Acupuntura na analgesia da disfunção temporomandibular: revisão integrativa da literatura

Abstract

This study had as its analysis object the use of acupuncture in order to obtain analgesia in the temporomandibular disorders treatment. It is about a literature-integrated review. It was accomplished using the following data basis: BVS, SCIELO, PUBMED, LILACS, COCHRANE. Articles which addressed the use of acupuncture in the temporomandibular disorders pain treatment, published between January 2005 and July 2014, were selected. The following descriptors from the descriptors in the Health Science system were used, with its correspondents in English and Spanish: acupuncture, analgesia acupuncture, temporomandibular joint disorders and pain; acupuntura, analgesia acupuntura,disfunciones craneomandibulares y dolor. Clinics studies in English, Portuguese and Spanish that used Acupuncture as a therapeutic resource in temporomandibular disorders pain were selected regardless of the methodology used for its development. A total of seven articles made the final sample. The analyzed studies show that acupuncture was effective in the facial muscles and temporomandibular disorder syndrome pain, presenting reduction or cessation of pain, as well as severity decrease and improvement in other evaluated parameters. It has concluded that acupuncture is relevant in the temporomandibular disorder care line, and that studies with other methodological designs are necessary. It is important that new studies use, for example, point protocols exploring the energetic syndrome treatment, as proposed by the Traditional Chinese Medicine. As a product of this master a Temporomandibular Dysfunction and Orofacial Pain protocol was built in the city department of health of Belo Horizonte-SUSBH, in partnership with the City Department of Health of Belo Horizonte, based on Temporomandibular Dysfunction Regulation Manual of the Brazilian Society of Temporomandibular dysfunction and Orofacial Pain. A line care of temporomandibular dysfunction was developed in network, considering the primary, secondary and tertiary levels.