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 |
|
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
20001836 | Li/2009 | Patients with TMJ and/ or masticatory pain | Double Blind Randomized Control Trial | Key results | Ping 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 |
(Oral Medicine/Pathology/Radiology) (General Dentistry) (Oral Surgery) (Orthodontics) |
Keywords |
TMD, temporomandibular disorder, herbal- Chinese medicine, ointment
|
ID# |
2273 |
Date of submission |
04/13/2012 |
E-mail |
simmonsta@livemail.uthscsa.edu |
Author |
Tess Simmons |
Co-author(s) |
|
Co-author(s) e-mail |
|
Faculty mentor |
Cara Gonzales, PhD, DDS |
Faculty mentor 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?) |
None available | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
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. | |