Efeitos do agulhamento seco no tratamento da dor de pacientes com disfunções temporomandibulares

Abstract

Temporomandibular disorder (TMD) is a disorder of the masticatory system originating from the masticatory muscles and/or the temporomandibular joint and associated structures. This dysfunction is responsible for the discomfort of millions of people around the world, decreasing their quality of life and restricting social interaction. In this perspective, this study aimed to identify the potential of dry needling in the treatment of TMD through a systematic literature review and evaluation of the use of deep dry needling for the treatment of TMD. For this, articles were searched in the PubMed and Virtual Health Library (LILACS, MEDLINE and SciELO) databases with the descriptors in English "temporomandibular disorder dry needling", or "temporomandibular disorder myofascial dry needling", or "temporomandibular disorder dry needling. Using a combination of descriptors as the search strategy. Nine studies were considered. One study compared superficial and deep dry needling. Five studies used only deep dry needling, another three studies did not specify the type of needling used, and only one article compared deep with superficial dry needling. of cases with three patients with chronic TMD diagnosed through clinical examination based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC / TMD) and undergoing 4 seasons needling dry, once a week. Deep dry needling was used in the g-points tile in the masseter muscles and through temporal needles 0.20 x 13 mm. After 4 weeks of treatment, it was observed that pain intensity and hospital anxiety and depression scale scores decreased and increased mouth opening. Based on the results, it can be suggested that dry needling promoted a remission of painful symptoms and an improvement in mandibular range of motion after four weeks of treatment.