Effects of botulinum toxin in patients with myofascial pain related to temporomandibular joint disorders: a systematic review

dc.date.accessioned2023-04-05T12:47:59Z
dc.date.available2023-04-05T12:47:59Z
dc.date.issued2022
dc.description.abstractBotulinum toxin is used as an alternative for the treatment of chronic refractory myofascial pain derived from temporomandibular disorders (TMDs). It is important to establish the benefits of botulinum toxin in this type of symptomatology. The aim of the study was to conduct a systematic review in order to evaluate the effects of botulinum toxin in patients with myofascial pain related to temporomandibular disorders. The search was carried out systematically, without limitations of language or year of publication, until February 2021. The databases searched included PubMed, Web of Science, Scopus, The Cochrane Library, and Latin American and Carribean Health Sciences Literature (LILACS). Partial gray literature was searched using Google Scholar, ClinicalTrials.gov, OpenGrey, and the reference lists of selected articles. Randomized controlled clinical trials evaluating the effects of botulinum toxin in the treatment of myofascial pain were included. The risk of bias was assessed with the Cochrane RoB 2.0 tool, and the The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach was used to determine the certainty of the scientific evidence. A total of 900 studies were retrieved, out of which only 8 randomized clinical trials were selected. From these 8 studies, the data of a total of 314 patients, predominantly women, between the ages of 18 to 75 years was obtained. After the assessment of the studies with the RoB 2.0 tool, 7 studies showed some concerns regarding the reported results and only one was at a low risk of overall bias. The analysis of the studies has shown that low doses of botulinum toxin are effective in the treatment of refractory myofascial pain associated with temporomandibular disorders. The studies presented medium-to low-certainty evidence.. © 2022, Wroclaw University of Medicine. All rights reserved.
dc.identifier.issn1644387X
dc.identifier.urihttps://doi.org/10.17219/dmp/145759
dc.identifier.urihttp://146.190.124.33/handle/123456789/6106
dc.language.isoenges_ES
dc.publisherWroclaw University of Medicinees_ES
dc.sourceRevista de Investigaciones Veterinarias del Perú; Vol. 31 Núm. 4
dc.titleEffects of botulinum toxin in patients with myofascial pain related to temporomandibular joint disorders: a systematic reviewes_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.type.versioninfo:eu-repo/semantics/publishedVersion
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