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Erschienen in: Lasers in Dental Science 4/2023

29.08.2023 | Original Article

Effectiveness of Laser Photobiomodulation Therapy (LPBMT) in TMD patients on different sites: masticatory muscles and TMJ/masticatory muscles

verfasst von: Sara Tavakolizadeh, Hossein Akbari, Rahab Ghoveizi, Jan Tunér, Maziar Mir, Leili Habibi

Erschienen in: Lasers in Dental Science | Ausgabe 4/2023

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Abstract

Purposes

Temporomandibular joint disorders (TMD) are the common disorders related to the mandibular joint and nervous systems, which can affect the quality of the patient’s life. The aim of this study is to evaluate the effect of Laser Photobiomodulation Therapy (LPBMT) on different points of the masticatory muscles and temporomandibular joint (TMJ); with digital occlusal splint (DOS) as two conservative treatment options in TMD.

Materials and methods

In this study, 24 TMD patients were randomly divided into three equal groups. The first group A (n = 8) was under treatment of LPBMT on the masticatory muscles and the TMJ. The second group B (n = 8) was under treatment of LPBMT only on the masticatory muscles; and the last group C (n = 8) was a placebo group. All patients received DOS after the LPBMT. Clinical examination was performed before, right after, and 1 month after LPBMT. Subsequently, the patient’s symptoms were evaluated 2 weeks, 1, and 3 months after using DOS. Comparisons of data were analyzed by SPSS software with a significance level of p < 0.05.

Result

In spite of showing no significant group differences (p = 0.110), the results revealed within time all the three groups had a significant improvement in pain intensity and mandibular functions (p < 0.001).

Conclusion

This study showed that a combination of LPBMT and DOS has better clinical results in comparison with DOS alone in the treatment of TMD patients over time.
Literatur
1.
Zurück zum Zitat Zhang S, He K et al (2020) Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Act Odontol Scand 78:e1759818 Zhang S, He K et al (2020) Efficacy of occlusal splints in the treatment of temporomandibular disorders: a systematic review of randomized controlled trials. Act Odontol Scand 78:e1759818
2.
Zurück zum Zitat Algabri RS, Alqutaibi AY et al (2017) Effect of computer-aided design/computer-assisted manufacture versus conventional occlusal splints on the management of temporomandibular disorder: a systematic review and meta-analysis. Int Dent Med J Adv Res 3:1–9 Algabri RS, Alqutaibi AY et al (2017) Effect of computer-aided design/computer-assisted manufacture versus conventional occlusal splints on the management of temporomandibular disorder: a systematic review and meta-analysis. Int Dent Med J Adv Res 3:1–9
3.
Zurück zum Zitat Sahebi M, Hajimahmoudi M, Atri F (2020) Comparative evaluation of soft and hard splints in treatment of clenching disorder. J Craniomax Res 7:145–151 Sahebi M, Hajimahmoudi M, Atri F (2020) Comparative evaluation of soft and hard splints in treatment of clenching disorder. J Craniomax Res 7:145–151
4.
Zurück zum Zitat Venezia P, Muzio L et al (2019) Digital manufacturing of occlusal splint: from intraoral scanning to 3D printing. Journal of Osseointegration 11:535–539 Venezia P, Muzio L et al (2019) Digital manufacturing of occlusal splint: from intraoral scanning to 3D printing. Journal of Osseointegration 11:535–539
5.
Zurück zum Zitat Schiffman E, Ohrbach R et al (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Groupdagger. J Oral Facial Pain Headache 28:6–27PubMedCrossRef Schiffman E, Ohrbach R et al (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Groupdagger. J Oral Facial Pain Headache 28:6–27PubMedCrossRef
6.
Zurück zum Zitat Zokaee H, Akbari Zahmati AH et al (2018) Efficacy of low-level laser therapy on orofacial pain: a literature review. Adv Hum Biol 8:70–73CrossRef Zokaee H, Akbari Zahmati AH et al (2018) Efficacy of low-level laser therapy on orofacial pain: a literature review. Adv Hum Biol 8:70–73CrossRef
7.
Zurück zum Zitat Zhang C, Wu JY et al (2016) Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis. Oncotarget 7:84043–84053PubMedPubMedCentralCrossRef Zhang C, Wu JY et al (2016) Efficacy of splint therapy for the management of temporomandibular disorders: a meta-analysis. Oncotarget 7:84043–84053PubMedPubMedCentralCrossRef
8.
Zurück zum Zitat Uemoto L et al (2013) Myofascial trigger point therapy: laser therapy and dry needling. Curr Pain Headache Rep 17:357PubMedCrossRef Uemoto L et al (2013) Myofascial trigger point therapy: laser therapy and dry needling. Curr Pain Headache Rep 17:357PubMedCrossRef
9.
Zurück zum Zitat Cronshaw M, Parker S et al (2020) Photobiomodulation dose parameters in dentistry: a systematic review and meta-analysis. Dent J 8:114CrossRef Cronshaw M, Parker S et al (2020) Photobiomodulation dose parameters in dentistry: a systematic review and meta-analysis. Dent J 8:114CrossRef
10.
Zurück zum Zitat Okeson JP (2020) Management of temporomandibular disorder and occlusion. Mosby, Kentucky Okeson JP (2020) Management of temporomandibular disorder and occlusion. Mosby, Kentucky
11.
Zurück zum Zitat Kulekcioglu S, Sivrioglu K, Ozcan O, Parkal M (2003) Effectiveness of low-level laser therapy in temporomandibular Disorder. Scand J Rheumatol 32:114–118PubMedCrossRef Kulekcioglu S, Sivrioglu K, Ozcan O, Parkal M (2003) Effectiveness of low-level laser therapy in temporomandibular Disorder. Scand J Rheumatol 32:114–118PubMedCrossRef
12.
Zurück zum Zitat Mazzetto MO, Hotta TH, Pizzo RCA (2010) Measurements of jaw movements and TMJ pain intensity in patients treated with GaAlAs laser. Braz Dent J 21:356–360PubMedCrossRef Mazzetto MO, Hotta TH, Pizzo RCA (2010) Measurements of jaw movements and TMJ pain intensity in patients treated with GaAlAs laser. Braz Dent J 21:356–360PubMedCrossRef
13.
Zurück zum Zitat Ahrari F, Madani AS, Ghafouri ZS, Tunér J (2014) The efficacy of low level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci 29:551–557PubMedCrossRef Ahrari F, Madani AS, Ghafouri ZS, Tunér J (2014) The efficacy of low level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci 29:551–557PubMedCrossRef
14.
Zurück zum Zitat Fikácková H, Dostálová T, Navrátil L, Klaschka J (2007) Effectiveness of low-level laser therapy in temporomandibular joint disorders: a placebo-controlled study. Photomed Laser Surg 25:297–303PubMedCrossRef Fikácková H, Dostálová T, Navrátil L, Klaschka J (2007) Effectiveness of low-level laser therapy in temporomandibular joint disorders: a placebo-controlled study. Photomed Laser Surg 25:297–303PubMedCrossRef
15.
Zurück zum Zitat Rodrigues JH, Marques MM et al (2015) Evaluation of pain, jaw movement and psycholosocial factors in elderly individuals with temporomandibular disorder under laser phototherapy. Lasers Med Sci 30:953–959PubMedCrossRef Rodrigues JH, Marques MM et al (2015) Evaluation of pain, jaw movement and psycholosocial factors in elderly individuals with temporomandibular disorder under laser phototherapy. Lasers Med Sci 30:953–959PubMedCrossRef
16.
Zurück zum Zitat Sattayut S, Bradley P (2012) A study of the influence of low intensity laser therapy on painful temporomandibular disorder patients. Laser Ther 21:183–192PubMedPubMedCentralCrossRef Sattayut S, Bradley P (2012) A study of the influence of low intensity laser therapy on painful temporomandibular disorder patients. Laser Ther 21:183–192PubMedPubMedCentralCrossRef
17.
Zurück zum Zitat Machado BCZ, Mazzetto MO et al (2016) Effects of oral motor exercise and laser therapy on chronic temporomandibular disorders: a randomized study with follow up. Laser Med Sci 31:945–954CrossRef Machado BCZ, Mazzetto MO et al (2016) Effects of oral motor exercise and laser therapy on chronic temporomandibular disorders: a randomized study with follow up. Laser Med Sci 31:945–954CrossRef
18.
Zurück zum Zitat Marini I, Gatto MR, Bonetti GA (2010) Effects of superpulsed low level laser therapy on temporomandibular joint pain. Clin J Pain 26:611–616PubMedCrossRef Marini I, Gatto MR, Bonetti GA (2010) Effects of superpulsed low level laser therapy on temporomandibular joint pain. Clin J Pain 26:611–616PubMedCrossRef
19.
Zurück zum Zitat Dantas CMG, Vivan CL (2015) Temporomandibular disorders. In: Freitas P, Simoes A (eds) Lasers in dentistry: guide for clinical practice. Blackwell, Iowa, pp 223–228 Dantas CMG, Vivan CL (2015) Temporomandibular disorders. In: Freitas P, Simoes A (eds) Lasers in dentistry: guide for clinical practice. Blackwell, Iowa, pp 223–228
20.
Zurück zum Zitat Demirkol N, Usumez A, Demirkol K et al (2017) Efficacy of low-level laser therapy in subjective tinnitus patients with temporomandibular disorders. Photomed Laser Surg 35:427–431PubMedCrossRef Demirkol N, Usumez A, Demirkol K et al (2017) Efficacy of low-level laser therapy in subjective tinnitus patients with temporomandibular disorders. Photomed Laser Surg 35:427–431PubMedCrossRef
21.
Zurück zum Zitat Parker S, Cronshaw M, Grootveld M et al (2022) The influence of delivery power losses and full operating parametry on the effectiveness of diode visible-near infra-red (445-1064nm) laser therapy in dentistry-a multi-center investigation. Lasers Med Sci 37:2249–2257PubMedCrossRef Parker S, Cronshaw M, Grootveld M et al (2022) The influence of delivery power losses and full operating parametry on the effectiveness of diode visible-near infra-red (445-1064nm) laser therapy in dentistry-a multi-center investigation. Lasers Med Sci 37:2249–2257PubMedCrossRef
22.
Zurück zum Zitat Kato MT, Kogawa EM, Santos CN (2006) TENS and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci 14:130–135PubMedPubMedCentralCrossRef Kato MT, Kogawa EM, Santos CN (2006) TENS and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci 14:130–135PubMedPubMedCentralCrossRef
23.
Zurück zum Zitat Venezian GC, Silva MA et al (2010) Low level laser effects on pain to palpation and electromyographic activity in TMD patients: a doubleblind, randomized, placebo-controlled study. J Cranio Pract 28:84–91CrossRef Venezian GC, Silva MA et al (2010) Low level laser effects on pain to palpation and electromyographic activity in TMD patients: a doubleblind, randomized, placebo-controlled study. J Cranio Pract 28:84–91CrossRef
24.
Zurück zum Zitat Wang X, Yang Z et al (2011) Efficacy evaluation of low-level laser therapy on temporomandibular disorder. West Chin J Stomatol 29:393–395 Wang X, Yang Z et al (2011) Efficacy evaluation of low-level laser therapy on temporomandibular disorder. West Chin J Stomatol 29:393–395
25.
Zurück zum Zitat Karakis D, Dogan A, Bek B (2014) Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: a pilot study. J Adv Prosthodont 6:103–108PubMedPubMedCentralCrossRef Karakis D, Dogan A, Bek B (2014) Evaluation of the effect of two different occlusal splints on maximum occlusal force in patients with sleep bruxism: a pilot study. J Adv Prosthodont 6:103–108PubMedPubMedCentralCrossRef
26.
Zurück zum Zitat Alencar F Jr, Becker A (2009) Evaluation of different occlusal splints and counselling in the management of myofascial pain dysfunction. J Oral Rehabil 36:79–85PubMedCrossRef Alencar F Jr, Becker A (2009) Evaluation of different occlusal splints and counselling in the management of myofascial pain dysfunction. J Oral Rehabil 36:79–85PubMedCrossRef
27.
Zurück zum Zitat Brighton CT, Robert MH (1997) Early histologic and ultrastructural changes in microvessels of periosteal callus. Orthopaedic Trauma 11:244–253CrossRef Brighton CT, Robert MH (1997) Early histologic and ultrastructural changes in microvessels of periosteal callus. Orthopaedic Trauma 11:244–253CrossRef
28.
Zurück zum Zitat Amin A, Meshramkar R, Lekha K (2016) Comparative evaluation of clinical performance of different kind of occlusal splint in management of myofascial pain. J Indian Prosthodont Soc 16:176–181PubMedPubMedCentralCrossRef Amin A, Meshramkar R, Lekha K (2016) Comparative evaluation of clinical performance of different kind of occlusal splint in management of myofascial pain. J Indian Prosthodont Soc 16:176–181PubMedPubMedCentralCrossRef
29.
Zurück zum Zitat Keskin Tunç S, Ünalan Değirmenci B et al (2020) Evaluation the effects of low-level laser therapy on disc displacement with reduction. Turk J Phys Med Rehabil 66:24–30PubMedPubMedCentralCrossRef Keskin Tunç S, Ünalan Değirmenci B et al (2020) Evaluation the effects of low-level laser therapy on disc displacement with reduction. Turk J Phys Med Rehabil 66:24–30PubMedPubMedCentralCrossRef
30.
Zurück zum Zitat Oz S, Gokcon-Rohling B et al (2010) Management of myofacial pain low level laser therapy versus occlusal splint. J Craniofac Surg 21:1722–1728PubMedCrossRef Oz S, Gokcon-Rohling B et al (2010) Management of myofacial pain low level laser therapy versus occlusal splint. J Craniofac Surg 21:1722–1728PubMedCrossRef
31.
Zurück zum Zitat da Cunha LA, Firoozmand LM, da Silva AP, Esteves SA et al (2008) Efficacy of low-level laser therapy in the treatment of temporomandibular disorder. International dental journal 58(4):213–217PubMedCrossRef da Cunha LA, Firoozmand LM, da Silva AP, Esteves SA et al (2008) Efficacy of low-level laser therapy in the treatment of temporomandibular disorder. International dental journal 58(4):213–217PubMedCrossRef
32.
Zurück zum Zitat Shirani AM, Gutknecht N, Taghizadeh M, Mir M (2009) Lowlevel laser therapy and myofacial pain dysfunction syndrome: a randomized controlled clinical trial. Lasers Med Sci 24(5):715–720PubMedCrossRef Shirani AM, Gutknecht N, Taghizadeh M, Mir M (2009) Lowlevel laser therapy and myofacial pain dysfunction syndrome: a randomized controlled clinical trial. Lasers Med Sci 24(5):715–720PubMedCrossRef
33.
Zurück zum Zitat Emshoff R, Bosch R, Pumpel E et al (2008) Low-level laser therapy for treatment of temporomandibular joint pain: a double-blind and placebo-controlled trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105(4):452–456PubMedCrossRef Emshoff R, Bosch R, Pumpel E et al (2008) Low-level laser therapy for treatment of temporomandibular joint pain: a double-blind and placebo-controlled trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 105(4):452–456PubMedCrossRef
34.
Zurück zum Zitat Carrasco TG, Mazzetto MO, Mazzetto RG, Mestriner W Jr (2008) Low intensity laser therapy in temporomandibular disorder: a phase II double-blind study. Cranio 26(4):274–281PubMedCrossRef Carrasco TG, Mazzetto MO, Mazzetto RG, Mestriner W Jr (2008) Low intensity laser therapy in temporomandibular disorder: a phase II double-blind study. Cranio 26(4):274–281PubMedCrossRef
35.
Zurück zum Zitat Cetiner S, Kahraman SA, Yucetas S (2006) Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg 24(5):637–641PubMedCrossRef Cetiner S, Kahraman SA, Yucetas S (2006) Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg 24(5):637–641PubMedCrossRef
36.
Zurück zum Zitat Santos Tde S, Piva MR, Ribeiro MH et al (2010) Laser therapy efficacy in temporomandibular disorders: control study. Braz J Otorhinolaryngol 76(3):294–299PubMed Santos Tde S, Piva MR, Ribeiro MH et al (2010) Laser therapy efficacy in temporomandibular disorders: control study. Braz J Otorhinolaryngol 76(3):294–299PubMed
37.
Zurück zum Zitat Conti PC (1997) Low level laser therapy in the treatment of temporomandibular disorders (TMD): a double-blind pilot study. Cranio 15(2):144–149PubMedCrossRef Conti PC (1997) Low level laser therapy in the treatment of temporomandibular disorders (TMD): a double-blind pilot study. Cranio 15(2):144–149PubMedCrossRef
38.
Zurück zum Zitat Cheng K, Martin LF, Slepian MJ et al (2021) Mechanisms and pathways of pain photobiomodulation: a narrative review. The journal of pain 22(7):763–777PubMedPubMedCentralCrossRef Cheng K, Martin LF, Slepian MJ et al (2021) Mechanisms and pathways of pain photobiomodulation: a narrative review. The journal of pain 22(7):763–777PubMedPubMedCentralCrossRef
39.
Zurück zum Zitat Oron U, Ilic S, De Taboada L, Streeter J et al (2007) Ga-As(808 nm) Laser irradiation enhances ATP production in human neuronal cell in culture. Photomed Laser Surg 25(3):180–182CrossRef Oron U, Ilic S, De Taboada L, Streeter J et al (2007) Ga-As(808 nm) Laser irradiation enhances ATP production in human neuronal cell in culture. Photomed Laser Surg 25(3):180–182CrossRef
40.
41.
Zurück zum Zitat Tang L, Qin H, Lin S, Liu M (2023) Effects of Pulsed Red and Near-Infrared Light on Neuroblastoma Cells—Pilot Study on Frequency and Duty Cycle. Phon 10(3):315 Tang L, Qin H, Lin S, Liu M (2023) Effects of Pulsed Red and Near-Infrared Light on Neuroblastoma Cells—Pilot Study on Frequency and Duty Cycle. Phon 10(3):315
42.
Zurück zum Zitat Demirkol N, Sari F, Bulbul M, Demirkol M et al (2015) Effectiveness of occlusal splints and low-level laser therapy on myofascial pain. Lasers in medical science 30:1007–1012PubMedCrossRef Demirkol N, Sari F, Bulbul M, Demirkol M et al (2015) Effectiveness of occlusal splints and low-level laser therapy on myofascial pain. Lasers in medical science 30:1007–1012PubMedCrossRef
43.
Zurück zum Zitat Sam DM, Jose R, Varma B et al (2023) Evaluate and compare the effectiveness of low-level laser (diode) therapy and occlusal splints in TMJ pain-pilot study. Lasers in Dental Science 7(1):33–39CrossRef Sam DM, Jose R, Varma B et al (2023) Evaluate and compare the effectiveness of low-level laser (diode) therapy and occlusal splints in TMJ pain-pilot study. Lasers in Dental Science 7(1):33–39CrossRef
Metadaten
Titel
Effectiveness of Laser Photobiomodulation Therapy (LPBMT) in TMD patients on different sites: masticatory muscles and TMJ/masticatory muscles
verfasst von
Sara Tavakolizadeh
Hossein Akbari
Rahab Ghoveizi
Jan Tunér
Maziar Mir
Leili Habibi
Publikationsdatum
29.08.2023
Verlag
Springer International Publishing
Erschienen in
Lasers in Dental Science / Ausgabe 4/2023
Elektronische ISSN: 2367-2587
DOI
https://doi.org/10.1007/s41547-023-00199-w

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