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Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin

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Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin

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dc.contributor.author Junior, Paulo-Roberto-Quiudini es
dc.contributor.author Siessere, Selma es
dc.contributor.author de Mello, Edneia-Correa es
dc.contributor.author Rodrigues, Sergio es
dc.contributor.author Regalo, Isabela es
dc.contributor.author Goncalves, Ligia-Maria-Napolitano es
dc.contributor.author Arnoni, Veridiana-Wanshi es
dc.contributor.author Palinkas, Marcelo es
dc.contributor.author Regalo, Simone es
dc.date.accessioned 2023-05-31T12:29:36Z
dc.date.available 2023-05-31T12:29:36Z
dc.date.issued 2023 es
dc.identifier.citation Junior, P. R., Siéssere, S., de Mello, E. C., Rodrigues, S., Regalo, I., Gonçalves, L. M., Arnoni, V. W., Palinkas, M., & Regalo, S. (2023). Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin. Journal of clinical and experimental dentistry, 15(5), e366–e375. es
dc.identifier.uri https://hdl.handle.net/10550/87585
dc.description.abstract To evaluate the effectiveness of dry needling (DN) and instrumental myofascial release (IMR) therapies in the cervico-cranio-mandibular system through pain, bite force, and distribution of occlusal contacts in patients with muscular temporomandibular disorders. MATERIAL AND METHODS: Thirty patients were divided into treatment groups: DN (n=15) and IMR (n=15). Therapeutic efficacy regarding pain perception and tolerance of masticatory, facial, and cervical muscles, bite force, and distribution of occlusal contacts were analyzed in this observational longitudinal clinical study pre/post-intervention and pre/post one month of therapeutic intervention. The data were tabulated and statistically analyzed (repeated measures and Bonferroni post-hoc test, p<0.05). RESULTS: There was a statistically significant difference in pain between the groups in the comparison of pre- and post-intervention with effect on time versus intervention in the head and neck. Pain perception and tolerance showed a statistical effect of time on the temporal, suboccipital, sternocleidomastoid, mental (right and left), right masseter, and left trapezius muscles. There was a statistically significant effect of the intervention on the mentalis, supraorbital, and infraorbital (right and left) muscles. There was a statistically significant effect of the interaction on the upper masseter (right and left), anterior temporal (left), suboccipital, sternocleidomastoid, and mentalis (left) muscles. There was an increase in post-intervention molar bite force in the groups, with a statistical effect on time versus intervention in the right and left regions. Contact of occlusal forces at the maxilla/mandible interface showed a difference between the mean times on teeth 26-36 after versus 1 month after the intervention. CONCLUSIONS: The two therapeutic techniques are viable for the treatment of muscular temporomandibular disorders; however, IMR proved to be more effective immediately after the intervention and after one month. Key words:Temporomandibular disorders, pain, masticatory muscles, facial muscles, cervical muscles, dry needling, instrumental myofascial release. es
dc.title Effect of dry needling and instrumental myofascial release on masticatory, facial, and cervical muscles of patients with temporomandibular disorders of muscular origin es
dc.type journal article es_ES
dc.subject.unesco UNESCO:CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/jced.60312 es
dc.type.hasVersion VoR es_ES
dc.identifier.url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10198697/

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