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01-12-2024 | Research

Clinical observation on warming needle moxibustion combined with rehabilitation techniques in the treatment of anterior disc displacement without reduction

Authors: Renjie Zhu, Jing Yu, Fangli Wang, Jiamei Chu, Yehua Bao, Qin Wang, Yuanye Wei, Jianhui Yuan

Published in: Clinical Oral Investigations | Issue 12/2024

Abstract

Objective

To observe the effect of warming needle moxibustion combined with rehabilitation techniques on clinical symptoms and quality of life of patients with anterior disc displacement without reduction (ADDwoR).

Methods

This randomized controlled trial included 66patients, with ADDwoR, attending the Hangzhou Hospital of Traditional Chinese Medicine. Patients were assigned to the Experimental (12 sessions of warming needle moxibustion combined with rehabilitation manipulation therapy) and Control (rehabilitation therapy only) group (n = 33, each). Duration of treatment was 4 weeks, with 3 times a week. Outcomes included VAS pain score, maximum mouth opening (MMO), mandibular function impairment score (MFIQ), oral health impact scale (OHIP-14 scale), and mandibular dysfunction index (Fricton score). Safety assessments during treatment included incidence of fainting, broken needle, bleeding, hematoma and scalding.

Results

After treatment, the VAS scores, mandibular function impairment scores, oral health impact degree scale, and the scores of Dysfunction index (DI), palpation index (PI) and craniomandibular index (CMI) in the two groups were significantly decreased compared with before. While the maximum mouth opening was increased in both groups, the clinical efficacy evaluation showed the total significant rate of the control group was 59%, and the total significant rate of the experimental group was 83%, demonstrating a significant clinical efficacy difference between the two groups.

Conclusion

Compared to targeted rehabilitation exercises only, warming needle moxibustion combined with rehabilitation manipulation can not only improve the pain and maximum mouth opening, but also mandibular function impairment, mandibular joint disorder and oral health of patients with ADDwoR.

Clinical trial registration

http://www.chictr.org.cn/index.aspx, identififier: ChiCTR2200059039.

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Title: Clinical observation on warming needle moxibustion combined with rehabilitation techniques in the treatment of anterior disc displacement without reduction
Authors: Renjie Zhu
Jing Yu
Fangli Wang
Jiamei Chu
Yehua Bao
Qin Wang
Yuanye Wei
Jianhui Yuan
Publication date: 01-12-2024
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 12/2024
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-06072-9

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Clinical observation on warming needle moxibustion combined with rehabilitation techniques in the treatment of anterior disc displacement without reduction

Abstract

Objective

Methods

Results

Conclusion

Clinical trial registration

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Please log in to get access to this content

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Automatic detection and proximity quantification of inferior alveolar nerve and mandibular third molar on cone-beam computed tomography

Detection of C-shaped mandibular second molars on panoramic radiographs using deep convolutional neural networks

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