Acupuncture for treating temporomandibular joint disorders: a systematic review and meta-analysis of randomized, sham-controlled trials

J Dent. 2011 May;39(5):341-50. doi: 10.1016/j.jdent.2011.02.006. Epub 2011 Feb 25.

Abstract

Objective: The aim of this article was to assess the clinical evidence for or against acupuncture and acupuncture-like therapies as treatments for temporomandibular joint disorder (TMD).

Data: This systematic review includes randomized clinical trials (RCTs) of acupuncture as a treatment for TMD compared to sham acupuncture. The search terms were selected according to medical subject heading (MeSH).

Sources: Systematic searches were conducted in 13 electronic databases up to July 2010; Medline, PubMed, The Cochrane Library 2010 (Issue 7), CINAHL, EMBASE, seven Korean Medical Databases and a Chinese Medical Database.

Study selection: All parallel or cross-over RCTs of acupuncture for TMD were searched without language restrictions. Studies in which no clinical data and complex interventions were excluded. Finally, total of 7 RCTs met our inclusion criteria.

Conclusions: In conclusion, our systematic review and meta-analysis demonstrate that the evidence for acupuncture as a symptomatic treatment of TMD is limited. Further rigorous studies are, however, required to establish beyond doubt whether acupuncture has therapeutic value for this indication.

Publication types

  • Meta-Analysis
  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Acupuncture Therapy*
  • Craniomandibular Disorders / therapy
  • Humans
  • Pain Measurement
  • Placebos
  • Randomized Controlled Trials as Topic
  • Temporomandibular Joint Disorders / therapy*
  • Temporomandibular Joint Dysfunction Syndrome / therapy

Substances

  • Placebos