Randomized controlled trial2015Open access

Early results of low-level laser application for masticatory muscle pain: a double-blind randomized clinical study

Sancakli E, Gökçen-Röhlıg B, Balık A, Öngül D, Kıpırdı S, Keskın H

BMC oral health · 50 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
2015-10-23 · BMC Oral Health · vol. 15 · issue 1 · p. 131
Publisher
BioMed Central
Cited
74 citations · more than 98% of similar papers · 9.2× the field average
Impact
Top 10% most cited in its field
References
33 works
Access
Open access (journal) · CC-BY
Research areas
Temporomandibular Joint Disorders · Laser Applications in Dentistry and Medicine · Dental Erosion and Treatment
Keywords
Medicine, Palpation, Masticatory force, Placebo, Low level laser therapy, Mann–Whitney U test, Tenderness, Masseter muscle, Oral and maxillofacial surgery, Randomized controlled trial, Physical therapy, Orthodontics, Laser therapy, Dentistry, Laser, Surgery, Internal medicine
MeSH
masticatory muscles, humans, temporomandibular joint disorders, double-blind method, adult, female, male, laser therapy, pain management

6 authors

From TR

  • Erkan Sancaklı · correspondingIstanbul University
  • Bilge Gökçen Röhli̇gIstanbul University
  • Ali BalıkIstanbul University
  • Değer ÖngülIstanbul University
  • Selin KıpırdıIstanbul University
  • Haluk KeskınIstanbul University

Abstract

Background

To evaluate the effect of Low Level Laser (LLL) application at the points of greatest pain in patients with chronic masticatory muscle pain.

Methods

A total number of 30 (21 women, 9 men, with a mean age of 39.2) were selected after the diagnosis of MPDS according to the Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD). The patients were randomly divided into three groups; laser group I (n = 10); patients received the LLL at the point of greatest pain, laser group II (n = 10); patients received LLL at pre-established points in the effected muscles and placebo group (n = 10). LLL and placebo were applied three times per week, for a total of 12 sessions. Mandibular mobility was examined, masticator muscles tenderness were assessed and PPT values were obtained. Subjective pain levels were evaluated using VAS. The measurements performed before the treatment and after the completion of the therapy. Descriptive statistics (mean, standard deviation, and frequency) Student's t-test, Mann-Whitney U-test and paired-sample t-tests were used for analysis.

Results

In both laser groups, there was a statically significant reduction in PPT values of the muscles, number of muscles without any pain on palpation increased significantly, mandibular movements' ranges were improved. Laser group I demonstrated statistically better results than the Laser group II in all of the measured values. Plasebo group did not show any statistically difference in any of the measured values.

Conclusions

LLLT can be accepted as an alternative treatment modality in the management of masticatory muscle pain and direct irradiation seems to effect better.

Trial registration

Current Controlled Trials ISRCTN31085 , Date of registration 28/08/20145.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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