Effect of acupuncture on the molar bite force in women with chronic neck pain

Abstract

Objetive: To investigate the maximum molar bite force in women with chronic neck pain after treatment with acupuncture.
Materials and Methods: Twenty-three women with chronic neck pain participated. Dynamometer was used to measure the right and left maximum molar bite force. Dong Bang acupuncture needles - 0.25 mm x 30 mm was inserted into the integumentary tissue. Treatment was 10 sessions, each 30 minutes long and twice a week.
Results: The right (p = 0.01) and left (p = 0.004) molar bite force was assessed after treatment with acupuncture, and showed increased occlusal strength.
Conclusions: This study suggests a functional improvement in the stomatognathic system in women with chronic cervical pain after treatment with acupuncture. However, it is important to note that further research is needed to fully elucidate the long-term effects and potential clinical implications of these findings in the field of pain management and rehabilitation.
Keywords: Acupuncture; Bite force; Neck pain; Women; Neck; Chronic pain

References

1. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, Keefe FJ, Mogil JS, Ringkamp M, Sluka KA, Song XJ, Stevens B, Sullivan MD, Tutelman PR, Ushida T, Vader K. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-1982. doi: 10.1097/j.pain.0000000000001939. PMID:326943 87; PMCID: PMC7680716.
2. Cohen SP, Baber ZB, Buvanendran A, McLean BC, Chen Y, Hooten WM, Laker SR, Wasan AD, Kennedy DJ, Sandbrink F, King SA, Fowler IM, Stojanovic MP, Hayek SM, Phillips CR. Pain Management Best Practices from Multispecialty Organizations During the COVID-19 Pandemic and Public Health Crises. Pain Med. 2020;21(7):1331-1346. doi: 10.1093/pm/pnaa127. PMID: 32259247; PMCID: PMC7184417.
3. Bressler HB, Markus M, Bressler RP, Friedman SN, Friedman L. Temporal tendinosis: A cause of chronic orofacial pain. Curr Pain Headache Rep. 2020 Mar 21;24(5):18. doi: 10.1007/s11916-020-00851-1. PMID: 32200454..
4. Vos T, Flaxman AD, Naghavi M. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012;380 (9859):2163-96.
5. Palinkas M, Nassar MS, Cecílio FA, Siéssere S, Semprini M, Machado-de-Sousa JP, Hallak JE, Regalo SC. Age and gender influence on maximal bite force and masticatory muscles thickness. Arch Oral Biol. 2010;55(10):797-802. doi: 10.1016/j.archoralbio.2010.06.016. Epub 2010 Jul 27. PMID: 20667521.
6. de Abreu RA, Pereira MD, Furtado F, Prado GP, Mestriner W Jr, Ferreira LM. Masticatory efficiency and bite force in individuals with normal occlusion. Arch Oral Biol. 2014;59(10):1065-74. doi: 10.1016/j.archoralbio.2014.05.005. Epub 2014 Jun 5. PMID: 24998024.
7. Goiato MC, Zuim PRJ, Moreno A, Dos Santos DM, da Silva EVF, de Caxias FP, Turcio KHL. Does pain in the masseter and anterior temporal muscles influence maximal bite force? Arch Oral Biol. 2017;83:1-6. doi: 10.1016/j.archoralbio.2017.06.029. Epub 2017 Jun 23. PMID: 28688272.
8. Bryans R, Descarreaux M, Duranleau M, Marcoux H, Potter B, Ruegg R, Shaw L, Watkin R, White E. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther. 2011;34(5):274-89. doi: 10.1016/j.jmpt.2011.04.008. PMID: 21640251.
9. Rancan SV, Bataglion C, Bataglion SA, Bechara OM, Semprini M, Siéssere S, Sousa JP, Crippa JA, Hallak JE, Regalo SC. Acupuncture and temporomandibular disorders: a 3-month follow-up EMG study. J Altern Complement Med. 2009 ;15(12):1307-10. doi: 10.1089/acm.2009.0015. PMID: 19958104.
10. de Salles-Neto FT, de Paula JS, Romero JGAJ, Almeida-Leite CM. Acupuncture for pain, mandibular function and oral health-related quality of life in patients with masticatory myofascial pain: A randomised controlled trial. J Oral Rehabil. 2020;47(10):1193-1201. doi: 10.1111/joor.13055. Epub 2020 Jul 31. PMID: 32668487.
11. Nickel JC, Gonzalez YM, Wu Y, Liu Y, Liu H, Iwasaki LR. Chronic Pain-Related Jaw Muscle Motor Load and Sensory Processing. J Dent Res. 2022;101(10):1165-1171. doi: 10.1177/00220345221099885. Epub 2022 Jun 16. PMID: 35708459; PMCID: PMC9403723.
12. Serritella E, Galluccio G, Paolo CD. Abdominal acupuncture for non-responding TMD patients: a retrospective observational study in general practice. J Acupunct Meridian Stud. 2023;16(2):56-64.
13. Schiffman E, Ohrbach R, Truelove E. Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) for Clinical and Research Applications: recommendations of the International RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. J Oral Facial Pain Headache 2014; 28(1):6-27. doi: 10.11607/jop.1151. PMID: 24482784; PMCID: PMC4478082.
14. Bechara OMR, Bataglion C, Palinkas M , Vasconcelos PB, Semprini M, Rancan SV, Siéssere S, Regalo SCH. Changes in sternocleidomastoid and descending portion of trapezius muscles in terms of electromyography and pressure pain threshold: women with chronic neck pain after acupuncture treatment. J Tradit Chin Med 2020;40(1):144-9. PMID: 32227776.
15. Donizetti Verri E, da Silva GP, Marianetti Fioco E, Soares da Silva N, Valin Fabrin SC, Augusto Bueno. Effects of Parkinson’s disease on molar bite force, electromyographic activity and muscle thickness of the masseter, temporal and sternocleidomastoid muscles: A case-control study. J Oral Rehabil 2019; 46(10):912-9. doi: 10.1111/joor.12824. Epub 2019 Jun 17. PMID: 31144338.
16. Ippolito DR, Stipa C, Cameli M, Sorrenti G, Pelligra I, Alessandri-Bonetti G. Maximum voluntary retrusion or habitual bite position for mandibular advancement assessment in the treatment of obstructive sleep apnoea patients. J Oral Rehabil. 2020 Mar;47(3):301-306. doi: 10.1111/joor.12902. Epub 2019 Nov 21. PMID: 31698516.
17. Pion CH, Barbat-Artigas S, St-Jean-Pelletier F, Chevalier S, Gaudreau P, Gouspillou G, Morais JA, Bélanger M, Aubertin-Leheudre M. Muscle strength and force development in high- and low-functioning elderly men: Influence of muscular and neural factors. Exp Gerontol. 2017;96:19-28. doi: 10.1016/j.exger.2017.05.021. Epub 2017 Jun 1. PMID: 28579089.
18. Yamaguchi K, Tohara H, Hara K, Nakane A, Kajisa E, Yoshimi K, Minakuchi S. Relationship of aging, skeletal muscle mass, and tooth loss with masseter muscle thickness. BMC Geriatr. 2018;18(1):67. doi: 10.1186/s12877-018-0753-z. PMID: 29519234; PMCID: PMC5844127.
19. Jenkins KM, Shaw JO. Bite force data suggests relationship between acrodont tooth implantation and strong bite force. PeerJ. 2020;8:e9468. doi: 10.7717/peerj.9468. PMID: 32656000; PMCID: PMC7333653.
20. Shi LH, Guo LX, Zhang HL, Li YX, Zhong DL, Xiao QW, Li J, Ye XQ, Jin RJ. Acupuncture for poststroke spasticity: A protocol of a systematic review and meta-analysis. Medicine (Baltimore). 2019;98(39):e17124. doi: 10.1097/MD.0000000000017124. PMID: 31574812; PMCID: PMC6775425.
21. Cardoso R, Lumini-Oliveira JA, Santos MJ, Ramos B, Matos LC, Machado J, Greten HJ, Franconi G. Acupuncture can be beneficial for exercise-induced muscle soreness: A randomised controlled trial. J Bodyw Mov Ther. 2020;24(1):8-14. doi: 10.1016/j.jbmt.2019.03.015. Epub 2019 Apr 4. PMID: 31987567.
22. Kim HA, Hwang UJ, Jung SH, Ahn SH, Kim JH, Kwon OY. Comparison of shoulder strength in males with and without myofascial trigger points in the upper trapezius. Clin Biomech (Bristol, Avon). 2017;49:134-138. doi: 10.1016/j.clinbiomech.2017.09.001. Epub 2017 Sep 6. PMID: 28934634..
23. Fang CY, Yu JH, Chang CC, Hsu JT, Lee YC, Huang HL. Effects of short-term acupuncture treatment on occlusal force and mandibular movement in patients with deep-bite malocclusion. J Dent Sci. 2019;14(1):81-86. doi: 10.1016/j.jds.2018.11.003. Epub 2018 Dec 4. PMID: 30988883; PMCID: PMC6445974.
24. Ifrim Chen F, Antochi AD, Barbilian AG. Acupuncture and the retrospect of its modern research. Rom J Morphol Embryol. 2019;60(2):411-418. PMID: 31658313.
25. Sun L, Kou R, Liu L, Fan G. [Acupuncture direction and analgesia]. Zhongguo Zhen Jiu. 2017 Mar 12;37(3):279-283. doi: 10.13703/j.0255-2930.2017.03.017. PMID: 29231435.
26. Qiao L, Guo M, Qian J, Xu B, Gu C, Yang Y. Research Advances on Acupuncture Analgesia. Am J Chin Med. 2020;48(2):245-258. doi: 10.1142/S0192415 X20500135. Epub 2020 Mar 5. PMID: 32138535.
27. Mahmoud NF, Hassan KA, Abdelmajeed SF, Moustafa IM, Silva AG. The Relationship Between Forward Head Posture and Neck Pain: a Systematic Review and Meta-Analysis. Curr Rev Musculoskelet Med. 2019;12(4):562-577. doi: 10.1007/s12178-019-0959 4-y. PMID: 31773477; PMCID: PMC6942109.
28. Frontera WR, Ochala J. Skeletal muscle: a brief review of structure and function. Calcif Tissue Int. 2015;96(3):183-95. doi: 10.1007/s00223-014-9915-y. Epub 2014 Oct 8. PMID: 25294644.
29. Wiesinger B, Häggman-Henrikson B, Eklund A, Wänman A, Hellström F. Multimodal Sensory Stimulation of the Masseter Muscle Reduced Precision but Not Accuracy of Jaw-Opening Movements. Front Neurosci. 2019;13:1083. doi: 10.3389/fnins.2019.01083. PMID: 31649503; PMCID: PMC6795680.
30. Iodice P, Cesinaro S, Romani GL, Pezzulo G. More gain less pain: balance control learning shifts the activation patterns of leg and neck muscles and increases muscular parsimony. Exp Brain Res. 2015;233(7):2103-14. doi: 10.1007/s00221-015-4281-1. Epub 2015 Apr 21. PMID: 25896167.
31. Daneman R, Prat A. The blood-brain barrier. Cold Spring Harb Perspect Biol. 2015 Jan 5;7(1):a020412. doi: 10.1101/cshperspect.a020412. PMID: 25561720; PMCID: PMC4292164.
32. Xu G, Xi Q, Tang W, Liu T, Gao M, Li S, Wen J, Yang H. Effect of different twirling and rotating acupuncture manipulation techniques on the blood flow perfusion at acupoints. J Tradit Chin Med. 2019;39(5):730-739. PMID: 32186124.
Published
2023-08-23
How to Cite
RÊGO BECHARA, Odinê et al. Effect of acupuncture on the molar bite force in women with chronic neck pain. Journal of Oral Research, [S.l.], v. 12, n. 1, p. 108-118, aug. 2023. ISSN 0719-2479. Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2023.010>. Date accessed: 04 mar. 2024. doi: https://doi.org/10.17126/joralres.2023.010.
Section
Articles