Comparative Study of the Physiotherapeutic and Drug Protocol and Low-Level Laser Irradiation in the Treatment of Pain Associated with Temporomandibular Dysfunction

Abstract

Based on obtained data, we concluded that, compared to PDP, LLL treatment is effective to control pain associated with TMD.

Non-invasive therapies for management of temporomandibular disorders: a systematic review

“…The main characteristics of the 35 included studies are described in Chart 1a and Chart 1b. The sample sizes ranged between 12 and 104 individuals with TMD symptoms, including men and women allocated in the same comparison group, except three studies that included only women 4,44,45 .…”

“…Of all the included studies, 13 (37%) used OS 1,10,16,36,[46][47][48][49][50][51][52][53][54] , 12 (34%), OE/BE 1,5,16,25,27,31,47,48,[50][51][52]54 , 12 (34%), LLLT 2,5,15,20,24,44,55,[57][58][59][60] , 7 (20%), MT 5,25,27,47,52,54,61 , 4 (11%), acupuncture 33,36,46,62 , 3 (9%), NSAIDs 10,44,53 , 3 (9%), TENS 22,24,…”

“…Fourteen studies (40%) did not use control or placebo groups for comparison with the test therapy. The comparison of techniques using 2 or more groups was done in 30 (86%) studies 2,5,10,24,33,44,45,[54][55][56][57][58][59][61][62][63] .…”

“…Risk of bias is shown in Chart 2. A total of 29 (82%) studies presented low risk 1,2,5,10,15,16,20,24,25,27,31,33,36,[45][46][47][48]50,51,[54][55][56][57][58][59][61][62][63][64] and three (9%) presented high risk 44,49,61 . Other three (9%) studies showed an unclear risk of bias due to insufficient information in at least one domain 22,52,53 .…”

Avaliação do efeito do laser de baixa intensidade na regeneração de defeitos ósseos de tamanho crítico preenchidos com osso autógeno ou xenógeno associados à membrana colágena

“…As membranas podem ser utilizadas no tratamento de defeitos críticos de maxila e mandíbula, preservação de alvéolo pós-extração, aumento de largura e altura de rebordo previamente à instalação de implantes e tratamento de defeitos ósseos (NEVINS et al, 1992;LEKOVIC et al, 1997;SCHROPP et al, 2003;ZHANG et al, 2008;DIMITRIOU et al, 2012;RAMALINGAM et al, 2016;FREITAS et al, 2018). A terapia com LBI é utilizada em alvéolos pós-extração, fraturas ósseas, tratamento ortodôntico, em disfunções temporomandibulares, pós-operatório de cirurgias e coadjuvante ao tratamento periodontal e terapias com implabntes principalmente em pacientes com problemas sistêmicos (PINHEIRO et al, 2003;KATO et al, 2006;PEREIRA et al, 2009;DE PAULA EDUARDO et al, 2010;MONEA et al, 2015;CAVALCANTI et al, 2016), porém ainda não há um consenso sobre o protocolo ideal para a aplicação do laser na regeneração óssea (PINHEIRO et al, 2003, SILVA et al, 2010BOSCO et al, 2016;SANTINONI et al, 2017). SCALIZE et al, 2015;TIM et al, 2015;BOSCO 2016;GONÇALVES, 2016;ZEIN et al, 2017;FREITAS et al, 2018;MOREIRA et al, 2018).…”