Comparative efficacy of low-level laser therapy (LLLT) to TENS and therapeutic ultrasound in management of TMDs: a systematic review &amp; meta-analysis

Ansari, Sulem; Charantimath, Shivayogi; Lagali-Jirge, Vasanti; Keluskar, Vaishali

doi:10.1080/08869634.2022.2050975

Cited by 7 publications

(2 citation statements)

References 18 publications

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“…While TENS, LLLT and therapeutic US are useful in pain reduction, systematic reviews and meta-analyses carried out in 2022 have shown that LLLT was the most effective in reducing pain among the three treatment modalities [ 87 , 89 , 90 ]; LLLT was found to be superior to TENS and was also proven to be better in reducing pain than therapeutic US [ 89 ]. Better results could be achieved with higher wavelengths, and wavelengths ranging from 910 nm to 1100 nm were recommended to treat TMD using LLLT [ 87 ].…”

Section: Treatment Modalitiesmentioning

confidence: 99%

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Chan

et al. 2022

Diagnostics

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Myogenous temporomandibular disorders (M-TMDs) are the most common chronic orofacial pain, affecting the masticatory muscles and, thus, jaw movement. While a concise diagnosis is crucial to formulate a rational treatment plan, the similarities in clinical presentations that M-TMDs share with other neuromuscular disorders affecting the temporomandibular joint (TMJ) could easily confuse physicians. In addition to the basics, such as thorough history taking and meticulous clinical examinations, different imaging techniques are useful adjuncts to facilitate the diagnostic process. This review presents an overview of the current understanding on a variety of diagnostic and treatment modalities for M-TMD patients. It is essential to highlight that there is not a single treatment for all, and the benefits of multidisciplinary strategies have been noted for the effective management of myogenous TMD pain. Treatment modalities ranging from conservative to minimally invasive options are discussed in this review.

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Section: Treatment Modalitiesmentioning

confidence: 99%

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Chan

et al. 2022

Diagnostics

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“…The treatment of patients with TMD is complex, and includes, an occlusal splint as a non-invasive treatment option [16,17], teledentistry techniques [18], low-level laser therapy, transcutaneous electrical nerve stimulation, therapeutic ultrasound [19], acupuncture, laser therapy, and physiotherapy [20], dental restoration approaches [21], exercise, manual therapy, patient education [22], nonsteroidal anti-inflammatory drugs [23] and intra-articular administration of hyaluronic acid [24]. There is still a lack of clarity on the most effective method of therapy for the therapy of TMDs of muscular etiology, however, the most appropriate therapy being physical treatment, followed by psychological intervention, intramuscular injections of anesthetic substances, and occlusal appliances [25].…”

Section: Introductionmentioning

confidence: 99%

Therapeutic challenges in temporomandibular disorders

Buduru,

Almăşan,

Condor

et al. 2023

Medicine and Pharmacy Reports

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Background and aims. This study aimed at evaluating the etiology and treatment challenges of temporomandibular disorders (TMDs). Methods. 160 subjects with TMDs, 38 males (23.8%) and 122 females (76.3%) were studied. A personalized coefficient was designated, which included the resolution of the main symptom, correction of secondary symptoms, patient collaboration (emotional parameter), treatment duration, and cost. Results. The most frequent cause for consultation was muscle impairment (42.5%), or limitation of mouth opening, followed by joint impairment (23.1%). Muscle pain was noticed, particularly in the masseter (57.5%) and lateral pterygoid muscles (51.9%). Tooth pain or gingival retraction was frequently associated with tooth wear (48.1%) and dental abfraction (31.3%). Remote symptomatology was dominated by otologic symptomatology. Iatrogenic etiology was highest (69.4%), followed by untreated missing teeth (66.9%). Treatment options included muscle relaxation, occlusal balancing (equilibration), kinesitherapy, medication, and swallowing re-education. Most patients benefited from four to seven different types of therapy, which resulted in a higher cost and a longer and more uncomfortable treatment. The primary symptom was relieved in 82.3% of cases, with recurrence occurring in 15.7%. Conclusion. The treatment of temporomandibular joint dysfunction is time-consuming, demanding, and intricate. Most patients required four to seven different types of therapy, which increased the expense, treatment duration, and suffering.

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Efficacy of conservative approaches on pain relief in patients with temporomandibular joint disorders: a systematic review with network meta-analysis

et al. 2022

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Comparative efficacy of low-level laser therapy (LLLT) to TENS and therapeutic ultrasound in management of TMDs: a systematic review & meta-analysis

Cited by 7 publications

References 18 publications

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Diagnosis and Treatment of Myogenous Temporomandibular Disorders: A Clinical Update

Therapeutic challenges in temporomandibular disorders

Efficacy of conservative approaches on pain relief in patients with temporomandibular joint disorders: a systematic review with network meta-analysis

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