eligible studies, 137 were
selected for full-text analysis and 18 were included. Due to the heterogeneity of
the primary studies it was not possible to perform a meta-analysis. The narrative
analysis of the results showed that most of the studies had methodological limitations
and biases that compromised the quality of the findings. Dry needling and local anaesthesic
injections seem promising, but there is a need to conduct further randomized clinical
trials, with larger samples and longer follow-up times, to evaluate the real effectiveness
of the technique and evaluated substances.
Key words
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Article info
Publication history
Published online: May 22, 2018
Accepted:
May 4,
2018
Identification
Copyright
© 2018 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
