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Acupuncture and Acupressure - Techniques for Reducing Orthodontic Post-adjustment Pain

Introduction

Acupuncture has been widely practiced in China to treat various diseases for more than three

thousand years. When fine needles are inserted into various acupuncture points, small myelinated

nerve fibers in muscles are stimulated to send impulses to the spinal cord and, subsequently,

activate three neurological centers: the spinal cord, the midbrain, and the pituitary-hypothalamus.

It has been shown various endogenous substances, such as beta-endorphine, noradrenaline,

enkephalin, and serotonin are involved in the process. Acupressure follows the same principle

as acupuncture, but it stimulates the points with gentle finger pressure rather than fine needles

and it can be easily carried out by patients.

Post-adjustment pain is frequently experienced by patients undergoing orthodontic treatment,

particularly adult patients. Various methods have been proposed to manage such discomfort

including analgesic agents and transcutaneous electrical nerve stimulation. Acupuncture has

been shown to cause effective dental analgesia in various clinical trials. The Hegu (LI-4) acupuncture

point has been widely used to control dental pain. A neuromagnetic study carried out to measure

brain magnetic fields evoked by acupuncture has demonstrated that excitation of the LI-4

point could inhibit actions of the jaw and face and offers a possible explanation why acupuncturing

the LI-4 point could effectively inhibit dental pain.

Orthodontic post-adjustment pain is one of the most common complaints of adult patients undergoing orthodontic treatment. This article aims to introduce the combination of acupuncture and acupressure techniques for reducing orthodontic post-adjustment pain using a single acupuncture point, Hegu (LI-4).

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