Skip to main content

Advertisement

Log in

Effect of Dry Needling on the Masseter Muscle in the Tinnitus Perception of Patients with Temporomandibular Disorder

  • Clinical Paper
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Objective

To evaluate the effect of dry needling on the masseter muscle in the perception of tinnitus in patients with temporomandibular disorder.

Methods

Twenty-five patients with tinnitus and muscular temporomandibular disorders were randomly assigned to groups study (n = 13) and control (n = 12). Three sessions of dry needling (study) and sham (control) were performed. Follow-up was performed 30, 60 and 90 days after the end of treatment. The Analog Visual Scale and Tinnitus Handicap Inventory (THI) were used to evaluate the treatment.

Results

In study group, 76.9% presented a reduction in the intensity and tinnitus discomfort and total THI. In control group, 66.7% presented a decrease in tinnitus intensity and total THI, and 58.3% reported a decrease in tinnitus discomfort. After 90 days, in the study group, 84.6% maintained improvement in pain intensity and reduction in THI score and 69.2% reported improvement in both intensity and discomfort caused by tinnitus. In control group, 75% achieved improvement in pain intensity, 33.2% maintained improvement in tinnitus intensity, and 41.7% maintained improvement in discomfort caused by tinnitus and total THI. In the total THI score, the study group presented improvement (p = 0.041).

Conclusion

Dry needling combined with counseling was associated with improvement in pain intensity and tinnitus, decrease in tinnitus discomfort and reduction in total THI score.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Graph 1
Graph 2

Similar content being viewed by others

References

  1. Understanding the facts (2018) In: American Tinnitus Association. https://www.ata.org/understanding-facts. Accessed 12 Aug 2019

  2. Baguley D, McFerran D, Hall D (2013) Tinnitus. Lancet 382:1600–1607. https://doi.org/10.1016/S0140-6736(13)60142-7

    Article  PubMed  Google Scholar 

  3. Liu F, Steinkeler A (2013) Epidemiology, diagnosis, and treatment of temporomandibular disorders. Dent Clin North Am 57:465–479. https://doi.org/10.1016/j.cden.2013.04.006

    Article  PubMed  Google Scholar 

  4. Leeuw R, Klasser GD (2013) In: Orofacial pain: guidelines for assessment, diagnosis, and management. Quintessence Publishing, Chicago

    Google Scholar 

  5. Fernández-de-las-Peñas C, Galán-del-Río F, Alonso-Blanco C et al (2010) Referred pain from muscle trigger points in the masticatory and neck-shoulder musculature in women with temporomandibular disorders. J Pain 11:1295–1304. https://doi.org/10.1016/j.jpain.2010.03.005

    Article  PubMed  Google Scholar 

  6. Travell J (1960) Temporomandibular joint pain referred from muscles of the head and neck. J Prosthet Dent 10:745–763. https://doi.org/10.1016/0022-3913(60)90257-2

    Article  Google Scholar 

  7. Bezerra Rocha CA, Sanchez TG, Tesseroli de Siqueira JT (2008) Myofascial trigger point: a possible way of modulating tinnitus. Audiol Neurootol 13:153–160. https://doi.org/10.1159/000112423

    Article  PubMed  Google Scholar 

  8. Teachey WS, Wijtmans EH, Cardarelli F et al (2012) Tinnitus of myofascial origin. Int Tinnitus J 17:70–73

    PubMed  Google Scholar 

  9. Porto De Toledo I, Stefani FM, Porporatti AL et al (2017) Prevalence of otologic signs and symptoms in adult patients with temporomandibular disorders: a systematic review and meta-analysis. Clin Oral Investig 21:597–605. https://doi.org/10.1007/s00784-016-1926-9

    Article  PubMed  Google Scholar 

  10. Shah JP, Thaker N, Heimur J et al (2015) Myofascial trigger points then and now: a historical and scientific perspective. PMR 7:746–761

    Article  Google Scholar 

  11. Halle JS, Halle RJ (2016) Pertinent dry needling considerations for minimizing adverse effects – part one. Int J Sports Phys Ther 11(4):651–662

    PubMed  PubMed Central  Google Scholar 

  12. Cummings TM, White AR (2001) Needling therapies in the management of myofascial trigger point pain: a systematic review. Arch Phys Med Rehabil 82:986–992. https://doi.org/10.1053/apmr.2001.24023

    Article  CAS  PubMed  Google Scholar 

  13. Dommerholt J (2011) Dry needling - peripheral and central considerations. J Man Manip Ther 19:223–227. https://doi.org/10.1179/106698111X13129729552065

    Article  PubMed  PubMed Central  Google Scholar 

  14. Rocha CACB (2010) Eficácia da desativação dos pontos-gatilho miofasciais para o tratamento do zumbido em pacientes com síndrome dolorosa miofascial. Thesis, Universidade de São Paulo

  15. Ferreira PEA, Cunha F, Onishi ET et al (2005) Tinnitus Handicap Inventory: cross-cultural adaptation to brazilian portuguese. Pró-Fono R Atual Cient 17:303–310. https://doi.org/10.1590/S0104-56872005000300004

    Article  Google Scholar 

  16. De Laat A, Stappaerts K, Papy S (2003) Counseling and physical therapy as treatment for myofascial pain of the masticatory system. J Orofac Pain 17:42–49

    PubMed  Google Scholar 

  17. Hong CZ (2013) Needling therapy for myofascial pain control. Evid Based Complement Alternat Med. https://doi.org/10.1155/2013/946597

    Article  PubMed  PubMed Central  Google Scholar 

  18. Tekin L, Akarsu S, Durmuş O et al (2013) The effect of dry needling in the treatment of myofascial pain syndrome: a randomized double-blinded placebo-controlled trial. Clin Rheumatol 32:309–315. https://doi.org/10.1007/s10067-012-2112-3

    Article  PubMed  Google Scholar 

  19. Reis Durão AP, Morosolli A, Brown J, Jacobs R (2017) Masseter muscle measurement performed by ultrasound: a systematic review. Dentomaxillofac Radiol 46(6):20170052. https://doi.org/10.1259/dmfr.20170052

    Article  PubMed  PubMed Central  Google Scholar 

  20. Kusdra PM, Stechman-Neto J, Leao BLC et al (2018) Relationship between otological symptoms and TMD. Int Tinnitus J 22:30–34. https://doi.org/10.5935/0946-5448.20180005

    Article  PubMed  Google Scholar 

  21. Rocha CACB (2005) Associação entre pontos-gatilho miofasciais e pacientes com zumbido constante: capacidade de modulação, localização e correlação de lateralidade. Dissertation, Universidade de São Paulo

  22. Estola-Partanen M (2000) Muscular tension and tinnitus an experimental trial of trigger point injections on tinnitus. In: Dissertation, University of Tampere. http://tampub.uta.fi/bitstream/handle/10024/67059/951-44-4972-X.pdf. Accessed 13 Dec 2019

  23. Gonzalez-Perez L-M, Infante-Cossio P, Granados-Nuñez M et al (2012) Treatment of temporomandibular myofascial pain with deep dry needling. Med Oral Patol Oral Cir Bucal 17:e781–e785. https://doi.org/10.4317/medoral.17822

    Article  PubMed  PubMed Central  Google Scholar 

  24. Shah JP, Gilliams EA (2008) Uncovering the biochemical milieu of myofascial trigger points using in vivo microdialysis: an application of muscle pain concepts to myofascial pain syndrome. J Bodyw Mov Ther 12:371–384. https://doi.org/10.1016/j.jbmt.2008.06.006

    Article  PubMed  Google Scholar 

  25. Lyons MF, Rouse ME, Baxendale RH (1993) Fatigue and EMG changes in the masseter and temporalis muscles during sustained contractions. J Oral Rehabil 20:321–331. https://doi.org/10.1111/j.1365-2842.1993.tb01614.x

    Article  CAS  PubMed  Google Scholar 

  26. Glaros AG, Williams K, Lausten L et al (2005) Tooth contact in patients with temporomandibular disorders. Cranio 23(3):188–193. https://doi.org/10.1179/crn.2005.027

    Article  PubMed  Google Scholar 

  27. Henry JA, Dennis KC, Schechter MA (2005) General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res 48:1204–1235. https://doi.org/10.1044/1092-4388(2005/084)

    Article  PubMed  Google Scholar 

  28. Langguth B, Kreuzer PM, Kleinjung T, De Ridder D (2013) Tinnitus: causes and clinical management. Lancet Neurol 12(9):920–930. https://doi.org/10.1016/S1474-4422(13)70160-1

    Article  PubMed  Google Scholar 

  29. Langguth B (2015) Treatment of tinnitus. Curr Opin Otolaryngol Head Neck Surg 23(5):361–368. https://doi.org/10.1097/MOO.0000000000000185

    Article  PubMed  Google Scholar 

  30. De la Torre CG, Manfredini D, Grillo CM et al (2017) Therapeutic effectiveness of a combined counseling plus stabilization appliance treatment for myofascial pain of the jaw muscles: a pilot study. Cranio 35:180–186. https://doi.org/10.1080/08869634.2016.1168071

    Article  Google Scholar 

  31. Flor H, Birbaumer N, Schulte W et al (1991) Stress-related electromyographic responses in patients with chronic temporomandibular pain. Pain 46:145–152. https://doi.org/10.1016/0304-3959(91)90069-a

    Article  PubMed  Google Scholar 

  32. Newman CW, Sandridge SA, Jacobsont GP (1998) Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome. J Am Acad Audiol 9:153–160

    CAS  PubMed  Google Scholar 

  33. Landgrebe M, Azevedo A, Baguley D et al (2012) Methodological aspects of clinical trials in tinnitus: a proposal for an international standard. J Psychosom Res 73:112–121. https://doi.org/10.1016/j.jpsychores.2012.05.002

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Funding

This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil (CAPES)—Finance Code 001.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Katia Sirikaku.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Research Ethics Committee of Universidade Federal de São Paulo, São Paulo, Brazil, number 1508/2016 and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sirikaku, K., Watinaga, G.K., de Souza Moraes, S. et al. Effect of Dry Needling on the Masseter Muscle in the Tinnitus Perception of Patients with Temporomandibular Disorder. J. Maxillofac. Oral Surg. 22, 571–578 (2023). https://doi.org/10.1007/s12663-022-01696-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-022-01696-4

Keywords

Navigation