Fotobiomodulação com laser de baixa potência na função mastigatória e nos movimentos mandibulares em adultos com disfunção temporomandibular: revisão sistemática com metanálise

Máximo, Camila Fonsêca Guedes Pereira; Coêlho, Julyane Feitoza; Benevides, Sílvia Damasceno; Alves, Giorvan Ânderson dos Santos

doi:10.1590/2317-1782/20212021138

Cited by 8 publications

(11 citation statements)

References 19 publications

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“…The countries with the highest number of reviews were China (n = 14) [ 47 , 57 , 59 , 63 , 70 , 76 , 77 , 79 , 104 , 105 , 112 , 114 , 122 , 124 ], followed by Brazil (n = 13) [ 33 , 44 , 64 , 90 , 93 , 106 , 107 , 111 , 115 , 123 , 127 , 129 , 131 ], and Spain (n = 9) [ 36 , 38 , 41 , 43 , 45 , 52 , 68 , 103 , 110 ]. The number of studies encompassed in these reviews ranged from 52 [ 34 , 52 , 125 ] to 3 [ 102 ], with RCTs predominating the dataset.…”

Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

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Temporomandibular disorders include various conditions that impact the masticatory system, affecting its structure, function, or physiology. Clinicians face a complex array of therapeutic options when treating this group of diseases, emphasizing the importance of evaluating the current evidence to guide decisions in patient care. The main objective of this article is to conduct a scoping review on the available treatment approaches to manage temporomandibular disorders (TMDs). An extensive search of the literature was performed on Scopus, Pubmed, Embase, and Web of Science. Systematic reviews published in the last 5 years were considered. Out of the 2183 publications identified, 109 studies were included in this review. Among them, 39 articles focused on the non-invasive approach, while 120 delved into the minimally invasive approach, and 15 explored the surgical approach. Non-invasive or conservative approaches like cognitive-behavioral therapy, physical therapy, and acupuncture offer effective pain management and functional improvements in TMDs. Emerging treatments offer promising alternatives for treating these disorders. Surgery should be reserved for severe cases, with conservative therapies used in conjunction with invasive procedures for optimal patient outcomes.

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Section: Resultsmentioning

confidence: 99%

Temporomandibular Disorders Management—What’s New? A Scoping Review

Mauro,

Verdecchia,

Suárez-Fernández

et al. 2024

Dentistry Journal

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“…This finding confirms the results of the previous systematic reviews on this topic. 16 Reduction in pain, muscle spasms, and inflammation induced by PBMT might be the reason for improvements in jaw movements. However, the initial restriction rate in jaw movements, different PBMT protocols, and the origin (extracapsular or intracapsular) of this limitation might be the reasons for controversy among various studies.…”

Section: Discussionmentioning

confidence: 99%

“…Within the studies that reported the participants' age, the overall age ranged between 8 to 76 years. Eight studies 3,9,15,16,19,30,33,35 did not report the participants' age. The overall male/female ratio of the participants was 1:4.02.…”

Section: Age and Gender Distributionmentioning

confidence: 99%

“…14 However, both of these studies 14,15 showed that PBMT could significantly improve function in TMD patients. Moreover, a recent meta-analysis in 2022, 16 manifested beneficial effects of PBMT on mandibular movements, especially on the extent of mouth opening. However, in this study, 16 the effect of PBMT on masticatory function was indefinite.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, a recent meta-analysis in 2022, 16 manifested beneficial effects of PBMT on mandibular movements, especially on the extent of mouth opening. However, in this study, 16 the effect of PBMT on masticatory function was indefinite. Other systematic reviews in recent years have also considered PBMT as an effective approach for the treatment of temporomandibular myofascial pain.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Photobiomodulation on Temporomandibular Pain and Functions in Patients With Temporomandibular Disorders: An Updated Systematic Review of the Current Randomized Controlled Trials

Farshidfar,

Farzinnia,

Samiraninezhad

et al. 2023

J Lasers Med Sci

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Introduction: Temporomandibular disorders (TMDs) are the most prevalent non-dental origin orofacial pain conditions affecting the temporomandibular joints (TMJs) and/or orofacial muscles. Photobiomodulation therapy (PBMT) is a conservative way to improve function and reduce symptoms in TMD patients. This systematic review was conducted to update evidence about the effects of PBMT on pain intensity, TMJ movements, electromyography (EMG) activity, pressure pain threshold (PPT), and TMJ sound in patients with TMDs. Methods: A systematic literature search was conducted in Web of Science, PubMed/Medline, and Scopus databases using appropriate keywords and specific strategies from January 2000 to September 2022. Data extraction was done based on the inclusion/exclusion criteria. Results: A total of 40 studies were included. All included studies except one provided information on pain intensity; 27 studies showed a reduction in pain intensity in PBMT groups compared to control groups. Seven out of 15 studies, which reported maximum mouth opening (MMO), showed a greater MMO in PBMT groups than in placebo groups. In addition, the figures for passive maximum mouth opening (PMMO) and active maximum mouth opening (AMMO) in all the studies reporting PMMO and AMMO were higher in PBMT groups. In eight out of ten studies, lateral movement (LM) was greater in PBMT groups. Moreover, in three studies out of four, protrusive movement (PM) was reported to be greater in the PBMT group. Four out of nine studies showed a greater PPT in the PBMT group. Reduced TMJ sounds in the PBMT group were reported in two out of five studies. In addition, in most studies, no difference in EMG activity was detected between the two groups. Conclusion: This updated systematic review showed the promising effects of PBMT on the alleviation of pain and improvement in MMO. Using the infrared diode laser with a wavelength ranging between 780-980 nm, an energy density of<100 J/ cm2 , and an output power of≤500 mW for at least six sessions of treatment seems to be a promising option for treating mentioned TMDs signs and symptoms based on the previously reported findings.

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