Physical therapy and anesthetic blockage for treating temporomandibular disorders: A clinical trial
Open accessAbstract
PURPOSE: the aim of this study was to evaluate the use of physical therapy and anesthetic blockage of the auriculotemporal nerve as a treatment for temporomandibular joint disorders. METHODS: the sample comprised of twenty patients with a diagnosis of disc displacement with/ without reduction and arthralgia according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD Axis I Group IIa, IIb and IIIa). Ten patients (group 1) underwent a cycle of eight anesthetic blockages of the auriculotemporal nerve with injections (1 per week) of 1 ml of bupivacaine 0.5% without vasoconstrictor for 8 weeks. The other 10 patients (group 2) received anesthetic blockage and physical therapy (massage and muscular stretching exercises). After the end of treatment all patients were evaluated at baseline, 1st week, 4th week and 2 months. The t-Student and F (ANOVA) tests were used for statistical analysis, with a significance rate of 5%. RESULTS: there was a significant difference when both groups were compared according to VAS score (p=0.027). There was no significant difference for the other variables: MMO and jaw protrusion. CONCLUSION: the anesthetic blockage and physical therapy, when used together, are effective in the reduction of pain in patients with TMD.
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In general, MT plus exercises reduced symptoms and increased ROM for patients with arthrogenous TMD, particularly for those with reduced ROM due to disk displacements without reduction (closed lock).
“In general, we found that MT plus exercises reduced symptoms and increased ROM for patients with arthrogenous TMD, particularly for those with reduced ROM due to disk displacements without reduction (”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [70]
The Discussion reports improved mouth opening and jaw protrusion in both groups, and reduced pain in the group receiving anesthetic blockage plus physical therapy. It reports increased mouth opening for one patient with disc displacement without reduction, but does not establish that manual therapy plus exercises alone is particularly effective for patients with closed lock; that patient also received anesthetic blockage. Page numbers are unavailable in our copy. (LLM, conf=0.88)
Experimental — accuracy not yet measuredIn that study, 29.4% of the patients (66/224) had temporary facial nerve paralysis.
“In that study, 29.4% of the patients (66/224) had temporary facial nerve paralysis”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [70]
In that study, 2.23% (5/224) had positive aspirations.
“2.23% (5/224) had positive aspirations.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [70]
In that study, 0.44% (1/224) had hematoma.
“0.44% (1/224) had hematoma”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [70]
Nascimento et al reported some adverse events due to the anesthetic blockages procedure.
“Nascimento et al 70 reported some adverse events due to the anesthetic blockages procedure.”
From Effectiveness of Manual Therapy and Therapeutic Exercise for Temporomandibular Disorders: Systematic Review and Meta-Analysis (2016) · cites this paper as [70]
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- Authors
- Nascimento, M., Vasconcelos, B., Porto, G., Ferdinanda, G., Nogueira, C., & Raimundo, R.
- Affiliations
- Universidade de Pernambuco (BR)
- Venue
- Medicina Oral Patología Oral y Cirugia Bucal
- Publisher
- Medicina Oral, S.L.
- Published
- 2013
- Volume
- 18
- Issue
- 1
- Pages
- e81-e85
- ISSN
- 1698-4447 (ISSN-L)
- 1698-6946
- PMC
- PMC3548651
- OpenAlex
- W2062726521
- Cited by
- 33
- References
- 31
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 4 · 2015: 4 · 2013: 1
- FWCI
- 2.64
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Medicina oral, patología oral y cirugía bucal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Fundação de Amparo à Ciência e Tecnologia do Estado de Pernambuco
- Topics
- Health Sciences › Health Professions › Complementary and Manual Therapy › Temporomandibular Joint Disorders
- Health Sciences › Dentistry › Oral Surgery › Dental Anxiety and Anesthesia Techniques
- Health Sciences › Medicine › Physiology › Salivary Gland Disorders and Functions
- Keywords
- temporomandibular disorders, bupivacaine, physiotherapy, massage, muscle stretching exercises, disc displacement, joint pain, analgesia, temporomandibular joint
- MeSH terms
- Adult, Female, Humans, Middle Aged, Nerve Block, Temporomandibular Joint Disorders, Single-Blind Method, Physical Therapy Modalities
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