Research Article
Comparison of the Effectiveness of Three Different Acupuncture
Methods for TMD-Related Pain: A Randomized Clinical Study
Emanuela Serritella , Gabriella Galluccio , Alessandra Impellizzeri ,
PaolaDiGiacomo ,andCarloDiPaolo
Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, Italy
CorrespondenceshouldbeaddressedtoEmanuelaSerritella;emanuela.serritella@uniroma1.it
Received 6 July 2021; Revised 24 October 2021; Accepted 8 November 2021; Published 30 November 2021
AcademicEditor:JianliangZhang
Copyright©2021EmanuelaSerritellaetal.isisanopenaccessarticledistributedundertheCreativeCommonsAttribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Purpose. is study aimed to compare the effectiveness of three acupuncture methods for temporomandibular disorders-
(TMDs-) related pain. Materials and Methods. Different locations of pain, according to DC/TMD clinical assessment, were
considered:temporomandibularjoint(TMJ),masticatorymuscles,head,andneck.Sixtypatientswereassignedrandomlytoone
ofthreetreatmentgroups(20patientsineach):groupBAreceivedbodyacupuncture,groupEAreceivedelectroacupuncture,and
group CA received acupuncture+cupping. e groups were compared in terms of pain (verbal numeric scale), pain-related
disability (Brief Inventory Pain, BPI), and impression of the treatment’s effectiveness (Patients’ Global Impression of Im-
provement Scale, PGI-I). ese were recorded before sessions of acupuncture treatment (T0), after 8 sessions of acupuncture
treatment(T1),andafter4weeksoffollow-upaftertreatment(T2).ebetween-groupandwithin-groupdifferencesinthedata
were analyzed statistically. e baseline characteristics were similar in all groups (p > 0.05). Results. Significant improvements
werenotedinalltypesofpaincomparedtobaselinevaluesinallgroups(all p < 0.05).Nosignificantdifferenceswerenotedinthe
improvement of TMDs-related pain according to the different acupuncture techniques (all p > 0.05). All acupuncture methods
usedresultedtobesignificantlyeffectiveinimprovingthepain-relatedinterferenceinthepatient’scommonactivitiesandquality
oflife.EAresultedtobesignificantlymoreeffectivethanBAandCAinimprovingtheinterferenceofpainwithpatients’mood
(p � 0.015)andqualityofsleep(p � 0.014). Conclusion. BA,EA,andCAarealleffectiveacupuncturemethodsinreducingpain
and pain interference with common activities and quality of life in patients affected by TMD.
1.Introduction
Temporomandibular disorders (TMDs) are considered as
oneofthemajorcausesoforofacialpain[1].Painrelatedto
TMDs is typically reported in the chewing muscles, pre-
auriculararea,orthetemporomandibularjoint(TMJ)[1,2].
Often,manypatientsdonotshowlocalizedpainbutamore
complex symptomatology, including headache, cervical
pain, atypical facial pain, and head and neck muscle hy-
persensitivity [3, 4]. e presence of these symptoms may
worsenthequalityoflifeofpatientsandinterferewiththeir
emotional and social lives [5]. Due to the wide variety of
clinical manifestations of TMDs-related pain, its treatment
involves different therapeutic methods, such as splint
therapy,medication,surgicaltherapy,physicaltherapy,low-
level laser therapy (LLLT), transcutaneous electrical nerve
stimulation (TENS), ultrasound, vibrational therapy, psy-
chological support, and, increasingly in recent times, acu-
puncture [6–8].
Although many of acupuncture’s physiological and
neurological mechanisms are still unknown, the efficacy of
acupuncture for pain therapy has been well established
[9, 10]. In many clinical studies, acupuncture has been
proven to be an effective form of pain management, par-
ticularly pain of musculoskeletal origin, including TMDs
[9, 11–14]. Acupuncture comprises a wide range of treat-
menttechniques,methodsofpointstimulation,anddevices
[15]. Body acupuncture is the most common type of
Hindawi
Evidence-Based Complementary and Alternative Medicine
Volume 2021, Article ID 1286570, 10 pages
https://doi.org/10.1155/2021/1286570