Conditions affecting the face can be greatly distressing and impact the quality of life of those affected. Facial paralysis and Bell's palsy, trigeminal neuralgia and temporomandibular disorders causing jaw pain and tension are common conditions which can be treated by acupuncture.
While injectables, lasers, and surgical interventions have traditionally been used to reverse the changes associated with facial ageing, therapies such as facial acupuncture are now being studied for facial rejuvenation. Reviews of data from clinical studies suggest that facial acupuncture has the potential to improve skin elasticity, wrinkle length, muscle thickness, and pigment changes associated with ageing.
The following insights are obtained from scientific studies, systematic reviews and analysis of clinical trials investigating the efficacy of Facial Conditions.
The meta-analysis of 5 articles showed that warm needling therapy could improve the House–Brackmann (H–B) scores of patients with peripheral facial paralysis more than acupuncture, indicating that warm needling therapy provides superior improvement in the function of facial nerve innervation in the patients. No adverse events were reported in the included studies. The methodological quality of the included studies was generally low.
Effect of warm needling therapy and acupuncture in the treatment of peripheral facial paralysis: A systematic review and meta-analysis Jiang-peng CAO, Ai-hong YUAN, Yang ZHANG, Jun YANG, Xiao-ge SONG
While injectables, lasers, and surgical interventions have traditionally been used to reverse the changes associated with facial aging, other alternative therapies such as facial acupuncture and facial exercises are now being studied for facial rejuvenation. In this paper, we both summarize the concepts of facial acupuncture and facial exercises, and review seven studies that evaluate the efficacy of these modalities. Data from these studies suggest that both facial acupuncture and facial exercises have the potential to improve the skin laxity, wrinkle length, muscle thickness, and pigmentary changes associated with aging. Patients frequently reported improvement and experienced very few side effects. However, further research is necessary before these modalities are widely accepted as effective by the medical community, though the results of these studies may ultimately make providers less hesitant when patients seek out these services.
Non-Traditional and Non-Invasive Approaches in Facial Rejuvenation: A Brief Review M. Smith, A. Ferris, T. K. Nahar, V. Sharma, M.
Acupuncture appears more effective than pharmacotherapy or surgery. Statistical analysis of side effects was not possible due to inconsistent reporting protocols, but the data suggest that acupuncture is considerably safer than pharmacotherapy or surgery. Acupuncture also appears to be the least expensive therapeutic modality to deliver long-term (65 weeks onwards), and our analysis indicated that it was less stressful to patients than pharmacotherapy or surgery. Further study into these areas and the practicality of its availability in the UK National Health Service (NHS) and other health systems is recommended.
Acupuncture in the management of trigeminal neuralgia Edwards, J. W., & Shaw, V.
Acupuncture also had fewer mean reported side effects compared with surgery and pharmacotherapy, and the lowest cost; after 5 years, the cost of acupuncture was estimated to be £750, compared to £1507.73 for carbamazepine and £4878.42 for microvascular decompression. Acupuncture was the least stressful according to the Holmes and Rahe’s Social Readjustment Rating Scale (SRRS) (53 points), whereas surgery was second most stressful (153 points) and pharmacotherapy was the most stressful intervention to patients (217 points).
Acupuncture in the management of trigeminal neuralgia Edwards, J. W., & Shaw, V.
Among the six studies selected, most were randomized controlled clinical trials, developed in China. Only one study performed a retrospective cross-sectional. To assess pain, most used the VAS scale. There were very similar methods concerning points selection and treatment protocols. All studies found a significant decrease in pain frequency or intensity, disregarding the type of acupuncture applied.
Acupuncture therapy in trigeminal neuralgia: An integrative literature review Aquino, I., Nascimento, M., Aquino, T., & Kosminsky MaurÃcio
Despite the poor quality of the included studies, our meta-analysis further confirmed the results of previous researches. Despite the high risk of bias and heterogeneity, acupuncture seems to be superior to drug therapy in the treatment of Bell's palsy including cure rate and total effective rate, which may be an effective method of treating Bell's palsy. When treating patients with facial paralysis, Acupuncture can be seen as one of the effective and operational treatment options. However, due to the existence of methodological flaws and potential bias risk in the included studies, more high-quality and large-sample RCTs are needed. Therefore, please carefully refer to the research conclusions of this meta-analysis.
Compare the efficacy of acupuncture with drugs in the treatment of Bell's palsy A systematic review and meta-analysis of RCTs Zhang, Rongchao, Wu, Tao, Wang, Ruihui, Wang, Dong, Liu, Qi
Our systematic review of 2 RCTs and 5 prospective, single- armed studies demonstrated that there are a few trials with high-quality evidence regarding cosmetic acupuncture for facial cosmetic conditions. The safety of cosmetic acupuncture appears tolerable; however, well-designed high-quality studies, such as sham-controlled studies with standardized cosmetic acupuncture interventions, are needed to determine its effects on facial cosmetic conditions.
Acupuncture for cosmetic use: a systematic review of prospective studies Byung-Cheul Shin & Kyeong-Tae Lim
A total of four randomized clinical trials using acupuncture (traditional, trigger point, and laser) for TMD treatment met the eligibility criteria and were included. Although the studies featured small sample sizes and short-term follow-up periods, acupuncture yielded results similar to those observed in groups treated with occlusal splints and were significantly superior than those obtained from placebo acupuncture–treated groups.
Despite the weak scientific evidence supporting its efficacy, acupuncture treatment appears to relieve the signs and symptoms of pain in myofascial TMD. More controlled and randomized clinical trials with larger sample sizes are needed in this field of research to verify these initial findings.
Acupuncture in Temporomandibular Disorder Myofascial Pain Treatment: A Systematic Review Ana Carla Bezerra De Carvalho Justo Fernandes, DDS, MSc/Dayanne Monielle Duarte Moura, DDS, MSc/Laura Géssica Dantas Da Silva, DDS, MSc/Erika Oliveira De Almeida, DDS, MSc, PhD/Gustavo Augusto Seabra Barbosa, DDS, MSc, PhD
Acupuncture aims to treat a range of medical and dental ailments, though is most commonly used for pain relief. This article reviews about the various possible roles of acupuncture in clinical dental practice. Acupuncture has potential in supplementing conventional treatment procedures by its diverse applicability outreach. Role of acupuncture in dental practice has been well supported by clinical trials. Its role in alleviating facial pain, pre-operative and post-operative dental pain has led to its widespread application.
Acupuncture (é‡ç¸ ZhÄ“n JiÇ”) – An Emerging Adjunct in Routine Oral Care Gupta, D., Dalai, D., Swapnadeep, Mehta, P.D., Indra, B., Rastogi, S., Jain, A., Chaturvedi, M., Sharma, S., Singh, S., Gill, S., Singh, N., & Gupta, R. (2014). Acupuncture (é‡ç¸ ZhÄ“n JiÇ”) – An Emerging Adjunct in Routine Oral Care. Journal of Tradi
This study compared the clinical effectiveness of acupuncture therapy in TMD patients through the meta-analysis of published results. Our results indicate that acupuncture therapy penetrating the skin has greater effectiveness and reduces the pain degree to a greater extent, especially myofascial pain symptoms, compared with both sham nonpenetrating acupuncture and sham laser therapy.
Acupuncture therapy in the management of the clinical outcomes for temporomandibular disorders Wu, Jun-Yi MD; Zhang, Chao MD; Xu, Yang-Peng MM; Yu, Ya-Yu MD; Peng, Le PhD; Leng, Wei-Dong PhD; Niu, Yu-Ming PhD; Deng, Mo-Hong PhD
The results of this meta-analysis suggest that acupuncture is a reasonable adjunctive treatment for producing a short-term analgesic effect in patients with painful TMD symptoms. Although the results described are positive, the relevance of these results was limited by the fact that substantial bias was present. These findings must be confirmed by future RCTs that improve the methodologic deficiencies of the studies evaluated in this meta-analysis.
Acupuncture in the treatment of pain in temporomandibular disorders: a systematic review and meta-analysis of randomized controlled trials La Touche R, Goddard G, De-la-Hoz JL, Wang K, Paris-Alemany A, Angulo-DÃaz-Parreño S, Mesa J, Hernández M
Seven RCTs (including 141 patients) met our inclusion criteria. Six studies comparatively tested needle acupuncture against penetrating sham acupuncture, non-penetrating sham acupuncture or sham laser acupuncture, whilst the remaining study tested laser acupuncture against sham laser acupuncture. Five studies were considered to be at low risk of bias. Outcomes were reported for pain intensity, facial pain, muscle tenderness and mouth opening.
Limited evidence that acupuncture is effective for treating temporomandibular disorders Jens C Türp
The results of this study showed that Chinese acupuncture was safe as administered here and was efficient in alleviating pain in patients suffering from temporomandibular disorder not caused by an osseous source. In approximately 90% of these patients, a statistically significant pain alleviation was observed, with the pain completely gone in most patients.
Acupuncture for treating temporomandibular disorder: retrospective study on safety and efficacy Noiman M, Garty A, Maimon Y, Miller U, Lev-Ari S.
Twelve studies met the inclusion criteria with 506 people in the acupuncture arm and 414 people in the control arm, in which carbamazepine (CBZ) was used as the control treatment. They were all low-quality studies, hence precluding meta-analysis. Only four trials reported that acupuncture was superior to CBZ, and the remaining eight studies showed no difference between the treatment and control groups. Adverse effects of acupuncture, which were reported in three studies, were mild.
A systematic review on acupuncture for trigeminal neuralgia Liu H, Li H, Xu M, Chung KF, Zhang SP
Browse our collection of scientific research on Facial Conditions. It includes recent and reputable papers published by peer-reviewed journals within the last 10 years.
2021, Dec
The results of this meta-analysis showed that warm needling therapy is superior to acupuncture in treating peripheral facial paralysis, providing a therapeutic option for the treatment of peripheral facial paralysis. However, due to the small sample size and the low quality of the included studies, the above conclusion still needs to be validated with high-quality, large-scale, randomized, blinded controlled trials.
Jiang-peng CAO, Ai-hong YUAN, Yang ZHANG, Jun YANG, Xiao-ge SONG Full Article
2020, Jul
This literature review indicated the decrease frequency and intensity of TN pain episodes in acupuncture patients.
Aquino, I., Nascimento, M., Aquino, T., & Kosminsky MaurÃcio Full Article
2020, Jun
This article highlights the efficacy of acupuncture in trigeminal neuralgia. Patients reported to have alleviation of pain and reduction of secondary myofascial pain. The article also showcased that acupuncture is a safer treatment compared to long term side effects from pharmaceutical drugs
Edwards, J. W., & Shaw, V. Full Article
2020, Mar 31
Patients with PFP received EA (used separately or combined with other treatments) resulting in a better prognosis. However, the quality of evidence was very low-to-moderate. Considering the poor quality of evidence, we are not very confident in the results. We look forward to more research and update results in the future and improve the evidence quality.
Wei-Hua Wang, Ruo-Wen Jiang, Na-Chuan Liu Full Article
2020, Feb 12
Data from these studies suggest that both facial acupuncture and facial exercises have the potential to improve the skin laxity, wrinkle length, muscle thickness, and pigmentary changes associated with aging. Patients frequently reported improvement and experienced very few side effects. However, further research is necessary before these modalities are widely accepted as effective by the medical community, though the results of these studies may ultimately make providers less hesitant when patients seek out these services.
M. Smith, A. Ferris, T. K. Nahar, V. Sharma, M. Full Article
2019, May
Although there was not enough evidence to prove its safety, acupuncture seems to be an effective therapy for Bell's palsy. Results of the present meta-analysis showed that acupuncture was associated with increased cure rate and total effective rate of the treatment of Bell's palsy in comparison with drugs. However, the results should be interpreted cautiously, because of the poor quality and heterogeneity of the included studies. In the future, more and more high quality randomized controlled trials (RCT) are needed to prove the safety and effectiveness of acupuncture.
Zhang, Rongchao, Wu, Tao, Wang, Ruihui, Wang, Dong, Liu, Qi Full Article
2018, Dec 31
This systematic review suggests that a few trials regarding acupuncture for cosmetic use have incorporated rigorous designs. Although the studies reported generally positive results with tolerable safety, the methodology of the trials should be updated in a rigorous manner, including the use of randomized, sham-controlled studies with standardized interventions, in order to provide sufficient evidence regarding the effects of cosmetic acupuncture.
Byung-Cheul Shin & Kyeong-Tae Lim Full Article
2017, Dec
This article highlights the efficacy of acupuncture in reducing dental pain (eg. TMJ.facial paralysis) and lower risk of oral diseases.
Gupta, D., Dalai, D., Swapnadeep, Mehta, P.D., Indra, B., Rastogi, S., Jain, A., Chaturvedi, M., Sharma, S., Singh, S., Gill, S., Singh, N., & Gupta, R. (2014). Acupuncture (é‡ç¸ ZhÄ“n JiÇ”) – An Emerging Adjunct in Routine Oral Care. Journal of Tradi Full Article
2017, Jul
This article highlighted the acupuncture treatment appears to relieve the signs and symptoms of pain in myofascial TMD
Ana Carla Bezerra De Carvalho Justo Fernandes, DDS, MSc/Dayanne Monielle Duarte Moura, DDS, MSc/Laura Géssica Dantas Da Silva, DDS, MSc/Erika Oliveira De Almeida, DDS, MSc, PhD/Gustavo Augusto Seabra Barbosa, DDS, MSc, PhD Full Article
2017, Mar
The result of this article indicate that acupuncture is effective in reducing the degree of pain in patients with TMD, especially those with myofascial pain symptoms
Wu, Jun-Yi MD; Zhang, Chao MD; Xu, Yang-Peng MM; Yu, Ya-Yu MD; Peng, Le PhD; Leng, Wei-Dong PhD; Niu, Yu-Ming PhD; Deng, Mo-Hong PhD Full Article
2015, Aug 1
Manual acupuncture appeared to be beneficial and safe for women with melasma, but insufficient evidence was found to reach conclusions. The encircling needling method, the quick needling method, intensive needle manipulations and individualised points’ selection were widely used. Well-designed trials are required.
Chai Q, Fei Y, Cao H, Wang C, Tian J, Liu J Full Article
2014, Dec
Acupuncture reduced the intensity of TMD pain and promoted the benefits of mandibular movement. When the treatments were compared, both reduced pain intensity and increased mouth opening equally, and may be considered strategies for control of chronic pain related to TMD.
Grillo CM, Canales Gde L, Wada RS, Alves MC, Barbosa CM, Berzin F, et al. Full Article
2010, Nov
The evidence reviewed suggests that acupuncture reduce effects of trigeminal neuralgia. Patients reported to have less aversion to pain and also reliance on pharmaceutical drugs
Liu H, Li H, Xu M, Chung KF, Zhang SP Full Article
2010, Oct 7
This systematic review highlighted that acupuncture is effective in alleviating pain and masseter muscle tenderness in TMD.
Jens C Türp Full Article
2010, Jul
The results of this meta-analysis suggest that acupuncture is a reasonable adjunctive treatment for producing a short-term analgesic effect in patients with painful TMD symptoms. Although the results described are positive, the relevance of these results was limited by the fact that substantial bias was present. These findings must be confirmed by future RCTs that improve the methodologic deficiencies of the studies evaluated in this meta-analysis.
La Touche R, Goddard G, De-la-Hoz JL, Wang K, Paris-Alemany A, Angulo-DÃaz-Parreño S, Mesa J, Hernández M Full Article
Although well-conducted clinical research can help members of the public to make better-informed decisions about their healthcare, we do not make any claims that any particular treatment may be efficacious for any individual person.
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