Effects of Warm Needle Acupuncture on Temporomandibular Joint Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Background. Temporomandibular joint disorders (TMDs) are a common and prevalent disease with main symptoms of pain, joint sounds, and mandibular movement disorders, which seriously affects the mental health and quality of life of the sufferers. In recent years, there have been an increasing number o...
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| description | Background. Temporomandibular joint disorders (TMDs) are a common and prevalent disease with main symptoms of pain, joint sounds, and mandibular movement disorders, which seriously affects the mental health and quality of life of the sufferers. In recent years, there have been an increasing number of studies utilizing warm needle acupuncture (WNA) for the treatment of TMD, and the quality of the studies has gradually improved. However, evidence from evidence-based medicine is lacking. This study aims to use a systematic review and meta-analysis method to understand the efficacy of WNA for the treatment of TMD. Methods and Analysis. We searched randomized controlled trials (RCTs) of WNA for the treatment of TMD from 9 electronic databases, including 5 English databases (PubMed, EMBASE, Cochrane Library, Web of Science, and MEDLINE) and 4 Chinese databases (Chinese National Knowledge Infrastructure (CNKI), Chinese VIP Information, Wanfang Database, and Chinese Biomedical Literature Database (CBM)) from their inception to May 2021. The included RCTs compared WNA with acupuncture, electroacupuncture, pharmacological therapy, or other therapies. And outcome indicators such as total effective rate and cure rate were assessed. All analyses were conducted using RevMan software V5.3 and Stata16. Measurement count data used the relative risk (RR) as the efficacy statistic, and each effect size was given its point estimate value and 95% confidence interval (CI). Results. The meta-analysis included 10 studies with a total of 670 patients, which included 340 patients in the experimental group and 330 patients in the control group. The data in this review showed that WNA is superior to treatments such as acupuncture alone, acupuncture therapy combined with TDP, drug therapy, and ultrasonic therapy in terms of effective rate (RR = 1.20; 95% CI, 1.06 to 1.35; and P = 0.003) and cure rate (RR = 1.82; 95% CI, 1.46 to 2.28; and P |
| doi_str_mv | 10.1155/2021/6868625 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8643238</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2606657570</sourcerecordid><originalsourceid>FETCH-LOGICAL-c448t-4c0cd87aef10e2100c5e802e1eeb99e99b07f44ad31080bd879f4a353bbcc7d53</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhiNERUvhxhlZ4oIEae3Yjp0ekFZLoUUFpLIIbpZjT6grJ17spNXyEDwz3u6yAg5oDjOa-fTP2H9RPCH4iBDOjytckeNa5qj4veKACEZKVkl5f1eLr_vFw5SuMa4aIcSDYp8yKSjDzUHx87TrwIwJhQ590bFHHwCsBzQz03IazDhFQGFAC-iXIYZeD9a1k9cRvQtuGNFrl0K0ENMJmqFPqzRCr0dn0CXcOLhFGUfvYdTlbNB-ldzdmsvcDb37ARbNwzDG4H0uF9Fpnx4Ve11O8HibD4vPb04X87Py4uPb8_nsojSMybFkBhsrhYaOYKgIxoaDxBUQgLZpoGlaLDrGtKUES9xmtOmYppy2rTHCcnpYvNroLqe2B2sg36G9WkbX67hSQTv192RwV-pbuFGyZrSiMgs83wrE8H2CNKreJQPe6wHClFRVY8FlQ_l617N_0Oswxfwhd1Rdc8EFztTLDWViSClCtzuGYLU2Wq2NVlujM_70zwfs4N_OZuDFBrhyg9W37v9yvwAPtrMe</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2606657570</pqid></control><display><type>article</type><title>Effects of Warm Needle Acupuncture on Temporomandibular Joint Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><source>PubMed Central Open Access</source><source>Wiley-Blackwell Open Access Titles</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Liu, Gao-Feng ; Gao, Zhen ; Liu, Zheng-Nan ; Yang, Min ; Zhang, Sheng ; Tan, Tai-Peng</creator><contributor>de Moraes, Josué ; Josué de Moraes</contributor><creatorcontrib>Liu, Gao-Feng ; Gao, Zhen ; Liu, Zheng-Nan ; Yang, Min ; Zhang, Sheng ; Tan, Tai-Peng ; de Moraes, Josué ; Josué de Moraes</creatorcontrib><description>Background. Temporomandibular joint disorders (TMDs) are a common and prevalent disease with main symptoms of pain, joint sounds, and mandibular movement disorders, which seriously affects the mental health and quality of life of the sufferers. In recent years, there have been an increasing number of studies utilizing warm needle acupuncture (WNA) for the treatment of TMD, and the quality of the studies has gradually improved. However, evidence from evidence-based medicine is lacking. This study aims to use a systematic review and meta-analysis method to understand the efficacy of WNA for the treatment of TMD. Methods and Analysis. We searched randomized controlled trials (RCTs) of WNA for the treatment of TMD from 9 electronic databases, including 5 English databases (PubMed, EMBASE, Cochrane Library, Web of Science, and MEDLINE) and 4 Chinese databases (Chinese National Knowledge Infrastructure (CNKI), Chinese VIP Information, Wanfang Database, and Chinese Biomedical Literature Database (CBM)) from their inception to May 2021. The included RCTs compared WNA with acupuncture, electroacupuncture, pharmacological therapy, or other therapies. And outcome indicators such as total effective rate and cure rate were assessed. All analyses were conducted using RevMan software V5.3 and Stata16. Measurement count data used the relative risk (RR) as the efficacy statistic, and each effect size was given its point estimate value and 95% confidence interval (CI). Results. The meta-analysis included 10 studies with a total of 670 patients, which included 340 patients in the experimental group and 330 patients in the control group. The data in this review showed that WNA is superior to treatments such as acupuncture alone, acupuncture therapy combined with TDP, drug therapy, and ultrasonic therapy in terms of effective rate (RR = 1.20; 95% CI, 1.06 to 1.35; and P = 0.003) and cure rate (RR = 1.82; 95% CI, 1.46 to 2.28; and P < 0.00001) for the treatment of TMD. Conclusions. This systematic review and meta-analysis provides new evidence for the effectiveness of WNA for the treatment of TMD. However, the above conclusions need to be further verified by multicenter prospective studies of larger samples and higher-quality RCTs. Protocol registration number: INPLASY202160030.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2021/6868625</identifier><identifier>PMID: 34873409</identifier><language>eng</language><publisher>United States: Hindawi</publisher><subject>Acupuncture ; Bias ; Clinical trials ; Disease ; Drug therapy ; Electroacupuncture ; Intervention ; Meta-analysis ; Movement disorders ; Pain ; Patients ; Quality of life ; Review ; Sensitivity analysis ; Systematic review ; Temporomandibular joint ; Temporomandibular joint disorders</subject><ispartof>Evidence-based complementary and alternative medicine, 2021, Vol.2021, p.6868625-10</ispartof><rights>Copyright © 2021 Gao-Feng Liu et al.</rights><rights>Copyright © 2021 Gao-Feng Liu et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2021 Gao-Feng Liu et al. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c448t-4c0cd87aef10e2100c5e802e1eeb99e99b07f44ad31080bd879f4a353bbcc7d53</citedby><cites>FETCH-LOGICAL-c448t-4c0cd87aef10e2100c5e802e1eeb99e99b07f44ad31080bd879f4a353bbcc7d53</cites><orcidid>0000-0002-6075-0108 ; 0000-0003-4321-3084 ; 0000-0001-8410-8630 ; 0000-0002-6024-2533 ; 0000-0002-1268-0651 ; 0000-0002-0889-4630</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8643238/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8643238/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4009,27902,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34873409$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>de Moraes, Josué</contributor><contributor>Josué de Moraes</contributor><creatorcontrib>Liu, Gao-Feng</creatorcontrib><creatorcontrib>Gao, Zhen</creatorcontrib><creatorcontrib>Liu, Zheng-Nan</creatorcontrib><creatorcontrib>Yang, Min</creatorcontrib><creatorcontrib>Zhang, Sheng</creatorcontrib><creatorcontrib>Tan, Tai-Peng</creatorcontrib><title>Effects of Warm Needle Acupuncture on Temporomandibular Joint Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>Background. Temporomandibular joint disorders (TMDs) are a common and prevalent disease with main symptoms of pain, joint sounds, and mandibular movement disorders, which seriously affects the mental health and quality of life of the sufferers. In recent years, there have been an increasing number of studies utilizing warm needle acupuncture (WNA) for the treatment of TMD, and the quality of the studies has gradually improved. However, evidence from evidence-based medicine is lacking. This study aims to use a systematic review and meta-analysis method to understand the efficacy of WNA for the treatment of TMD. Methods and Analysis. We searched randomized controlled trials (RCTs) of WNA for the treatment of TMD from 9 electronic databases, including 5 English databases (PubMed, EMBASE, Cochrane Library, Web of Science, and MEDLINE) and 4 Chinese databases (Chinese National Knowledge Infrastructure (CNKI), Chinese VIP Information, Wanfang Database, and Chinese Biomedical Literature Database (CBM)) from their inception to May 2021. The included RCTs compared WNA with acupuncture, electroacupuncture, pharmacological therapy, or other therapies. And outcome indicators such as total effective rate and cure rate were assessed. All analyses were conducted using RevMan software V5.3 and Stata16. Measurement count data used the relative risk (RR) as the efficacy statistic, and each effect size was given its point estimate value and 95% confidence interval (CI). Results. The meta-analysis included 10 studies with a total of 670 patients, which included 340 patients in the experimental group and 330 patients in the control group. The data in this review showed that WNA is superior to treatments such as acupuncture alone, acupuncture therapy combined with TDP, drug therapy, and ultrasonic therapy in terms of effective rate (RR = 1.20; 95% CI, 1.06 to 1.35; and P = 0.003) and cure rate (RR = 1.82; 95% CI, 1.46 to 2.28; and P < 0.00001) for the treatment of TMD. Conclusions. This systematic review and meta-analysis provides new evidence for the effectiveness of WNA for the treatment of TMD. However, the above conclusions need to be further verified by multicenter prospective studies of larger samples and higher-quality RCTs. Protocol registration number: INPLASY202160030.</description><subject>Acupuncture</subject><subject>Bias</subject><subject>Clinical trials</subject><subject>Disease</subject><subject>Drug therapy</subject><subject>Electroacupuncture</subject><subject>Intervention</subject><subject>Meta-analysis</subject><subject>Movement disorders</subject><subject>Pain</subject><subject>Patients</subject><subject>Quality of life</subject><subject>Review</subject><subject>Sensitivity analysis</subject><subject>Systematic review</subject><subject>Temporomandibular joint</subject><subject>Temporomandibular joint disorders</subject><issn>1741-427X</issn><issn>1741-4288</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kcFu1DAQhiNERUvhxhlZ4oIEae3Yjp0ekFZLoUUFpLIIbpZjT6grJ17spNXyEDwz3u6yAg5oDjOa-fTP2H9RPCH4iBDOjytckeNa5qj4veKACEZKVkl5f1eLr_vFw5SuMa4aIcSDYp8yKSjDzUHx87TrwIwJhQ590bFHHwCsBzQz03IazDhFQGFAC-iXIYZeD9a1k9cRvQtuGNFrl0K0ENMJmqFPqzRCr0dn0CXcOLhFGUfvYdTlbNB-ldzdmsvcDb37ARbNwzDG4H0uF9Fpnx4Ve11O8HibD4vPb04X87Py4uPb8_nsojSMybFkBhsrhYaOYKgIxoaDxBUQgLZpoGlaLDrGtKUES9xmtOmYppy2rTHCcnpYvNroLqe2B2sg36G9WkbX67hSQTv192RwV-pbuFGyZrSiMgs83wrE8H2CNKreJQPe6wHClFRVY8FlQ_l617N_0Oswxfwhd1Rdc8EFztTLDWViSClCtzuGYLU2Wq2NVlujM_70zwfs4N_OZuDFBrhyg9W37v9yvwAPtrMe</recordid><startdate>2021</startdate><enddate>2021</enddate><creator>Liu, Gao-Feng</creator><creator>Gao, Zhen</creator><creator>Liu, Zheng-Nan</creator><creator>Yang, Min</creator><creator>Zhang, Sheng</creator><creator>Tan, Tai-Peng</creator><general>Hindawi</general><general>Hindawi Limited</general><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6075-0108</orcidid><orcidid>https://orcid.org/0000-0003-4321-3084</orcidid><orcidid>https://orcid.org/0000-0001-8410-8630</orcidid><orcidid>https://orcid.org/0000-0002-6024-2533</orcidid><orcidid>https://orcid.org/0000-0002-1268-0651</orcidid><orcidid>https://orcid.org/0000-0002-0889-4630</orcidid></search><sort><creationdate>2021</creationdate><title>Effects of Warm Needle Acupuncture on Temporomandibular Joint Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</title><author>Liu, Gao-Feng ; Gao, Zhen ; Liu, Zheng-Nan ; Yang, Min ; Zhang, Sheng ; Tan, Tai-Peng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c448t-4c0cd87aef10e2100c5e802e1eeb99e99b07f44ad31080bd879f4a353bbcc7d53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Acupuncture</topic><topic>Bias</topic><topic>Clinical trials</topic><topic>Disease</topic><topic>Drug therapy</topic><topic>Electroacupuncture</topic><topic>Intervention</topic><topic>Meta-analysis</topic><topic>Movement disorders</topic><topic>Pain</topic><topic>Patients</topic><topic>Quality of life</topic><topic>Review</topic><topic>Sensitivity analysis</topic><topic>Systematic review</topic><topic>Temporomandibular joint</topic><topic>Temporomandibular joint disorders</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Liu, Gao-Feng</creatorcontrib><creatorcontrib>Gao, Zhen</creatorcontrib><creatorcontrib>Liu, Zheng-Nan</creatorcontrib><creatorcontrib>Yang, Min</creatorcontrib><creatorcontrib>Zhang, Sheng</creatorcontrib><creatorcontrib>Tan, Tai-Peng</creatorcontrib><collection>Hindawi Publishing Complete</collection><collection>Hindawi Publishing Subscription Journals</collection><collection>Hindawi Publishing Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Evidence-based complementary and alternative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Liu, Gao-Feng</au><au>Gao, Zhen</au><au>Liu, Zheng-Nan</au><au>Yang, Min</au><au>Zhang, Sheng</au><au>Tan, Tai-Peng</au><au>de Moraes, Josué</au><au>Josué de Moraes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Warm Needle Acupuncture on Temporomandibular Joint Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials</atitle><jtitle>Evidence-based complementary and alternative medicine</jtitle><addtitle>Evid Based Complement Alternat Med</addtitle><date>2021</date><risdate>2021</risdate><volume>2021</volume><spage>6868625</spage><epage>10</epage><pages>6868625-10</pages><issn>1741-427X</issn><eissn>1741-4288</eissn><abstract>Background. Temporomandibular joint disorders (TMDs) are a common and prevalent disease with main symptoms of pain, joint sounds, and mandibular movement disorders, which seriously affects the mental health and quality of life of the sufferers. In recent years, there have been an increasing number of studies utilizing warm needle acupuncture (WNA) for the treatment of TMD, and the quality of the studies has gradually improved. However, evidence from evidence-based medicine is lacking. This study aims to use a systematic review and meta-analysis method to understand the efficacy of WNA for the treatment of TMD. Methods and Analysis. We searched randomized controlled trials (RCTs) of WNA for the treatment of TMD from 9 electronic databases, including 5 English databases (PubMed, EMBASE, Cochrane Library, Web of Science, and MEDLINE) and 4 Chinese databases (Chinese National Knowledge Infrastructure (CNKI), Chinese VIP Information, Wanfang Database, and Chinese Biomedical Literature Database (CBM)) from their inception to May 2021. The included RCTs compared WNA with acupuncture, electroacupuncture, pharmacological therapy, or other therapies. And outcome indicators such as total effective rate and cure rate were assessed. All analyses were conducted using RevMan software V5.3 and Stata16. Measurement count data used the relative risk (RR) as the efficacy statistic, and each effect size was given its point estimate value and 95% confidence interval (CI). Results. The meta-analysis included 10 studies with a total of 670 patients, which included 340 patients in the experimental group and 330 patients in the control group. The data in this review showed that WNA is superior to treatments such as acupuncture alone, acupuncture therapy combined with TDP, drug therapy, and ultrasonic therapy in terms of effective rate (RR = 1.20; 95% CI, 1.06 to 1.35; and P = 0.003) and cure rate (RR = 1.82; 95% CI, 1.46 to 2.28; and P < 0.00001) for the treatment of TMD. Conclusions. This systematic review and meta-analysis provides new evidence for the effectiveness of WNA for the treatment of TMD. However, the above conclusions need to be further verified by multicenter prospective studies of larger samples and higher-quality RCTs. Protocol registration number: INPLASY202160030.</abstract><cop>United States</cop><pub>Hindawi</pub><pmid>34873409</pmid><doi>10.1155/2021/6868625</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-6075-0108</orcidid><orcidid>https://orcid.org/0000-0003-4321-3084</orcidid><orcidid>https://orcid.org/0000-0001-8410-8630</orcidid><orcidid>https://orcid.org/0000-0002-6024-2533</orcidid><orcidid>https://orcid.org/0000-0002-1268-0651</orcidid><orcidid>https://orcid.org/0000-0002-0889-4630</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Acupuncture Bias Clinical trials Disease Drug therapy Electroacupuncture Intervention Meta-analysis Movement disorders Pain Patients Quality of life Review Sensitivity analysis Systematic review Temporomandibular joint Temporomandibular joint disorders |
| title | Effects of Warm Needle Acupuncture on Temporomandibular Joint Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
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