Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 7 Issue 9

Dry Needling for Treatment of Temporomandibular Disorder of Muscular Origin: A Functional Approach to the Stomatognathic System

Veridiana Wanshi Arnoni, Mariah Acioli Righetti, Nayara Soares da Silva, Karina F Bombonato-Prado, Isabela Hallak Regalo, Paulo Batista de Vasconcelos, Marcelo Palinkas*, Ligia Maria N Gonçalves, Simone Cecilio H Regalo and Selma Siéssere

Department of Basic and Oral Biology, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Brazil

*Corresponding Author: Marcelo Palinkas, Department of Basic and Oral Biology, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, Brazil.

Received: August 07, 2023; Published: August 24, 2023


Background: The aim of this longitudinal study was to evaluate the function of the stomatognathic system in subjects with muscle temporomandibular disorder before and after seven days of dry needling in the masseter muscles.

Materials and Methods: Twenty-one patients with temporomandibular disorders participated in this study. Dry needling was performed at trigger points of the masseter muscle. The following variables were evaluated: numerical visual scale, mandibular mobility, masticatory efficiency by electromyography of the masseter and temporal muscles, and occlusal force. Paired t-test and t-test were performed for the independent samples (p < 0.05).

Results: Pain decreased (p < 0.001) and mobility increased in right (p = 0.028) and left (p = 0.022) laterality. There was no statistically significant difference in masticatory efficiency. The analysis of occlusal force distribution showed an increase in force on the left side (p = 0.001).

Conclusion: Dry needling effectively improved the pain and function of the stomatognathic system in subjects with muscular temporomandibular disorders.

Keywords: Dry Needling; Pain; Temporomandibular Disorder; Mandibular Mobility; Masticatory Efficiency; Occlusion


  1. Zotelli VL G., et al. “Acupuncture effect on pain, mouth opening limitation and on the energy meridians in patients with temporomandibular dysfunction: a randomized controlled trial". Journal of Acupuncture and Meridian Studies 10.5 (2017): 351-359.
  2. Thirunavukarasu AJ., et al. “Temporomandibular joint anatomy: ultrasonographic appearances and sexual dimorphism". Clinical Anatomy 34.7 (2021): 1043-1049.
  3. Tesch RS., et al. “Effectiveness of dry needling on the local pressure pain threshold in patients with masticatory myofascial pain. Systematic review and preliminary clinical trial". Cranio 39. 2 (2021): 171-179.
  4. Unverzagt C., et al. “Dry needling for myofascial trigger point pain: a clinical commentary". International Journal of Sports Physical Therapy 10.3 (2015): 402-408.
  5. Ziaeifar M., et al. “The effect of dry needling on pain, pressure pain threshold and disability in patients with a myofascial trigger point in the upper trapezius muscle". Journal of Bodywork and Movement Therapies 18.2 (2014): 298-305.
  6. López-Royo MP., et al. “Effects of ischemic compression on trigger points in the first dorsal interosseous muscle in patients with thumb carpometacarpal osteoarthritis”. International Journal of Environmental Research and Public Health 18.6 (2021): 2961.
  7. Nuhmani S., et al. “Dry needling in the management of tendinopathy: A systematic review of randomized control trials". Journal of Bodywork and Movement Therapies 33 (2023): 128-135.
  8. Fernández-Jané C., et al. “Acupucture techniques for COPD: a systematic review". BMC Complementary Medicine and Therapies 20 (2020): 138.
  9. Navarro-Santana MJ., et al. “Effectiveness of dry needling for myofascial trigger points associated with neck pain symptoms: an updated systematic review and meta-analysis". Journal of Clinical Medicine 9.10 (2020): 3300.
  10. Fernández-De-Las-Peñas C., et al. “Is dry needling effective when combined with other therapies for myofascial trigger points associated with neck pain symptoms? A systematic review and meta-analysis". Pain Research and Management 2021 (2021): 8836427.
  11. Vier C., et al. “The effectiveness of dry needling for patients with orofacial pain associated with temporomandibular dysfunction: a systematic review and meta-analysis". Brazilian Journal of Physical Therapy 23.1 (2019): 3-11.
  12. Blasco-Bonora PM., et al. “Effects of myofascial trigger point dry needling in patients with sleep bruxism and temporomandibular disorders: a prospective case series". Acupuncture in Medicine 35.1 (2017): 69-74.
  13. Shafshak TS., et al. “The visual analogue scale versus numerical rating scale in measuring pain severity and predicting disability in low back pain". Journal of Clinical Rheumatology 27.7 (2021): 282-285.
  14. Velázquez-Saornil J., et al. “Efficacy of quadriceps vastus medialis dry needling in a rehabilitation protocol after surgical reconstruction of complete anterior cruciate ligament rupture". Medicine (Baltimore) 96.17 (2017): e6726.
  15. Hsieh YL., et al. “Dry needling to a key myofascial trigger point may reduce the irritability of satellite MTrPs". American Journal of Physical Medicine and Rehabilitation 86.5 (2007): 397-403.
  16. Spagnol G., et al. “Impact of midface and upper face fracture on bite force, mandibular mobility, and electromyographic activity". International Journal of Oral and Maxillofacial Surgery 45.11 (2016): 1424-1429.
  17. Magnani DM., et al. “Evaluation of oral-motor movements and facial mimic in patients with head and neck burns by a public service in Brazil". Clinics (Sao Paulo) 70.5 (2015): 339-345.
  18. Celić R., et al. “Measurement of mandibular movements in patients with temporomandibular disorders and in asymptomatic subjects". Collegium Antropologicum 27.2 (2003): 43-49.
  19. Hermens HJ., et al. “Development of recommendations for SEMG sensors and sensor placement procedures". Journal of Electromyography and Kinesiology 10.5 (2000): 361-374.
  20. Palinkas M., et al. “Evaluation of the electromyographic activity of masseter and temporalis muscles of women with rheumatoid arthritis". Hippokratia 22.1 (2018): 3-9.
  21. Siéssere S., et al. “Masticatory process in individuals with maxillary and mandibular osteoporosis: electromyographic analysis". Osteoporosis International 20.11 (2009): 1847-1851.
  22. da Silva N., et al. “Impact of parkinson’s disease on the efficiency of masticatory cycles: electromyographic analysis". Medicina Oral, Patologia Oral y Cirugia Bucal 24.3 (2019): e314-e318.
  23. Di Berardino F., et al. “The occlusal imaging and analysis system by T-scan III in tinnitus patients". Biomedical Journal 39.2 (2016): 139-144.
  24. Cerna M., et al. “Validity and reliability of the T-Scan (®) III for measuring force under laboratory conditions". Journal of Oral Rehabilitation 42.7 (2015): 544-551.
  25. Dos Reis FJ., et al. “Measuring the pain area: an intra- and inter-rater reliability study using image analysis software". Pain Practice 16.1 (2016): 24-30.
  26. Chiarotto A., et al. “Measurement properties of visual analogue scale, numeric rating scale, and pain severity subscale of the brief pain inventory in patients with low back pain: a systematic review". The Journal of Pain 20.3 (2019): 245-263.
  27. Myles PS., et al. “Measuring acute postoperative pain using the visual analog scale: the minimal clinically important difference and patient acceptable symptom state". British Journal of Anaesthesia 118.3 (2017): 424-429.
  28. Ulger O., et al. “The effect of manual therapy and exercise in patients with chronic low back pain: Double blind randomized controlled trial". Journal of Back and Musculoskeletal Rehabilitation 30.6 (2017): 1303-1309.
  29. Campagna CA., et al. “Effectiveness of dry needling in bothersome chronic tinnitus in patients with myofascial trigger points". International Archives of Otorhinolaryngology 26.2 (2022): e233-e242.
  30. Fernández-Carnero J., et al. “Short-term effects of dry needling of active myofascial trigger points in the masseter muscle in patients with temporomandibular disorders". Journal of Orofacial Pain 24.1 (2010): 106-112.
  31. Mahmoudzadeh A., et al. “The effect of dry needling on the radiating pain in subjects with discogenic low-back pain: A randomized control trial". Journal of Research in Medical Sciences 21 (2016): 86.
  32. Felici F., et al. “Surface electromyography: what limits its use in exercise and sport physiology?" Frontiers in Neurology 11 (2020): 578504.
  33. Palinkas M., et al. "Aging of masticatory efficiency in healthy subjects: electromyographic analysis--Part 2". Acta odontológica Latinoamericana 26.3 (2013): 161-166.
  34. Ruttitivapanich N., et al. “Correlation of bite force interpretation in maximal intercuspal position among patient, clinician, and T-Scan III system". European Journal of Dentistry 13.3 (2019): 330-334.
  35. Karakis D., et al. “Comparison of simultaneously recorded computerized occlusal analysis and surface electromyographic activity of masticatory muscles between patients with unilateral TMD". The International Journal of Prosthodontics 34.5 (2021): 554-559.
  36. Ansari M., et al. “Effects of dry needling and low-power laser for the treatment of trigger points in the upper trapezius muscle: a randomized clinical trial". Journal of Chiropractic Medicine 21.4 (2022): 288-295.


Citation: Marcelo Palinkas., et al. “Dry Needling for Treatment of Temporomandibular Disorder of Muscular Origin: A Functional Approach to the Stomatognathic System".Acta Scientific Dental Sciences 7.9 (2023): 84-90.


Copyright: © 2023 Marcelo Palinkas., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate30%
Acceptance to publication20-30 days
Impact Factor1.278

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US