Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-Analysis

Background: The patient’s quality of life may be impacted by pain and dysfunction ranging from moderate discomfort to severe agony. Objective: To evaluate the viability of acupuncture for managing orofacial pain and headaches through meta-analysis. Methodology: The review was conducted following “Pr...

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Main Authors: Ananya Neralla, Silpiranjan Mishra, Sangamesh Ningappa Chinnannavar, S. Bhuvaneshwari, Atul A. Bajoria, Dhirendra K. Singh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Indian Academy of Oral Medicine and Radiology
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Online Access:https://journals.lww.com/10.4103/jiaomr.jiaomr_188_24
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author Ananya Neralla
Silpiranjan Mishra
Sangamesh Ningappa Chinnannavar
S. Bhuvaneshwari
Atul A. Bajoria
Dhirendra K. Singh
author_facet Ananya Neralla
Silpiranjan Mishra
Sangamesh Ningappa Chinnannavar
S. Bhuvaneshwari
Atul A. Bajoria
Dhirendra K. Singh
author_sort Ananya Neralla
collection DOAJ
description Background: The patient’s quality of life may be impacted by pain and dysfunction ranging from moderate discomfort to severe agony. Objective: To evaluate the viability of acupuncture for managing orofacial pain and headaches through meta-analysis. Methodology: The review was conducted following “Preferred Reporting Items for Systematic Review and Meta-Analysis” (PRISMA) 2020 and registered in PROSPERO-CRD42034561. Databases were searched for studies evaluating the effectiveness of acupuncture compared to conventional therapy for managing orofacial pain and headaches and their effect on pain reduction from June 1991 till April 2023. Revman software version 5.3 was used for quality assessment, while the Cochrane risk of bias (ROB)-2 tool was used for randomized controlled trials (RCT). Standardized mean difference (SMD) was summarized using a random effect model. Results: Moderate to low ROB was revealed on quality assessment. The pooled estimate favored acupuncture in reducing orofacial pain – SMD = 0.76 (−1.27–0.26), reducing headache with SMD is 0.11 (−0.34–0.12) compared to alternative therapies. Systematic heterogeneity was revealed on funnel plots indicating the presence of publication bias. Conclusion: Acupuncture is more effective in reducing orofacial pains and headaches. Further trials are needed to support the results of our study.
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publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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series Journal of Indian Academy of Oral Medicine and Radiology
spelling doaj-art-c68997930ac04b45a0258729fa3212982025-01-06T15:40:04ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13630975-15722024-12-0136435536110.4103/jiaomr.jiaomr_188_24Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-AnalysisAnanya NerallaSilpiranjan MishraSangamesh Ningappa ChinnannavarS. BhuvaneshwariAtul A. BajoriaDhirendra K. SinghBackground: The patient’s quality of life may be impacted by pain and dysfunction ranging from moderate discomfort to severe agony. Objective: To evaluate the viability of acupuncture for managing orofacial pain and headaches through meta-analysis. Methodology: The review was conducted following “Preferred Reporting Items for Systematic Review and Meta-Analysis” (PRISMA) 2020 and registered in PROSPERO-CRD42034561. Databases were searched for studies evaluating the effectiveness of acupuncture compared to conventional therapy for managing orofacial pain and headaches and their effect on pain reduction from June 1991 till April 2023. Revman software version 5.3 was used for quality assessment, while the Cochrane risk of bias (ROB)-2 tool was used for randomized controlled trials (RCT). Standardized mean difference (SMD) was summarized using a random effect model. Results: Moderate to low ROB was revealed on quality assessment. The pooled estimate favored acupuncture in reducing orofacial pain – SMD = 0.76 (−1.27–0.26), reducing headache with SMD is 0.11 (−0.34–0.12) compared to alternative therapies. Systematic heterogeneity was revealed on funnel plots indicating the presence of publication bias. Conclusion: Acupuncture is more effective in reducing orofacial pains and headaches. Further trials are needed to support the results of our study.https://journals.lww.com/10.4103/jiaomr.jiaomr_188_24acupunctureclinical trialsheadachesmyofascial painorofacial paintrigger points
spellingShingle Ananya Neralla
Silpiranjan Mishra
Sangamesh Ningappa Chinnannavar
S. Bhuvaneshwari
Atul A. Bajoria
Dhirendra K. Singh
Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-Analysis
Journal of Indian Academy of Oral Medicine and Radiology
acupuncture
clinical trials
headaches
myofascial pain
orofacial pain
trigger points
title Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-Analysis
title_full Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-Analysis
title_fullStr Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-Analysis
title_full_unstemmed Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-Analysis
title_short Acupuncture Therapy in the Management of Orofacial Pain and Headaches: A Systematic Review and Meta-Analysis
title_sort acupuncture therapy in the management of orofacial pain and headaches a systematic review and meta analysis
topic acupuncture
clinical trials
headaches
myofascial pain
orofacial pain
trigger points
url https://journals.lww.com/10.4103/jiaomr.jiaomr_188_24
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