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23.11.2020 | Original Article

Effects of different energy density low-level laser therapies for temporomandibular joint disorders patients: a systematic review and network meta-analysis of parallel randomized controlled trials

verfasst von: Guoyi Jing, Yatao Zhao, Fangrui Dong, Pengfei Zhang, Hui Ren, Jingying Liu, Yang Liu, Caiyun Yu, Jingjing Hu, Guangjie Bao, Hong Kang

Erschienen in: Lasers in Medical Science | Ausgabe 5/2021

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Abstract

Purpose

To compare the effects of different energy density LLLT on TMD patients’ pain reduction.

Methods

Reviewers searched RCTs published in Embase, PubMed and The Cochrane Library before 1 April 2020. Reviewers included parallelRCTs that compared the effects of LLLT with placebo or different energy density LLLT for TMD patients’ pain reduction. Reviewers did network meta-analysis and evaluated the quality of evidence using the GRADE process.

Results

From 352 studies, reviewers included 16 RCTs. Immediately after treatment, the d1 laser therapy (energy density ranging from 0 to 10 J/cm²) ranked first. The d1 laser therapy showed more pain reduction than placebo ( MD = 2.49, 95% CI ranging from 1.28 to 3.71). The quality of “d1 vs p” comparison was assessed as “moderate” quality. A month after treatment, the d1 laser therapy also performed better than placebo (MD = 1.69, 95%CI = [-0.78, 4.16]). The quality of secondary outcome was assessed as “low” quality.

Conclusions

For clinical application, d1 laser therapy (energy density ranging from 0 to 10 J/cm²) is recommended for short-term pain management of TMD patients (moderate quality evidence). A month after treatment, the d1 laser therapy also performed better than placebo and other laser groups but the result didn’t reach the point of statistical significance (low quality evidence).

Trial registration: PROSPERO-CRD42018118313.

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Titel: Effects of different energy density low-level laser therapies for temporomandibular joint disorders patients: a systematic review and network meta-analysis of parallel randomized controlled trials
verfasst von: Guoyi Jing
Yatao Zhao
Fangrui Dong
Pengfei Zhang
Hui Ren
Jingying Liu
Yang Liu
Caiyun Yu
Jingjing Hu
Guangjie Bao
Hong Kang
Publikationsdatum: 23.11.2020
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 5/2021
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-020-03197-7

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Effects of different energy density low-level laser therapies for temporomandibular joint disorders patients: a systematic review and network meta-analysis of parallel randomized controlled trials

Abstract

Purpose

Methods

Results

Conclusions

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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