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19.07.2019 | Original Article

Intraoral photobiomodulation diminishes pain and improves functioning in women with temporomandibular disorder: a randomized, sham-controlled, double-blind clinical trial

Intraoral photobiomodulation diminishes pain in women with temporomandibular disorder

verfasst von: Carolina Marciela Herpich, Ernesto Cesar Pinto Leal-Junior, Fabiano Politti, Cid André Fidelis de Paula Gomes, Igor Phillip dos Santos Glória, Maitê de Freitas Rocha de Souza Amaral, Graciela Herpich, Ludmila Menezes Alves de Azevedo, Tabajara de Oliveira Gonzalez, Daniela Aparecida Biasotto-Gonzalez

Erschienen in: Lasers in Medical Science | Ausgabe 2/2020

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Abstract

The aim of the present study was to evaluate the effect of intraoral photobiomodulation involving super-pulsed laser (905 nm) combined with red (640 nm) and infrared (875 nm) light-emitting diodes on pain, mandibular range of motion, and functioning in women with myogenous temporomandibular disorder. A randomized, sham-controlled, double-blind clinical trial was conducted involving 30 women with myogenous temporomandibular disorder diagnosed using the Research Diagnostic Criteria for Temporomandibular Disorders. The participants were randomly allocated to two groups (active and sham photobiomodulation). The evaluations involved this use of the visual analog scale, digital calipers, and a functional scale. Photobiomodulation was administered intraorally in the region of the pterygoid muscles, bilaterally, in all participants for a total of six sessions. Evaluations were performed on five occasions: prior to the intervention, immediately after the first session, 24 h and 48 h after the first session, and after the six sessions. Significant differences between groups were found regarding pain (p ≤ 0.01) and functioning (p ≤ 0.04). However, no statistically significant difference was found regarding range of mandibular motion. The findings demonstrate that intraoral photobiomodulation involving super-pulsed laser (905 nm) combined with red (640 nm) and infrared (875 nm) light-emitting diodes diminishes pain and improves functioning but does not exert an influence on mandibular range of motion in women with temporomandibular disorder.

Trial registration: NCT02839967

deLeeuw R, Klasser GD (2013) The American Academy of Orofacial Pain. Orofacial pain: guidelines for assessment, diagnosis, and management. Quintessence Publishing, Chicago

Truelove EL, Sommers EE, LeResche L, Dworkin SF, Von KM (1992) Clinical diagnostic criteria for TMD. New classification permits multiple diagnoses. J Am Dent Assoc 123:47–54CrossRef

Plesh O, Sinisi SE, Crawford PB, Gansky SA (2005) Diagnoses based on the research diagnostic criteria for temporomandibular disorders in a biracial population of young women. J Orofac Pain 19:65–75PubMed

Orlando B, Manfredini D, Bosco M (2006) Efficacy of physical therapy in the treatment of masticatory myofascial pain: a literature review. Minerva Stomatol 55(6):355–366PubMed

Gonçalves DA, Dal Fabbro AL, Campos JADB, Bigal ME, Speciali JG (2010) Symptoms of temporomandibular disorders in the population: an epidemiological study. J Orofac Pain 24(3):270–278PubMed

Ferreira CLP, Silva MAMR, Felício CM (2016) Sinais e sintomas de desordem temporomandibular em mulheres e homens. CoDAS 28(1):17–21. https://doi.org/10.1590/2317-1782/20162014218 CrossRefPubMed

Polso H, Napankangas R, Raustia AM (2010) Treatment outcome in patients with TMD – a survey of 123 patients referred to specialist care. Cranio 28(3):156–165CrossRef

Issa JPM, Silva MAMR, SILVA AMBR (2005) Disfunções temporomandibulares e suas implicações clínicas. Revista Dor 6(2):573–578

Fikácková H, Dostálová T, Navrátil L et al (2007) Effectiveness of low-level laser therapy in temporomandibular joint disorders: a placebo-controlled study. Photomed Laser Surg 25(4):297–303CrossRef

10.

Manfredini D, Favero L, Cocilovo F, Monici M, Guarda-Nadini L (2017) A comparison trial between three treatment modalities for the management of myofascial pain of jaw muscles: a preliminary study. Cranio: The Journal of Craniomandibular Practice 36(2):1–5. https://doi.org/10.1080/08869634.2017.1349571

11.

Seifi M, Ebadifar A, Kabiri S, Badiee MR, Abdolazimi Z, Amdjadi P (2017) Comparative effectiveness of low level laser therapy and transcutaneous electric nerve stimulation on temporomandibular joint disorders. J Lasers Med Sci 8(1):27–31CrossRef

12.

Khalighi HR, Mortazavi H, Mojahedi SM, Marhabi SA, Abbasabadi FM (2016) Low level laser therapy versus pharmacotherapy in improving myofascial pain disorder syndrome. J Lasers Med Sci 7(1):45–50. https://doi.org/10.15171/jlms.2016.10 CrossRef

13.

Kelencz CA, Muñoz IS, Amorim CF, Nicolau RA (2010) Effect of low-power gallium-aluminum-arsenium noncoherent light (640 nm) on muscle activity: a clinical study. Photomed Laser Surg 28(5):647–652CrossRef

14.

Hage YE, Politti F, Sousa DFM, Herpich CM et al (2013) Effect of facial massage on static balance in individuals with temporomandibular disorder - a pilot study. Int J Ther Massage Bodywork 6:6–11PubMedPubMedCentral

15.

Herpich CM, Leal-Junior ECP, Gomes CAFP et al (2017) Immediate and short-term effects of phototherapy on pain, muscle activity, and joint mobility in women with temporomandibular disorder: a randomized, double-blind, placebo-controlled, clinical trial. Disabil Rehabil 1:1–7

16.

Herpich CM, Gomes CAFP, Gloria IPS et al (2018) Evaluation of pain threshold upon palpation of the masticatory muscles in women with temporomandibular disorder according to the Research Diagnostic Criteria of Temporomandibular Disorders. Rev CEFAC 20(2):175–181CrossRef

17.

Barriere P, Zink S, Riehm S, Kahn JL, Veillon F, Wilk A (2009) Massage du muscle ptérygoïdien latéral dans le SADAM aigu Massage of the lateral pterygoid muscle in acute TMJ dysfunction syndrome. Rev Stomatol Chir Maxillofac 110(2):77–80. https://doi.org/10.1016/j.stomax.2008.05.010 CrossRefPubMed

18.

Kalamir A, Graham P, Vitiello AL, Bonello R, Pollard H (2013) Intra-oral myofascial therapy versus education and self-care in the treatment of chronic, myogenous temporomandibular disorder: a randomised, clinical trial. Chiropr Man Therap 21:17CrossRef

19.

Fujita S, Iizuka T, Dauber W (2001) Variation of heads of lateral pterygoid muscle and morphology of articular disc of human temporomandibular joint—anatomical and histological analysis. J Oral Rehabil 28:560–571CrossRef

20.

Friedmann H, Lipovsky A, Nitzan Y, Lubart R (2009) Combined magnetic and pulsed laser field produce synergistic acceleration of cellular electron transfer. Laser Ther 18:137–141CrossRef

21.

Leal Junior ECP, Johnson DS, Saltmarche A, Demchak T (2014) Adjunctive use of combination of super-pulsed laser and light-emitting diodes phototherapy on nonspecific knee pain: double-blinded randomized placebo-controlled trial. Lasers Med Sci 29:1839–1847CrossRef

22.

Silva MM, Albertine R, Carvalho PTC, Leal-Junior ECP, Bussadori SK, Vieira SS, Bocalini DS, Oliveira VS, Grandinetti V, Silva JÁ, Serra AJ (2017) Randomized, blinded, controlled trial on effectiveness of photobiomodulation therapy and exercise training in the fibromyalgia treatment. Lasers Med Sci. https://doi.org/10.1007/s10103-017-2388-2 CrossRef

23.

Ferreira-Valente MA, Pais-Ribeiro JL, Jensen MP (2011) Validity of four pain intensity-rating scales. Pain 152(10):2399–2404CrossRef

24.

Horn KK, Jennings S, Richardson G, Vliet DV, Hefford C, Abbott JH (2012) The patient-specific functional scale: psychometrics, clinimetrics, and application as a clinical outcome measure. J Orthop Sports Phys Ther 42(1):30–42. https://doi.org/10.2519/jospt.2012.3727 CrossRefPubMed

25.

Stratmann U, Mokrys K, Meyer U, Kleinheinz J, Joos U, Dirksen D et al (2000) Clinical anatomy and palpability of the inferior lateral pterygoid muscle. J Prosthet Dent 83:548–554CrossRef

26.

Pereira TS, Flecha OD, Guimarães RC, de Oliveira D, Botelho AM, Ramos Glória JC et al (2014) Efficacy of red and infrared lasers in treatment of temporomandibular disorders--a double-blind, randomized, parallel clinical trial. Cranio J Craniomandib Pract 32(1):51–56

27.

Cohen J (1988) Statistical power analysis for the behavioral sciences, 2nd edn. Erlbaum, Hillsdale

28.

Armijo-Olivo S, Pitance L, Neto VSF, Thie N, Michelotti A (2016) Effectiveness of manual therapy and therapeutic exercise for temporomandibular disorders: systematic review and meta-analysis. Phys Ther 96:9–25. https://doi.org/10.2522/ptj.20140548 CrossRefPubMed

29.

Chen J, Huang Z, Ge M, Gao M (2015) Efficacy of low-level laser therapy in the treatment of TMDs: a meta-analysis of 14 randomised controlled trials. J Oral Rehabil 42(4):291–299CrossRef

30.

Bjordal JM (2006) Photoradiation in acute pain: a systematic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg 24(2):158–168CrossRef

31.

Miranda EF, LeaL Junior ECP, Marchetti PH, Dal Corso S (2014) Acute effects of light emitting diodes therapy (LEDT) in muscle function during isometric exercise in patients with chronic obstructive pulmonary disease: preliminary results of a randomized controlled trial. Lasers Med Sci 29:359–365CrossRef

32.

Grace EG, Sarlani E, Reid B (2002) The use of an oral exercise device in the treatment of muscular TMD. Cranio 20(3):204–208CrossRef

33.

de Felicio CM, de Oliveira MM, da Silva MA (2010) Effects of orofacial myofunctional therapy on temporomandibular disorders. Cranio 28(4):249–259CrossRef

34.

Niemela K, Korpela M, Raustia A, Ylostalo P, Sipila K (2012) Efficacy of stabilisation splint treatment on temporomandibular disorders. J Oral Rehabil 39(11):799–804CrossRef

35.

Freire AB, De Nardi AT, Boufleur J, Chiodelli L, Pasinato F, Corrêa ECR (2014) Multimodal physiotherapeutic approach: effects on the temporomandibular disorder diagnosis and severity. Fisioterapia em Movimento 27(2):219. https://doi.org/10.1590/0103-5150.027.002.AO07 CrossRef

Titel: Intraoral photobiomodulation diminishes pain and improves functioning in women with temporomandibular disorder: a randomized, sham-controlled, double-blind clinical trial
Intraoral photobiomodulation diminishes pain in women with temporomandibular disorder
verfasst von: Carolina Marciela Herpich
Ernesto Cesar Pinto Leal-Junior
Fabiano Politti
Cid André Fidelis de Paula Gomes
Igor Phillip dos Santos Glória
Maitê de Freitas Rocha de Souza Amaral
Graciela Herpich
Ludmila Menezes Alves de Azevedo
Tabajara de Oliveira Gonzalez
Daniela Aparecida Biasotto-Gonzalez
Publikationsdatum: 19.07.2019
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 2/2020
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-019-02841-1

Springer Medizin

Abstract

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