Evaluation of orofacial function in temporomandibular disorder patients after low-level laser therapy

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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“…Esses efeitos resultam em uma ação anti-inflamatória e analgésica [4,11,20], ocasionando melhora na qualidade de vida dos pacientes com DTM.…”

Section: Discussionunclassified

“…A escala de classificação vai de 0 (ausência de dor) a 10 (pior dor imaginável). A EVA é recomenda pela American Dental Association, sendo amplamente utilizada como um critério subjetivo para a avaliação da intensidade da dor [11,12].…”

Section: Avaliaçõesunclassified

Efeito da terapia LED na disfunção temporomandibular: estudo de caso

Costa

Pessoa

Masulo

et al. 2017

Sci Med

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“…It reported a significant reduction in the TMD group compared with controls (P < .001). 73 Mod Cacchioƫ et al 1991 45 Mod Castrillon et al 2010 22 Mod Castroflorio et al 2012 23 Mod Celic et al 2003 24 Mod Chandu et al 2004 25 Mod Chong-Shan 1989 46 Mod Clark et al 1984 47 Mod Clark et al 1984 48 Mod Clark et al 1986 49 Mod da Cunha et al 2017 26 Mod da Silva et al 2019 27 Mod de Leeuw et al 1993 51 Mod Evcik et al 2004 53 Mod Flor et al 1992 79 Mod Gokcen-Rohlig et al 2013 28 Mod Gomes et al 2012 29 Mod Guimaraes et al 2017 30 Mod Haggman-Henrikson et al 2004 31 Mod Hansdoƫr et al 2004 68 Mod Kim et al 1999 55 Mod Kitsoulis et al 2011 75 Mod…”

Section: Range Of Motionmentioning

confidence: 99%

Are jaw range of motion, muscle function and proprioception impaired in adults with persistent temporomandibular disorders? A systematic review and meta‐analysis

Dinsdale

Liang

Thomas

et al. 2020

J of Oral Rehabilitation

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Background The nature of certain musculoskeletal impairments associated with temporomandibular disorders (TMD) is unclear. Understanding impairments within TMD subgroups is important to guide management. Objectives Characterise local musculoskeletal impairments in adults with persistent TMD. Methods PubMed, EMBASE, CINAHL, Scopus, Web of Science and Cochrane databases were searched from inception to 12 January 2020. Bibliographies were searched for additional articles, including grey literature. Case‐control and interventional studies reporting temporomandibular range of motion (ROM), muscle function (MF) or proprioception in TMD and control groups were included. Risk of bias was assessed using SIGN checklist for case‐control studies. Results were pooled using random‐effects model. Confidence in cumulative evidence was determined using American Academy of Neurology guidelines. Results Sixty‐six studies were included, most rated moderate risk of bias. Twelve primary outcomes were assessed, with partial scope for meta‐analysis. Significant reductions were found for active maximal mouth opening (P < .00001, MD=−4.65 mm), protrusion (P < .0001, MD=−0.76 mm) and maximum bite force (P < .00001) in TMD versus controls. Subgroup analysis scope was limited. Reduced AMMO was found in myogenic TMD subgroups versus controls (P = .001, MD= −3.28 mm). Few studies measured proprioception, with high methodological variability. Confidence in cumulative evidence ranged from high to very low. Conclusion ROM and bite force impairments accompany TMD. Insufficient data were available to investigate impairments within TMD subgroups. Implications Several musculoskeletal impairments have been identified, which may guide clinical management of TMD. Lack of subgroup data, and data for proprioception and MF, highlights future direction for research. PROSPERO CRD42020150734.

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“…Como adjuvante ao tratamento da sintomatologia dolorosa, estudos têm relatado diminuição da dor com uso de laserterapia de baixa intensidade em condições de dores musculoesqueléticas, miogênicas e nas articulações temporomandibulares (CETINER et al, 2006;CARRASCO et al, 2008;VENEZIAN et al, 2010;GÖKÇEN-RÖHLIG et al, 2013;MELCHIOR et al, 2013).…”

Section: Laserterapia De Baixa Intensidadeunclassified

Efetividade da laserterapia de baixa intensidade em mulheres com DTM dolorosa em função da ansiedade, cortisol salivar e ciclo menstrual: ensaio clínico randomizado controlado duplo-cego

Magri¹

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Evaluation of orofacial function in temporomandibular disorder patients after low-level laser therapy

Abstract: This particular type of LLLT is effective at relieving pain but does not provide physical improvement.

Cited by 18 publications

References 27 publications

Efeito da terapia LED na disfunção temporomandibular: estudo de caso

Efeito da terapia LED na disfunção temporomandibular: estudo de caso

Are jaw range of motion, muscle function and proprioception impaired in adults with persistent temporomandibular disorders? A systematic review and meta‐analysis

Efetividade da laserterapia de baixa intensidade em mulheres com DTM dolorosa em função da ansiedade, cortisol salivar e ciclo menstrual: ensaio clínico randomizado controlado duplo-cego

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