1
|
Tardelli JDC, Gubitoso B, Botelho AL, Valente MLDC, Reis ACD. Efficacy of acupuncture on craniomandibular myofascial pain in temporomandibular disorder patients: A systematic review. Heliyon 2024; 10:e32075. [PMID: 39091957 PMCID: PMC11292537 DOI: 10.1016/j.heliyon.2024.e32075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 05/11/2024] [Accepted: 05/28/2024] [Indexed: 08/04/2024] Open
Abstract
Background This systematic review aimed to answer the question, "What is the efficacy of acupuncture treatment in patients with temporomandibular disorder (TMD) with myofascial pain?". Data sources and study selection This study followed PRISMA guidelines and was registered in PROSPERO. The electronic search strategy was applied to the Scopus, PubMed, Embase, and Science Direct databases. As inclusion criteria, were selected randomized clinical articles that evaluated patients with myofascial pain symptoms treated by acupuncture without the restriction of time and language. Results The search in the databases resulted in 286 articles, after removing the duplicates 251 were analyzed by title and abstract. Twenty were selected for full reading and 10 were included in the systematic review. The studies evaluated acupuncture treatments by puncture and laser, auriculotherapy by puncture and laser, and an occlusal device for treating myofascial TMD. Conclusions Comparing acupuncture with placebo acupuncture, it was observed that it is effective for subjective pain relief and palpation of orofacial structures with immediate results; it should be noted that there is still no specific protocol and that the duration of treatment must be personalized. When comparing it with the occlusal device, the associated treatment has enhanced the results. Future studies are suggested by the current literature gap that prevents the determination of clinical guidelines for effective acupuncture treatment in TMD patients with myofascial pain. Practical implications Laser and needle puncture acupuncture treatment and laser and needle puncture auriculotherapy have shown favorable results in short-term myofascial pain relief. The need for long-term studies to assess benefits and reduce possible biases is highlighted. Clinical trial registry name PROSPERO (CRD42021271505).
Collapse
Affiliation(s)
- Juliana Dias Corpa Tardelli
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - Bruna Gubitoso
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - André Luís Botelho
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - Mariana Lima da Costa Valente
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| | - Andréa Cândido dos Reis
- Department of Dental Materials and Prosthesis, School of Dentistry of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
| |
Collapse
|
2
|
Mota MML, Aguiar IHAE, de Lima AS, de Oliveira Neto OB, da Silva PLP, Moretti EC, Lemos GA. Effectiveness of Laser Acupuncture for Reducing Pain and Increasing Mouth Opening Range in Individuals with Temporomandibular Disorder: A Systematic Review and Network Meta-Analysis. Curr Pain Headache Rep 2024; 28:723-742. [PMID: 38648000 DOI: 10.1007/s11916-024-01251-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/28/2024] [Indexed: 04/25/2024]
Abstract
PURPOSE OF REVIEW Laser acupuncture (LA) demonstrates promising results in the treatment of musculoskeletal disorders. However, its effects on temporomandibular disorder (TMD) are not yet fully understood. Thus, the aim of this systematic review and network meta-analysis was to assess the effectiveness of LA on pain intensity and maximum mouth opening range (MMO) related to TMD. A search was carried out in 11 electronic databases and references of included studies to locate randomized clinical trials (RCTs) that evaluated LA as a primary treatment for TMD. The risk of bias was assessed using the RoB 2 tool. Network meta-analysis was conducted on the MetaInsight platform, considering the pain intensity and counseling (C) as the outcome of reference. The GRADE system was used to assess the certainty of the evidence. RECENT FINDINGS Five studies evaluated pain intensity, four with a high risk of bias and one with a low risk. Two studies evaluated pain intensity on palpation (one with high and one with low risk of bias), and one study with high risk of bias evaluated MMO. Laser parameters were: 690-810 nm, 40-150 mW, and 7.5-112.5 J/cm2. Occlusal splint (OS) [- 2.47; CI 95% - 3.64, - 1.30] and Physiotherapy (PT) [-2.64; CI 95% - 3.94, - 1.34] reduced pain intensity compared to C. The ranking of treatments in order of effectiveness was PT > OS > LA > C > CR (craniopuncture). The certainty of the evidence was very low or low. The data do not support the indication of LA for the treatment of TMDs and new placebo-controlled RCTs must be conducted to demonstrate its effectiveness more precisely.
Collapse
Affiliation(s)
| | | | | | | | | | - Eduarda Correia Moretti
- University of Alagoas, Human Anatomy Sector, Institute of Biological and Health Sciences, Federal, Maceió, AL, Brazil
| | - George Azevedo Lemos
- University of Alagoas, Human Anatomy Sector, Institute of Biological and Health Sciences, Federal, Maceió, AL, Brazil.
| |
Collapse
|
3
|
da Silva Mira PC, Biagini ACSCF, Gomes MG, Galo R, Corona SAM, Borsatto MC. Laser acupuncture to reduce temporomandibular disorder (TMD) symptoms: systematic review and meta-analysis. Lasers Med Sci 2024; 39:66. [PMID: 38374226 DOI: 10.1007/s10103-024-03999-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 01/19/2024] [Indexed: 02/21/2024]
Abstract
The application of low-level laser therapy (LLLT) to acupuncture points may produce effects similar to that of needle stimulation in patients with temporomandibular disorders (TMD). This systematic review was conducted according to the Cochrane Collaboration guidelines and aimed to address clinical questions using the following strategy: Patient/Problem, Intervention, Comparison, and Outcome (PICO). A comprehensive literature search was performed upto April 26, 2023, across nine electronic databases (BVS, PubMed, Scopus, Embase, Web of Science, ScienceDirect, Cochrane Library, Latin American and Caribbean Health Sciences Literature (LILACS), and Google Scholar) supplemented with gray literature. The risk of bias in randomized and nonrandomized clinical trials was assessed using two tools: risk-of-bias (RoB) 2 and Risk Of Bias In Non-randomised Studies-of Interventions (ROBINS-I). Meta-analysis involved the extraction of mean and standard deviation values for spontaneous pain and mouth opening levels. Seven studies were included in this review, all of which used LLLT. The applied wavelengths ranged from 690 to 810 nm without significant variations in light emission patterns. LLLT demonstrated a significant reduction in instantaneous pain levels (standard mean difference [SMD] = 3.85; 95% confidence interval [CI] = 2.09, 5.62; p < 0.003) and an improvement in instantaneous mouth opening ability (mean difference [SMD] = -7.15; 95% CI = -11.73, -2.58; p < 0.002), with low certainty of evidence. LLLT may alleviate symptoms in patients with TMD; however, caution should be exercised when interpreting the results because of protocol variations among studies and the limited number of studies included in the meta-analysis.
Collapse
Affiliation(s)
- Paôla Caroline da Silva Mira
- Department of Pediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo (USP) - Ribeirão Preto, São Paulo, Brazil.
| | | | - Marília Goulardins Gomes
- Department of Pediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo (USP) - Ribeirão Preto, São Paulo, Brazil
| | - Rodrigo Galo
- Department of Dental Materials and Prostheses, School of Dentistry of Ribeirão Preto, University of São Paulo (USP) - Ribeirão Preto, São Paulo, Brazil
| | - Silmara Aparecida Milori Corona
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo (USP) - Ribeirão Preto, São Paulo, Brazil
| | - Maria Cristina Borsatto
- Department of Pediatric Clinics, School of Dentistry of Ribeirão Preto, University of São Paulo (USP) - Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
4
|
Dorosz T, Mańko A, Ginszt M. Use of Surface Electromyography to Evaluate Effects of Therapeutic Methods on Masticatory Muscle Activity in Patients with Temporomandibular Disorders: A Narrative Review. J Clin Med 2024; 13:920. [PMID: 38337614 PMCID: PMC10856181 DOI: 10.3390/jcm13030920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2023] [Revised: 02/01/2024] [Accepted: 02/03/2024] [Indexed: 02/12/2024] Open
Abstract
The presented narrative review aims to present the impact of therapeutic methods on the masticatory muscle activity measured using surface electromyography (sEMG) in patients with temporomandibular disorders (TMDs). Original interventional studies with baseline data for diagnosed TMD groups with full-text articles in English published in scientific journals in the last ten years were included in the evaluation process. The following narrative review considered only clinical, controlled, and randomized studies. Articles that included the following parameters were qualified for this review: adult participants, diagnosis of temporomandibular disorder, the presence of a musculoskeletal dysfunction, no other severe comorbidities, use of therapeutic interventions, and sEMG measurement before and after the intervention. Ten papers were accepted and analyzed for the final evaluation in the presented review. Several studies using surface electromyographic examination prove the effectiveness of various therapies to normalize the bioelectrical activity of the masticatory muscles, either reduction during rest or increase during a functional task in patients diagnosed with temporomandibular disorders. This narrative review shows the influence of manual and physical treatments on electromyographic masticatory muscle activity, including soft tissue mobilization, transcutaneous electrical nerve stimulation, low-level laser therapy, and moist heat therapy. Changes in masticatory muscle activity coincided with changes in TMD-associated pain and range of mandibular mobility.
Collapse
Affiliation(s)
| | | | - Michał Ginszt
- Department of Rehabilitation and Physiotherapy, Medical University of Lublin, 20-093 Lublin, Poland
| |
Collapse
|
5
|
Peixoto KO, Abrantes PS, De Carvalho IHG, De Almeida EO, Barbosa GAS. Temporomandibular disorders and the use of traditional and laser acupuncture: a systematic review. Cranio 2023; 41:501-507. [PMID: 33433268 DOI: 10.1080/08869634.2021.1873605] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To evaluate current studies to establish and compare the efficacy of traditional and laser acupuncture in reducing the signs and symptoms of temporomandibular disorders (TMD). METHODS PubMed, Cochrane, Scopus, and Web of Science databases were searched. Clinical, controlled, and randomized trials written in English and having used traditional or laser acupuncture as therapy for TMD and RDC/TMD or DC/TMD as a diagnostic criterion for TMD were included. RESULTS Six studies that evaluated the intensity of pain and the level of mouth opening of the patients submitted to acupuncture were selected, and all showed improvement. However, similar results were also observed in the groups treated with occlusal splint and placebo acupuncture. Only one study evaluated laser acupuncture and showed a higher proportion of patients with remission of symptoms in the experimental group. CONCLUSION The traditional acupuncture seems to relieve the signs and symptoms of TMD, as well as laser acupuncture when associated with occlusal splint. However, more rigorous and high-quality clinical trials are needed.
Collapse
|
6
|
Khalighi HR, Mortazavi H, Mojahedi SM, Azari-Marhabi S, Parvaie P, Anbari F. The efficacy of low-level diode laser versus laser acupuncture for the treatment of myofascial pain dysfunction syndrome (MPDS). J Dent Anesth Pain Med 2022; 22:19-27. [PMID: 35169617 PMCID: PMC8814725 DOI: 10.17245/jdapm.2022.22.1.19] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 01/06/2022] [Accepted: 01/15/2022] [Indexed: 11/15/2022] Open
Abstract
Background Methods Results Conclusion
Collapse
Affiliation(s)
- Hamid Reza Khalighi
- Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Hamed Mortazavi
- Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Seyed Masoud Mojahedi
- Department of Laser, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Saranaz Azari-Marhabi
- Laser Application in Medical Science Research Center, Shohada Tajrish Hospital, Tajrish Square, Tajrish Street, Tehran, Iran
| | - Parvin Parvaie
- Department of Oral and Maxillofacial Medicine, School of Dentistry, Birjand University of Medical Sciences, Birjand, Iran
| | - Fahimeh Anbari
- Department of Oral and Maxillofacial Medicine, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
7
|
Costa DR, Pessoa DR, Seefeldt VB, Costa DR, Maia DTL, Dos Santos Maciel T, Mota BBM, Delpasso CA, Ribeiro CAD, Nicolau RA. Orofacial evaluation of individuals with temporomandibular disorder after LED therapy associated or not of occlusal splint: a randomized double-blind controlled clinical study. Lasers Med Sci 2021; 36:1681-1689. [PMID: 33616765 DOI: 10.1007/s10103-021-03269-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Accepted: 02/10/2021] [Indexed: 11/29/2022]
Abstract
This study compared the effects of LED therapy associated with occlusal splint (OS) on the signs and symptoms of temporomandibular disorder (TMD). In this randomized, double-blind clinical trial, 70 TMD patients were randomly divided into six groups. The volunteers received the following treatments: Group 1 (G1) was the control and received only conventional therapy with OS; Group 2 (G2) was the placebo and received treatment with OS and therapy with LED (device turned off); Group 3 (G3) LED therapy (infrared,) once a week; Group 4 (G4) LED therapy (infrared) twice a week; Group 5 (G5) OS associated with LED (infrared) therapy (once a week); Group 6 (G6) received OS therapy plus infrared LED (two sessions per week). The patients were evaluated before, after, and 30 days after treatment. The pain intensity in masticatory system was recorded at each interval. The evaluation of the electromyographic signals (EMG) of the muscles (masseter and temporal) and blood lactate was performed before and after treatment. The associated groups presented better clinical results in relation to the control. The associated groups showed significant differences (p < 0.05) from control in the analysis of pain intensity and in decrease of the RMS value (EMG analysis). In the intragroup analysis, the volunteers in G6 exhibited a significant reduction (p < 0.05) in blood lactate. In conclusion, the association of LED therapy and OS presented superior results in relation to the isolated therapies, especially the protocol with two weekly sessions.
Collapse
Affiliation(s)
- Davidson Ribeiro Costa
- Divisão de Saúde, Prefeitura Municipal de Santo Antônio do Pinhal, Av. Min. Nelson Hungria, 622 - Centro, Santo Antônio do Pinhal, São Paulo, 12450-000, Brazil. .,Centro de Pesquisas Avançadas em Fototerapia (CPAF), CARBONFIT, Jacareí, São Paulo, Brazil.
| | - Diego Rodrigues Pessoa
- Centro de Pesquisas Avançadas em Fototerapia (CPAF), CARBONFIT, Jacareí, São Paulo, Brazil
| | | | - David Ribeiro Costa
- Centro de Pesquisas Avançadas em Fototerapia (CPAF), CARBONFIT, Jacareí, São Paulo, Brazil
| | | | - Thiago Dos Santos Maciel
- Institute of Health and Biotechnology, Universidade Federal do Amazonas (UFAM), Coari, Amazonas, Brazil
| | | | | | | | - Renata Amadei Nicolau
- Institute of Research and Development, Universidade do Vale do Paraíba (Univap), São José dos Campos, SP, Brazil
| |
Collapse
|
8
|
Yanik S, Polat ME, Polat M. Effects of arthrocentesis and low-level laser therapy on patients with osteoarthritis of the temporomandibular joint. Br J Oral Maxillofac Surg 2020; 59:347-352. [PMID: 33280948 DOI: 10.1016/j.bjoms.2020.08.110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 08/24/2020] [Indexed: 10/23/2022]
Abstract
This retrospective study examined whether arthrocentesis combined with 10 sessions of low-level laser therapy (LLLT) improved the clinical outcomes of patients with temporomandibular joint osteoarthritis (TMJ-OA) compared with arthrocentesis alone. Data from two groups of patients (total: n=36) with unilateral TMJ-OA were evaluated. The groups were established according to their treatment regimens: Group 1 (arthrocentesis alone; n=19) and Group 2 (arthrocentesis plus LLLT; n=17). All patients had been diagnosed in accordance with the Research Diagnostic Criteria for Temporomandibular Joint Disorders (RDC/TMD) (Axis I Group IIIb) protocol. They all underwent the same arthrocentesis protocol, but those in Group 2 also received 10 sessions of LLLT immediately afterwards. The outcome variables were the visual analogue scale scores (VAS 1, VAS 2) for various treatment outcomes and millimetric measurements of mandibular movements over both the short and long term. Intra-group comparisons showed significant short and long-term improvements for both groups, but outcomes were better over the long term than the short term in both. In addition, greater improvements in muscle palpation scores and mandibular movements were achieved in Group 2 than in Group 1. In conclusion, although both techniques improved joint pain and function, a combination with LLLT seemed to have an additional benefit for myofascial components.
Collapse
Affiliation(s)
- S Yanik
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kahramanmaras Sutcu Imam University, 46040 Kahramanmaras, Turkey.
| | - M E Polat
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Harran University, 63300 Sanlıurfa, Turkey.
| | - M Polat
- Department of Orthodontics, Faculty of Dentistry, Harran University, 63300 Sanlıurfa, Turkey
| |
Collapse
|
9
|
KUI A, TISLER C, CIUMASU A, ALMASAN O, CONDOR D, BUDURU S. Effect of Low Level Laser Therapy (LLLT) on muscle pain in temporomandibular disorders – an update of literature. BALNEO RESEARCH JOURNAL 2020. [DOI: 10.12680/balneo.2020.309] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Introduction: Temporomandibular disorders are complex pathologies with multifactorial aetiology. Due to this matter, different therapeutic approaches have been developed, one of them being physical therapy (also known as physiotherapy). Low-level laser therapy is often used in treating musculoskeletal diseases, TMJ pain and, although the exact mechanism of LLLT has not yet been completely elucidated, it seems that this kind of therapy induces analgesic, anti-inflammatory and bio-stimulating effects. The aim of this study was to create an update of scientific literature regarding the clinical use of LLLT in patients with temporomandibular disorders, and to identify the impact of this therapy on reducing pain in the masticatory muscles. Methods: A research of literature was performed - articles published over the last 10 years (January 2009 until December 2019) were searched for by introducing a combination of different keywords on the PubMed and ScienceDirect databases. Results: A total number of 294 articles were found. After applying inclusion and exclusion criteria, 28 articles were taken into consideration for our study, and among them, 9 were systematic meta-analyses or literature reviews and 19 were clinical studies. Conclusion: Low level laser therapy may effectively reduce pain in patients suffering from muscular- and/or joint-specific TMDs, but the effect appears to last only for a short period of time, and can be achieved only in less complex cases. LLLT may also improve oro-facial functions by reducing muscular activity. This research also reveals the need for better-designed clinical trials with larger sample sizes, in order to evaluate the efficacy of LLLT on improving the signs and symptoms of TMDs.
Key words: Low-level laser therapy, temporomandibular disorders, muscle pain,
Collapse
Affiliation(s)
- Andreea KUI
- Prosthodontic Department, "Iuliu Haţieganu“ University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Corina TISLER
- Prosthodontic Department, "Iuliu Haţieganu“ University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Alexandru CIUMASU
- Prosthodontic Department, "Iuliu Haţieganu“ University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Oana ALMASAN
- Prosthodontic Department, "Iuliu Haţieganu“ University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Daniela CONDOR
- Periodontology Department, "Iuliu Haţieganu“ University of Medicine and Pharmacy, Cluj-Napoca, Romania
| | - Smaranda BUDURU
- Prosthodontic Department, "Iuliu Haţieganu“ University of Medicine and Pharmacy, Cluj-Napoca, Romania
| |
Collapse
|
10
|
A randomized clinical trial comparing the efficacy of low-level laser therapy (LLLT) and laser acupuncture therapy (LAT) in patients with temporomandibular disorders. Lasers Med Sci 2019; 35:181-192. [DOI: 10.1007/s10103-019-02837-x] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2019] [Accepted: 06/25/2019] [Indexed: 10/26/2022]
|
11
|
Seifi M, Ebadifar A, Kabiri S, Badiee MR, Abdolazimi Z, Amdjadi P. Comparative effectiveness of Low Level Laser therapy and Transcutaneous Electric Nerve Stimulation on Temporomandibular Joint Disorders. J Lasers Med Sci 2017; 8:S27-S31. [PMID: 29071032 DOI: 10.15171/jlms.2017.s6] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Introduction: Temporomandibular joint disorders (TMDs) are the most common source of pain on the face. There are multiple etiologies, and several types of treatment have been reported. The use of non-invasive and reversible therapies in the treatment of such problems is recommended. The present study evaluated the effect of low-level laser (LLL) therapy and transcutaneous electric nerve stimulation (TENS) on TMDs. Methods: In this single-blind study, 40 patients with temporomandibular disorders were randomly divided into four groups: TENS (TENSTem dental), LLL (diode 810 nm CW), shamTENS, and sham-LLL. All subjects were examined and data on pain and tenderness in the temporomandibular joint (TMJ) and masticatory muscles (using the visual analogue scale) and mouth-opening (distance between incisal edges before feeling pain; mm) were collected before baseline (T1), after each session (T2-T5) and one month after the end of the sessions (T6)), and analyzed using repeated measure analysis of variance (ANOVA) and Bonferroni statistical tests. A P value < 0.05 was considered significant. Results: The decrease in pain (P=0.000), tenderness (P=0.000) and increase in mouth-opening ability (P=0.002) was greater in the TENS and LLL groups than in the placebo groups. At the one-month follow-up, significant decrease in pain and tenderness was recorded in the TENS and LLL groups (P=0.000). There was no significant differences between TENS and LLL and the placebo groups for maximum mouth-opening at the end of the study (P=0.692). Conclusion: Using TENS or LLL therapy can improve TMD symptoms at least for the short term. Although the effects of the placebo played a role in improving symptoms, their effects were less important.
Collapse
Affiliation(s)
- Massoud Seifi
- Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Asghar Ebadifar
- Dentofacial Deformities Research Center, Research institute of Dental Sciences, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - Sattar Kabiri
- Department of Orthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Reza Badiee
- Dentofacial Deformities Research Center, Research institute of Dental Sciences, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - Zahra Abdolazimi
- Pediatric Department, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Parisa Amdjadi
- Department of Dental Materials, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| |
Collapse
|
12
|
De Carli BMG, Magro AKD, Souza-Silva BN, Matos FDS, De Carli JP, Paranhos LR, Magro ED. The effect of laser and botulinum toxin in the treatment of myofascial pain and mouth opening: A randomized clinical trial. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2016; 159:120-3. [PMID: 27045280 DOI: 10.1016/j.jphotobiol.2016.03.038] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2015] [Revised: 03/17/2016] [Accepted: 03/24/2016] [Indexed: 12/20/2022]
Abstract
This study conducted a randomized clinical trial in 15 patients, who sought care at the Dental Clinic of the University of Passo Fundo, in order to compare the use of low-level laser and botulinum toxin in the treatment of myofascial pain and whether they alter the mouth opening of patients with temporomandibular disorder. The patients were divided into two groups: the Laser group received low-level GaAlAs laser, 100mW of power at a wavelength of 830nm in continuous light emission; and the Toxin group received 30U of botulinum toxin type A (BTX-A) in the first session, and 15U after fifteen days. The assessments were performed by measuring pain with Visual Analogue Scale (VAS), and mouth opening with a digital caliper. Data were submitted to Student's t test at 5% significance level. Regarding pain symptoms, the results indicate that groups treated with laser and toxin registered 7U in VAS, at day 5 the scores were 4.75 and 4.86U, respectively. The laser worked faster (day 12) at 2.75U, and the group treated with BTX-A registered 2.86U at day 30. Both therapies investigated were effective in reducing pain, but the effect of low-level laser was faster than the use of BTX-A. Both treatments showed no statistically significant improvement in mouth opening.
Collapse
Affiliation(s)
| | - Alessandra Kuhn Dall Magro
- Department of Oral and Maxillofacial Surgery, Hospital São Vicente de Paulo de Passo Fundo, Rio Grande do Sul, Brazil
| | | | | | - João Paulo De Carli
- Department of Oral Medicine, School of Dentistry, University of Passo Fundo, Rio Grande do Sul, Brazil
| | | | - Eduardo Dall Magro
- Department of Restorative Dentistry, School of Dentistry, University of Passo Fundo, Rio Grande do Sul, Brazil
| |
Collapse
|
13
|
Evaluation of Low-Level Laser Therapy in TMD Patients. Case Rep Dent 2015; 2015:424213. [PMID: 26587294 PMCID: PMC4637444 DOI: 10.1155/2015/424213] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2015] [Revised: 10/07/2015] [Accepted: 10/12/2015] [Indexed: 02/07/2023] Open
Abstract
Light amplification by stimulated emission of radiation (laser) is one of the most recent treatment modalities in dentistry. Low-level laser therapy (LLLT) is suggested to have biostimulating and analgesic effects through direct irradiation without causing thermal response. There are few studies that have investigated the efficacy of laser therapy in temporomandibular disorders (TMD), especially in reduced mouth opening. The case report here evaluates performance of LLLT with a diode laser for temporomandibular clicking and postoperative findings were evaluated in two cases of TMD patients. First patient had a history of limited mouth opening and pain in temporomandibular joint (TMJ) region since nine months. Second patient's main complaint was his restricted mouth opening, which was progressed in one year. LLLT was performed with a 685 nm red probed diode laser that has an energy density of 6.2 J/cm(2), three times a week for one month, and application time was 30 seconds (685 nm, 25 mW, 30 s, 0.02 Hz, and 6.2 J/cm(2)) (BTL-2000, Portative Laser Therapy Device). The treatment protocol was decided according to the literature. One year later patients were evaluated and there were no changes. This application suggested that LLLT is an appropriate treatment for TMD related pain and limited mouth opening and should be considered as an alternative to other methods.
Collapse
|
14
|
Pavia S, Fischer R, Roy R. Chiropractic Treatment of Temporomandibular Dysfunction: A Retrospective Case Series. J Chiropr Med 2015; 14:279-84. [PMID: 26793040 DOI: 10.1016/j.jcm.2015.08.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2013] [Revised: 08/13/2015] [Accepted: 08/19/2015] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE The purpose of this study is to describe chiropractic treatment of 14 patients who presented with signs and symptoms of temporomandibular joint dysfunction (TMD). METHODS This is a retrospective case series of 14 patients, including 13 adults and 1 child. The majority of these patients were undergoing chiropractic care for spine-related conditions when they presented with additional TMD signs and symptoms. They were evaluated and treated with Activator Methods International published protocols relative to the temporomandibular joint before the addition of treatment to the suprahyoid muscles. RESULTS All pre- and postadjustment assessments were recorded using a numeric pain scale. The resulting average showed a reduction in the patients' pain scores from the initial visit of 8.3 ± 1.6 to the last visit at 1.4 ± 1.1 with an 80.9% ± 15.4% improvement. The average number of visits was 13.6 ± 8.2. CONCLUSION All patients selected for this case series showed a reduction of temporomandibular dysfunction symptoms.
Collapse
|
15
|
de Oliveira RF, da Silva CV, Cersosimo MCP, Borsatto MC, de Freitas PM. Laser therapy on points of acupuncture: Are there benefits in dentistry? JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2015; 151:76-82. [PMID: 26188388 DOI: 10.1016/j.jphotobiol.2015.07.008] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Revised: 07/08/2015] [Accepted: 07/09/2015] [Indexed: 11/28/2022]
Abstract
Studies have shown the use of laser therapy at points of acupuncture as an alternative to metal needles. The scientific literature in the area of laser acupuncture is rather large; however, the actual mechanisms and effects have not yet been proven in detail. Therefore, the current manuscript reviews the existing literature regarding the effects of laser acupuncture in Dentistry, seeking treatment modalities in which this technique is used and which are able to generate positive clinical results. Thus, the literature survey was conducted in electronic databases--Medline/Pubmed, VHL and Science Direct--using the uniterms "alternative medicine", "low-power laser and acupuncture", "laser acupuncture and dentistry" and "laser therapy and acupuncture". Retrospective and prospective clinical studies were considered. According to the findings of the literature, laser therapy at points of acupuncture was effective for the treatment of various orofacial problems encountered in dentistry, but there are still many differences among the parameters used for irradiation and there is a lack of important information reported by the studies, such as the wavelength, dose, power density, irradiation time and frequency, points of acupuncture selected for irradiation and therapy outcomes. Although these results indicate the potential benefit of the use of laser therapy at points of acupuncture on Dentistry, further double-blinded, controlled clinical trials should be carried out in order to standardize protocols for clinical application.
Collapse
Affiliation(s)
- Renata Ferreira de Oliveira
- Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo (FO-USP), São Paulo, SP, Brazil
| | - Camila Vieira da Silva
- Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo (FO-USP), São Paulo, SP, Brazil
| | - Maria Cecília Pereira Cersosimo
- Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo (FO-USP), São Paulo, SP, Brazil
| | - Maria Cristina Borsatto
- Department of Pediatric Dentistry, School of Dentistry, University of São Paulo (FORP-USP), Ribeirão Preto, SP, Brazil
| | - Patrícia Moreira de Freitas
- Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo (FO-USP), São Paulo, SP, Brazil.
| |
Collapse
|
16
|
Herpich CM, Amaral AP, Leal-Junior ECP, Tosato JDP, Gomes CAFDP, Arruda ÉEC, Glória IPDS, Garcia MBS, Barbosa BRB, Rodrigues MS, Silva KL, El Hage Y, Politti F, Gonzalez TDO, Bussadori SK, Biasotto-Gonzalez DA. Analysis of laser therapy and assessment methods in the rehabilitation of temporomandibular disorder: a systematic review of the literature. J Phys Ther Sci 2015; 27:295-301. [PMID: 25642095 PMCID: PMC4305586 DOI: 10.1589/jpts.27.295] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Accepted: 07/18/2014] [Indexed: 12/02/2022] Open
Abstract
The aim of the present study was to perform a systematic review of the literature on the
effects of low-level laser therapy in the treatment of TMD, and to analyze the use of
different assessment tools. [Subjects and Methods] Searches were carried out of the
BIREME, MEDLINE, PubMed and SciELO electronic databases by two independent researchers for
papers published in English and Portuguese using the terms: “temporomandibular joint laser
therapy” and “TMJ laser treatment”. [Results] Following the application of the eligibility
criteria, 11 papers were selected for in-depth analysis. The papers analyzed exhibited
considerable methodological differences, especially with regard to the number of sessions,
anatomic site and duration of low-level laser therapy irradiation, as well as irradiation
parameters, diagnostic criteria and assessment tools. [Conclusion] Further studies are
needed, especially randomized clinical trials, to establish the exact dose and ideal
parameters for low-level laser therapy and define the best assessment tools in this
promising field of research that may benefit individuals with signs and symptoms of
TMD.
Collapse
Affiliation(s)
- Carolina Marciela Herpich
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| | - Ana Paula Amaral
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| | - Ernesto Cesar Pinto Leal-Junior
- Postgraduate Program in Rehabilitation Sciences, Laboratory of Phototherapy in Sports and Exercise, University Nove de Julho (UNINOVE), Brazil
| | - Juliana de Paiva Tosato
- Postgraduate Program in Biophotonics Applied to Health Sciences, University Nove de Julho (UNINOVE), Brazil
| | | | - Éric Edmur Camargo Arruda
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| | - Igor Phillip Dos Santos Glória
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| | - Marilia Barbosa Santos Garcia
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| | - Bruno Roberto Borges Barbosa
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| | | | - Katiane Lima Silva
- Graduation Phisical Therapy, Universidade Nove de Julho (UNINOVE), Brazil
| | - Yasmin El Hage
- Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE), Brazil
| | - Fabiano Politti
- Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE), Brazil
| | | | - Sandra Kalil Bussadori
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| | - Daniela Aparecida Biasotto-Gonzalez
- Postgraduate Program in Rehabilitation Sciences, Movement Analysis Research Support Center, University Nove de Julho (UNINOVE): Rua Profa Maria Jose Barone Fernandes, 300, Sao Paulo, SP, 02117-020, Brazil
| |
Collapse
|
17
|
Affiliation(s)
- Narda G Robinson
- CSU Center for Comparative and Integrative Medicine, Colorado State University , Veterinary Teaching Hospital, Fort Collins, Colorado
| |
Collapse
|
18
|
Madani AS, Ahrari F, Nasiri F, Abtahi M, Tunér J. Low-level laser therapy for management of TMJ osteoarthritis. Cranio 2014; 32:38-44. [DOI: 10.1179/0886963413z.0000000004] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
|
19
|
Evaluation of pain, jaw movements, and psychosocial factors in elderly individuals with temporomandibular disorder under laser phototherapy. Lasers Med Sci 2013; 30:953-9. [PMID: 24366293 DOI: 10.1007/s10103-013-1514-z] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2013] [Accepted: 12/08/2013] [Indexed: 10/25/2022]
Abstract
Few studies have been carried out on the application of laser phototherapy (LPT) for treating painful temporomandibular disorder (TMD) in elderly population that is growing worldwide. The aim of the present study was to evaluate the pain, jaw movements, and psychosocial factors in ten elderly patients with painful TMD before and after LPT. All patients were evaluated before and after LPT by using the Research Diagnostic Criteria for temporomandibular disorders (RDC/TMD) axes I and II. For pain assessment, a visual analogue scale (VAS) was used. The LPT was carried out with an GaAlAs diode laser (780 nm; spot size 0.04 cm(2)) in punctual and contact mode. Two settings of irradiations were applied as follows: in patients presenting myofascial pain, 10 mW, 5 J/cm(2), 20 s, 0.2 J per application point; and in patients with joint TMD, 70 mW, 105 J/cm(2), 60 s on five points, 4.2 J per point. Two sessions of LPT were carried out per week over four consecutive weeks, in the total of eight sessions. Data was statistically analyzed (p < 0.05). Significant pain reduction was found in all patients. There were increase in maximum mouth opening without pain and reduction in muscle pain during right and left lateral excursion. A significant reduction in chronic pain severity (p = 0.02) and significant improvements in depression (p = 0.038) and nonspecific physical symptoms with pain (p = 0.0167) were observed. The present findings indicate that LPT is able to promote pain relief and improvement of jaw movements in elderly patients with TMD, with a positive effect on psychosocial aspects.
Collapse
|
20
|
Panhoca VH, Lizarelli RDFZ, Nunez SC, Pizzo RCDA, Grecco C, Paolillo FR, Bagnato VS. Comparative clinical study of light analgesic effect on temporomandibular disorder (TMD) using red and infrared led therapy. Lasers Med Sci 2013; 30:815-22. [PMID: 24197518 DOI: 10.1007/s10103-013-1444-9] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2013] [Accepted: 09/16/2013] [Indexed: 11/28/2022]
Abstract
Low-level laser therapy (LLLT) has been widely applied in pain relief in several clinical situations, including temporomandibular disorders (TMD). However, the effects of LED therapy on TMD has not been investigated. This study aims to evaluate the effects of red and infrared LEDs on: (1) tissue temperature in ex vivo and (2) pain relief and mandibular range of motion in patients with TMD. Thirty patients between 18 and 40 years old were included and randomly assigned to three groups. The two experimental groups were: the red LED (630 ± 10 nm) group and the infrared LED (850 ± 10 nm) group. The irradiation parameters were 150 mW, 300 mW/cm(2), 18 J/cm(2), and 9 J/point. The positive control group received an infrared laser (780 nm) with 70 mW, 1.7 W/cm(2), 105 J/cm(2), and 4.2 J/point. LED and laser therapies were applied bilaterally to the face for 60 s/point. Five points were irradiated: three points around the temporomandibular joint (TMJ), one point for the temporalis, and one near the masseter. Eight sessions of phototherapy were performed, twice a week for 4 weeks. Pain induced by palpating the masseter muscle and mandibular range of motion (maximum oral aperture) were measured at baseline, immediately after treatment, 7 days after treatment, and 30 days after treatment. There was an increase in tissue temperature during both the red and the infrared LED irradiation in ex vivo. There was a significant reduction of pain and increase of the maximum oral aperture for all groups (p ≥ 0.05). There was no significant difference in pain scores and maximum oral aperture between groups at baseline or any periods after treatment (p ≥ 0.05). The current study showed that red and infrared LED therapy can be useful in improving outcomes related to pain relief and orofacial function for TMD patients. We conclude that LED devices constitute an attractive alternative for LLLT.
Collapse
Affiliation(s)
- Vitor Hugo Panhoca
- Optics Group from Physics Institute of São Carlos (IFSC), University of São Paulo (USP), Brazil. Av. Trabalhador Sancarlense, 400-Centro, 13560-970, São Carlos, SP, Brazil,
| | | | | | | | | | | | | |
Collapse
|
21
|
Herranz-Aparicio J, Vázquez-Delgado E, Arnabat-Domínguez J, España-Tost A, Gay-Escoda C. The use of low level laser therapy in the treatment of temporomandibular joint disorders. Review of the literature. Med Oral Patol Oral Cir Bucal 2013; 18:e603-12. [PMID: 23722130 PMCID: PMC3731088 DOI: 10.4317/medoral.18794] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2012] [Accepted: 02/16/2013] [Indexed: 12/03/2022] Open
Abstract
Introduction: The temporomandibular disorders (TMDs) have been identified as the most important cause of pain in the facial region. The low level laser therapy (LLLT) has demonstrated to have an analgesic, anti-inflammatory and biostimulating effects. The LLLT is a noninvasive, quick and safe, non-pharmaceutical intervention that may be beneficial for patients with TMDs. However the clinical efficiency of LLLT in the treatment of this kind of disorders is controversial.
Objectives: Literature review in reference to the use of LLLT in the treatment of TMDs, considering the scientific evidence level of the published studies.
Material and Methods: A MEDLINE and COCHRANE database search was made for articles. The keywords used were “temporomandibular disorders” and “low level laser therapy” or “phototherapy” and by means of the Boolean operator “AND”. The search provided a bank of 35 articles, and 16 relevant articles were selected to this review. These articles were critically analyzed and classified according to their level of scientific evidence. This analysis produced 3 literature review articles and 13 are clinical trials. The SORT criteria (Strength of Recommendation Taxonomy) was used to classify the articles.
Results: Only one article presented an evidence level 1, twelve presented an evidence level 2, and three presented an evidence level 3. According to the principle of evidence-based dentistry, currently there is a scientific evidence level B in favor of using LLLT for treatment of TMDs.
Discussion and conclusions: Publications on the use of LLLT for treatment of TMDs are limited making difficult to compare the different studies due to the great variability of the studied variables and the selected laser parameters. The great majority of the studies concluded that the results should be taken with caution due to the methodological limitations.
Key words:Low level laser therapy; phototherapy; temporomandibular joint disorders.
Collapse
|
22
|
Ferreira LA, de Oliveira RG, Guimarães JP, Carvalho ACP, De Paula MVQ. Laser acupuncture in patients with temporomandibular dysfunction: a randomized controlled trial. Lasers Med Sci 2013; 28:1549-58. [PMID: 23380907 DOI: 10.1007/s10103-013-1273-x] [Citation(s) in RCA: 53] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2011] [Accepted: 01/22/2013] [Indexed: 11/25/2022]
Abstract
A prospective, double-blind, randomized, and placebo-controlled trial was conducted in patients with chronic temporomandibular disorder (TMD) to check the analgesic efficacy of infrared low-power GaAlAs diode laser applied to acupuncture points. Forty female subjects, ranging in age from 20 to 40 years, with diagnoses of chronic myofascial pain and arthralgia were randomly allocated to two groups: an experimental group (EG) who received the laser acupuncture as adjunct to reversible occlusal splint therapy and a control group (CG) who received a placebo laser associated with occlusal splint therapy. Both approaches were applied once a week for 3 months. Laser acupuncture was defined by the following parameters: 50-mW continuous radiation for 90 s to acupoints ST6, SI19, GB20, GB43, LI4, LR3, NT3, and EX-HN3; defining 4.5-J energy; 1250-W/cm(2) density point; and 112.5-J/cm(2) total density. The outcome measurements included a symptom evolution assessment carried out by checking spontaneous and palpation pain intensity, which was indicated on a visual analog scale (VAS). All evaluations were made by an assessor who was blind to the treatment. The symptom reduction was significant in both groups (EG: VAS = 0, n = 20; CG: VAS between 2 and 4, n = 18). The measurements showed significantly faster and lower pain intensity values in the EG (p ≤ 0.002), where there was a higher proportion of patients with remission of symptoms related to the action of laser acupuncture. For patients in whom conservative treatment was adopted, the laser acupuncture is a secure, noninvasive, and effective treatment modality because it improves the chronic pain associated with TMD and has no side effects.
Collapse
Affiliation(s)
- Luciano Ambrosio Ferreira
- Diagnostic and Guidance Center for Patients with Temporomandibular Disorders, Federal University of Juiz de Fora, Rua José Lourenço Kelmer, S/N, Campus Universitário, São Pedro, Juiz de Fora, Minas Gerais, 36036-900, Brazil,
| | | | | | | | | |
Collapse
|
23
|
Ahrari F, Madani AS, Ghafouri ZS, Tunér J. The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci 2013; 29:551-7. [DOI: 10.1007/s10103-012-1253-6] [Citation(s) in RCA: 66] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2012] [Accepted: 12/18/2012] [Indexed: 10/27/2022]
|
24
|
Silva LH, Silva MT, Gutierrez RM, Conte TC, Toledo CA, Aoki MS, Liebano RE, Miyabara EH. GaAs 904-nm laser irradiation improves myofiber mass recovery during regeneration of skeletal muscle previously damaged by crotoxin. Lasers Med Sci 2011; 27:993-1000. [DOI: 10.1007/s10103-011-1031-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2011] [Accepted: 11/10/2011] [Indexed: 12/17/2022]
|
25
|
Photomedicine and LLLT Literature Watch. Photomed Laser Surg 2010; 28:575-6. [DOI: 10.1089/pho.2010.9932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|