Randomized controlled trial2012

Low level laser therapy as an adjunctive technique in the management of temporomandibular disorders

da Silva MA, Botelho AL, Turim CV, da Silva AM

Cranio : the journal of craniomandibular practice · 22 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2012-10-01 · Cranio · vol. 30 · issue 4 · pp. 264–271
Publisher
Taylor & Francis
Cited
42 citations · more than 83% of similar papers · 1.6× the field average
References
14 works
Access
Paywalled
Research areas
Laser Applications in Dentistry and Medicine · Temporomandibular Joint Disorders · Myofascial pain diagnosis and treatment
Keywords
Medicine, Palpation, Placebo, Low level laser therapy, Temporomandibular joint, Range of motion, Laser therapy, Condyle, Masseter muscle, Temporomandibular Joint Dysfunction Syndrome, Research Diagnostic Criteria, Muscle disorder, Dentistry, Physical therapy, Orthodontics, Surgery, Internal medicine, Laser
MeSH
masseter muscle, temporal muscle, mandibular condyle, humans, temporomandibular joint disorders, facial pain, placebos, pain measurement, palpation, range of motion, articular, treatment outcome, radiotherapy dosage, follow-up studies, adult, middle aged, female, male, symptom assessment, low-level light therapy

4 authors

  • Marco Antônio Moreira Rodrigues da Silva
  • André Luís Botelho
  • Carolina Vogt Turim
  • Ana Maria Bettoni Rodrigues da Silva

Abstract

The purpose of this study was to assess the effect of low level laser therapy on subjects with intra-articular temporomandibular disorders (IA-TMD), and to quantify and compare severity of signs and symptoms before, during, and after the laser applications. The sample consisted of 45 subjects randomly divided into three groups (G) of 15 subjects each: G-I: 15 individuals with IA-TMD submitted to an energy dose of 52.5 J/cm2; G-II: dose of 105.0 J/cm2; and G-III: placebo group (0 J/cm2). In all groups, the applications were performed on condylar points on the masseter and anterior temporalis muscles. Two weekly sessions were held for five weeks, totaling 10 applications. The assessed variables were: mandibular movements and painful symptoms evoked by muscle palpation. These variables were measured before starting the study, then immediately after the first, fifth, and tenth laser application, and finally, 32 days after completing the applications. The results showed that there were statistically significant differences for G-I and G-II at the level of 1% between the doses, as well as between assessments. Therefore, it was concluded that the use of low level laser increased the mean mandibular range of motion and reduced painful symptoms in the groups that received effective treatment, which did not occur in the placebo group.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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