Evaluation of effect of low-level laser therapy on adolescents with temporomandibular disorder: study protocol for a randomized controlled trial

Godoy, Camila Haddad Leal de; Silva, Paula Fernanda da Costa; Araujo, Deise Sales de; Motta, Lara Jansiski; Biasotto‐Gonzalez, Daniela Aparecida; Politti, Fabiano; Mesquita‐Ferrari, Raquel Agnelli; Fernandes, Kristianne Porta Santos; Albertini, Regiane; Bussadori, Sandra Kalil

doi:10.1186/1745-6215-14-229

Cited by 40 publications

(32 citation statements)

References 18 publications

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“…As três avaliações foram realizadas por um cirurgião-dentista e contemplavam anamnese, exame clínico com mensuração da AMM (aplicação dos eixos I e II dos RDC) e aplicação da escala visual analógica de dor (EVA), bem como a aplicação do questionário de qualidade de vida Medical Outcomes Study 36-item Short Form Health Survey (SF-36) antes e após o tratamento. Nas três avaliações foram seguidas as diretrizes da Associação Internacional de Pesquisa Odontológica, que recomendam uma única medida para cada movimento [6,9], também com base nos RDC para DTM.…”

Section: Avaliaçõesunclassified

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Efeito da terapia LED na disfunção temporomandibular: estudo de caso

Costa

Pessoa

Masulo

et al. 2017

Sci Med

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Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada. ABSTRACT AIMS: To evaluate the effect of light emitting diode (LED) therapy on temporomandibular disorder. CASE DESCRIPTION: A woman diagnosed with temporomandibular disorder was subjected to four LED therapy sessions at a seven-day interval. In the initial examination of the temporomandibular joint the patient presented a mouth opening without pain of 23 mm, a maximum opening of 25 mm and a maximum opening with the aid of 27 mm. After the treatment, there was an increase of 7 mm in the opening without pain between the first and last evaluation, while the maximum opening of the mouth and the maximum opening with aid increased 6 mm between the first and last evaluation. After 21 days of treatment, a 50% reduction in painful sites was detected on the palpation examination.After the end of the treatment, the visual analog pain scale detected a decrease in pain intensity on both sides, and there was a decrease in the total mean pain intensity. By analyzing the responses to the Medical Outcomes Study 36-item Short Form Health Survey (SF-36), of the eight quality of life domains evaluated, four showed improvement. CONCLUSIONS: In this case study, after LED therapy there was reduction in pain intensity and increase of the mandibular range of motion. The resolution of the signs and symptoms of temporomandibular disorder resulted in patient's better quality of life.KEY WORDS: temporomandibular joint dysfunction syndrome; phototherapy; low-level light therapy.

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Section: Avaliaçõesunclassified

“…A irradiação foi feita de forma pontual, em contato e perpendicularmente, sobre quatro pontos em forma de cruz na região pré-auricular (Figura 1A), um ponto no meato acústico externo [5][6][7]20] (Figura 1B), seis pontos nos músculos masseter (Figura 1C), e dois pontos no músculo temporal (feixe anterior) [2,5,9,20].…”

Section: Protocolo De Tratamentounclassified

Efeito da terapia LED na disfunção temporomandibular: estudo de caso

Costa

Pessoa

Masulo

et al. 2017

Sci Med

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“…Kötü postür, parafonksiyonel alışkanlıklar, maloklüzyon ve psikososyal faktörler TMR'ın gelişiminde başlıca etkenlerdir. TMR'ın kompleks etiyolojisine bağlı olarak akupunktur, masaj, ultrason, ilaç tedavisi, psikolojik tedavi, ısırma plakları ve DSLT gibi farklı tedavi seçenekleri önerilmektedir (30). TMR'ın tedavisinde başlıca amaç ağrıyı azaltmak ve çene hareketlerinin sınırlarını genişletmektir.…”

Section: Discussionunclassified

Application of Low-Level Laser Therapy In Temporomandibular Joint Disorders: Literature Review

Eroğlu¹,

Feslihan²

2017

Van Med J

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“…LLL induces mitochondrial activity and tissue regeneration by increasing cell turnover, selective absorption, nerve injury repair, angiogenesis, controlling inflammation, vasodilation, release of endogenous endorphins, increasing the oxygen supply, and changing the permeability of tissues. (6)(7)(8)(9)(10)(11)(12)(13)(14) Although the exact mechanism of analgesia by laser has yet to be fully understood, some in-vitro studies have shown that LLLT inhibits the cyclooxygenase 2 synthesis and prevents the conversion of arachidonic acid to prostaglandins E2 and F2 and thromboxane, resulting in analgesia. (15) Some clinical studies have con-cluded that increased level of beta-endorphin in the central nervous system and the consequently increased pain threshold are the main mechanisms of analgesia by laser application.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Low-Level Laser Versus Transcutaneous Electrical Nerve Stimulation for Treatment of Myofascial Pain Syndrome: A Clinical Trial

Khalifeh¹,

Rezaee

Azizi

et al. 2018

J Res Dentomaxillofac Sci

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Background and Aim: Myofascial pain syndrome (MPS) is the most common cause of facial muscle pain. This study sought to assess the efficacy of transcutaneous electrical nerve stimulation (TENS) and low-level laser (LLL) for treatment of MPS in comparison with a sham laser control group. Materials and Methods: In this randomized controlled clinical trial, 55 MPS patients between 18-60 years old were randomly assigned to TENS, LLL (810 nm) or sham laser group. At the onset of treatment, 500 mg of methocarbamol and 250 mg of naproxen t.i.d. were prescribed for 10 days as the standard treatment protocol. Tenderness and pain of major muscles of mastication, minor muscles, and temporomandibular joint (TMJ) were evaluated using a visual analog scale (VAS). Maximum mouth opening and deviation and deflection of the jaw were also evaluated before and one month after the intervention. Data were analyzed using Kruskal-Wallis test and non-parametric Dunn's test. Results: Pain severity (VAS score) in the masseter, lateral pterygoid, and trapezius muscles (at the side of greater involvement) significantly decreased in both TENS and LLL groups after the treatment. In the sternocleidomastoid (SCM) and anterior temporalis muscles, significant pain reduction only occurred in LLL group. Mouth opening significantly increased in TENS group and decreased in LLL group. TMJ pain significantly decreased only in TENS group. Conclusion: Both TENS and LLL were efficient for treatment of MPS; however, the efficacy of TENS was found to be slightly higher than that of LLL.

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Evaluation of effect of low-level laser therapy on adolescents with temporomandibular disorder: study protocol for a randomized controlled trial

Cited by 40 publications

References 18 publications

Efeito da terapia LED na disfunção temporomandibular: estudo de caso

Efeito da terapia LED na disfunção temporomandibular: estudo de caso

Application of Low-Level Laser Therapy In Temporomandibular Joint Disorders: Literature Review

Efficacy of Low-Level Laser Versus Transcutaneous Electrical Nerve Stimulation for Treatment of Myofascial Pain Syndrome: A Clinical Trial

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