Effects of deep dry needing on the treatment of temporomandibular dysfunction: case study

• Autor(a) principal: Castro, Tânia Ecí Santi
• Data de Publicação: 2021
• Outros Autores: Assis, Livia, Messut, Paola da Mata, Tarocco, Juliana Carolina, Bruder , Carolina, Tim, Carla Roberta
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• DOI: 10.33448/rsd-v10i16.23770
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/23770
• topic: Temporomandibular Joint Dysfunction Syndrome; Dry needling.; Síndrome da Disfunção da Articulação Temporomandibular; Agulhamento seco.; Síndrome de la Disfunción de Articulación Temporomandibular; Punción seca.

This study aimed to evaluate the effectiveness of deep dry needling for the treatment of temporomandibular disorders (TMD) through the numerical pain scale, hospital anxiety and depression scale and mouth opening. Three patients were evaluated and diagnosed with TMD by clinical examination based on Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD). Pain intensity was also assessed using the numerical pain scale, mouth opening measurement (with a caliper) and the Hospital Anxiety and Depression Scale (HADS) questionnaire to assess anxiety and depression. Dry needling at trigger points in the masseter and temporal muscles was performed using 0.20 x 13 mm needles. After 4 weeks of treatment, 1 session per week, the results showed that one patient had mixed TMD and the other 2 myogenous; that pain intensity and HADS questionnaire score for anxiety and depression decreased for all patients and promoted an increase in mouth opening in the patient with limitation. In conclusion, dry needling in active trigger points in the masseter and temporal muscles in patients with myofascial TMD showed important clinical improvement after 4 weeks of treatment with pain resolution and decreased anxiety and depression.