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Title Ping On, An Herbal Ointment, May Be More Effective Than Placebo For Reducing Pain And Severity Of TMD Pain In Adult Patients
Clinical Question In an adult patient with TMD, are herbal remedies more effective than placebo in reducing the severity or duration of pain?
Clinical Bottom Line Ping On, an herbal ointment, may be more effective than placebo for reducing pain and severity of TMD pain in adult patients. Other herbal treatment would need additional investigation.
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 20001836Li/2009Patients with TMJ and/ or masticatory pain Double Blind Randomized Control Trial
Key resultsPing On ointment reduced significantly reduced symptoms of pain by day 15. Maximal comfortable opening was improved but was not clinically significant.
Evidence Search ("Temporomandibular Joint Disorders"[Mesh] AND "Pain"[Mesh]) AND "Drugs, Chinese Herbal"[Mesh] AND (Meta-Analysis[ptyp] OR Randomized Controlled Trial[ptyp])
Comments on
The Evidence
The authors compared both the herbal ointment and placebo and used the visual analogue scale with a baseline of 4 weeks of treatment to compare if effective.
Applicability If representative of our patient pool, the use of the herbal medicine, Ping On, could reduce TMD pain and severity. Side effects would need to be reported and noted.
Specialty/Discipline (Oral Medicine/Pathology/Radiology) (General Dentistry) (Oral Surgery) (Orthodontics)
Keywords TMD, temporomandibular disorder, herbal- Chinese medicine, ointment
ID# 2273
Date of submission: 04/13/2012spacer
E-mail simmonsta@livemail.uthscsa.edu
Author Tess Simmons
Co-author(s) e-mail
Faculty mentor/Co-author Cara Gonzales, PhD, DDS
Faculty mentor/Co-author e-mail gonzalesc5@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
Comments and Evidence-Based Updates on the CAT
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by Jaci Wulfjen, Angela Huynh (San Antonio, Texas) on 12/01/2017
A search conducted in November of 2017 found a more recent article by Ritenbaugh et al. published in 2012, PMID #23059454. This was a short-term comparative effectiveness study that investigated Chinese herbal medicine as well as other psychosocial treatments for TMJ disorder-related pain. The evidence in this article further supports the conclusions that traditional Chinese medicine is a safe and effective treatment that can be used to reduce patient pain.

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