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01.04.2015 | Original Article

Evaluation of pain, jaw movements, and psychosocial factors in elderly individuals with temporomandibular disorder under laser phototherapy

verfasst von: Jeniffer Holley Rodrigues, Márcia Martins Marques, Daniela Aparecida Biasotto-Gonzalez, Maria Stella Nunes Araújo Moreira, Sandra Kalil Bussadori, Raquel Agnelli Mesquita-Ferrari, Manoela Domingues Martins

Erschienen in: Lasers in Medical Science | Ausgabe 3/2015

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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 cm²) in punctual and contact mode. Two settings of irradiations were applied as follows: in patients presenting myofascial pain, 10 mW, 5 J/cm², 20 s, 0.2 J per application point; and in patients with joint TMD, 70 mW, 105 J/cm², 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.

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Titel: Evaluation of pain, jaw movements, and psychosocial factors in elderly individuals with temporomandibular disorder under laser phototherapy
verfasst von: Jeniffer Holley Rodrigues
Márcia Martins Marques
Daniela Aparecida Biasotto-Gonzalez
Maria Stella Nunes Araújo Moreira
Sandra Kalil Bussadori
Raquel Agnelli Mesquita-Ferrari
Manoela Domingues Martins
Publikationsdatum: 01.04.2015
Verlag: Springer London
Erschienen in: Lasers in Medical Science / Ausgabe 3/2015
Print ISSN: 0268-8921
Elektronische ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-013-1514-z

Springer Medizin

Abstract

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