A Meta-analysis of Clinical Effects of Low-level Laser Therapy on          Temporomandibular Joint Pain

Chang, Wen‐Dien; Lee, Chia‐Lun; Lin, Hung‐Yu; Hsu, Yung-Chun; Wang, Chung-Jieh; Lai, Ping-Tung

doi:10.1589/jpts.26.1297

Cited by 55 publications

(60 citation statements)

References 20 publications

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“…Other recent research into treatment options for the management of TMD has included orthognathic surgery, 49 TMJ lavage, 50 physiotherapy, 51,52 low-level laser therapy, 53,54 exercise therapy, 55 pharmacological treatment, 56 and acupuncture. 57 However, results are mixed and generally unconvincing.…”

Section: Alternative Treatment Options For Tmdmentioning

confidence: 99%

Oral splints for temporomandibular disorder or bruxism: a systematic review

et al. 2020

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This systematic review comprehensively summarised the best available evidence from randomised controlled trials on the effects of oral splints for temporomandibular disorders (TMD) and bruxism.There is no evidence to support the use of oral splints for either condition based on the results found.For TMD patients, sensitivity analyses were conducted to explore the effects of differences in: 1) diagnostic criteria; 2) splint types; and 3) outcome measures used and reported. There were no differences in the results based on these factors. AbstractObjectives To evaluate the clinical-effectiveness of oral splints for patients with TMD or bruxism for the primary outcomes: pain (TMD) and tooth wear (bruxism).Data sources Four databases including MEDLINE and EMBASE were searched from inception until 1 October 2018. Data selection and extractionRandomised controlled trials comparing all types of splints versus no/minimal treatment for patients with TMD or bruxism were eligible. Standard Cochrane review methods were used. Standardised mean differences (SMD) were pooled for the primary outcome of pain, using random effects models in TMD patients. Data synthesisThirty-seven trials were included and the evidence identified was of very low certainty using GRADE assessments. When all subtypes of TMD were pooled into one global TMD group, there was no evidence that splints reduced pain: SMD (up to 3 months) -0.18 (95% CI -0.42 to 0.06); 13 trials, 1,076 participants. There was no evidence that any other outcomes improved when using splints. There was no evidence of adverse events associated with splints, but reporting was poor regarding this outcome. No trials measured tooth wear in patients with bruxism. There was a large variation in diagnostic criteria, splint types and outcome measures used and reported. Sensitivity analyses based on these factors did not indicate a reduction in pain. ConclusionsThe very low-certainty evidence identified did not demonstrate that splints reduced pain in TMD as a group of conditions. There is insufficient evidence to determine whether splints reduce tooth wear in patients with bruxism.

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Section: Alternative Treatment Options For Tmdmentioning

confidence: 99%

Oral splints for temporomandibular disorder or bruxism: a systematic review

et al. 2020

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“…It also suggested that nerve stimulation via LLLT occurs that changes the activity of the masticatory muscle . [19] The results of comparison between LLLT group and arthrocentesis group indicated superiority of arthrocentesis in pain reduction in the first two weeks, after that the result of both groups were close to each other as there was no statistical significant difference up to 6th month. The action of laser beam on joint capsule and synovial membrane as its dependent on cellular activity and metabolism that need a time to take part and raise to be significant, however the action of arthrocentesis is somewhat mechanical and physical action.…”

Section: Discussionmentioning

confidence: 71%

Assessment of Low Level Diode Laser Therapy versus Arthrocentesis in Management of Temporomandibular Joint Internal Derangement.

Hammuda

2018

OMX

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Introduction: Many nonsurgical therapies have been suggested for the management of Disc derangement disorders such as physical therapy, pharmacologic therapy, through psychological counselling, cognitive behavioural therapy, occlusal splints and acupuncture. Among physical therapy procedures, low level laser therapy (LLLT) has recently been proposed to reduce symptoms and improve function in TMD patients. Aim: The aim of this study is to evaluate effectiveness of Low level diode laser therapy as a treatment modality in temporomandibular joint internal derangement.Patients/Methods: Thirty six patients presented with jaw pain, clicking and limited mouth openings were involved in this study. Clinical, radiographic and magnetic resonance imaging (MRI) were performed to exclude muscular, hyperplastic or degenerative causes. They were divided randomly into two groups. group I, subjected to arthrocentesis and group II, subjected to ten sessions of LLLT on fixed predetermined points. Results: Statistical analysis has shown a significant improvement in both groups after six month regarding Pain, range of mandibular movements and clicking. In comparison between both groups the change in maximal mouth opening (MMO) and clicking was higher in arthrocentesis group than LLLT group.

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“…The low intensity laser therapy is a non-invasive modality and is used to promote relief of pain and tissue regeneration, promoting considerable comfort to the patient after application. (10,11,12,13) Pain decreased in both groups resulting in increased mouth opening.…”

Section: Discussionmentioning

confidence: 91%

The influence of temporomandibular disorders in neck pain and posture.

Silva¹,

Basilio²,

Costa³

et al. 2020

mtprehabjournal

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Introduction:The temporo mandibular dysfunction is a biomechanical change in the temporomandibular joint that has a multifactorial origin. The masticatory muscles has a great relationship with the body posture through neuromuscular connections. The correct posture is maintained by a harmony in muscle mechanism involving the muscles of the head, neck and shoulder girdle. Therefore changes in these structures may lead to a postural imbalance mainly related to cranio-cervical disorders causing forward head, cervical spine rectification and asymmetric shoulders established in the ATM dysfunction patients. Objective: To investigate the influence of temporomandibular disorders in neck pain and posture as well as the incidence postural changes. Method: This is a literature review article carried in databases such as Lilacs, Scielo, Medline and Bireme. The studied period was from 2004 to 2015 were used as search terms: temporomandibular joint, the temporomendibular joint syndrome and posture. Among 21 articles initially selected by electronic search in databases, 4 were excluded for the title. We selected 17 studies for a more detailed analysis through the summary, with 3 of them deleted. The remaining 14 articles were evaluated from the text reading. Result: It can be observed that there is a relationship between TMD and postural changes, patients with this disorder have postural deviations such as forward head, increased cervical lordosis and not leveling between his shoulders. Conclusion: Postural changes may be associated with temporomandibular dysfunction, although there are few studies that address physical therapy on the conduct of temporomandibular disorders in pain and posture, we can see that physical therapy is of great importance with positive results in the lives of these individuals .

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A Meta-analysis of Clinical Effects of Low-level Laser Therapy on Temporomandibular Joint Pain

Cited by 55 publications

References 20 publications

Oral splints for temporomandibular disorder or bruxism: a systematic review

Oral splints for temporomandibular disorder or bruxism: a systematic review

Assessment of Low Level Diode Laser Therapy versus Arthrocentesis in Management of Temporomandibular Joint Internal Derangement.

The influence of temporomandibular disorders in neck pain and posture.

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