Rapid LLLT protocol for myofascial pain and mouth opening limitation treatment in the clinical practice: An RCT

Chami, Vitória de Oliveira; Maracci, Lucas Machado; Tomazoni, Fernanda; Centeno, Anna Carolina Teixeira; Porporatti, André Luiz; Ferrazzo, Vilmar Antônio; Marquezan, Mariana

doi:10.1080/08869634.2020.1773660

Cited by 8 publications

(10 citation statements)

References 23 publications

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“…As for the treatment outcomes observed, 12/20 studies (60%) [59][60][61][62][63][64]66,67,70,[73][74][75]] presented a positive result, while 8/20 (40%) [65,68,69,71,72,[76][77][78] showed no difference from the control group.…”

Section: Discussionmentioning

confidence: 99%

Effect of Photobiomodulation Therapy Dosage on Orthodontic Movement, Temporomandibular Dysfunction and Third Molar Surgery Outcomes: A Five-Year Systematic Review

Parker,

Cronshaw,

Anagnostaki

et al. 2024

Applied Sciences

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(1) Background: This five-year systematic review seeks to assess the impact of oral and peri-oral photobiomodulation therapies (PBMTs) on the adjunctive management of deeper tissue biofunction, pathologies related to pain and inflammatory disorders and post-surgical events. (2) Methods: The search engines PubMed, Cochrane, Scopus, ScienceDirect, Google Scholar, EMBASE and EBSCO were used with appropriate Boolean operatives. The initial number of 14,932 articles was reduced to 261. Further exclusions performed to identify PBM therapy in third molar surgery, orthodontic and TMJ articles resulted in 19, 15 and 20 of these, respectively. Each paper was scrutinised to identify visible red–NIR laser wavelength PBM applications, concerning dosimetry and outcomes. (3) Results: A dataset analysis was employed using post hoc ANOVA and linear regression strategies, both with a Bonferroni correction (p < 0.05). The outcomes of articles related to oral surgery pain revealed a statistically significant relation between PBMT and a positive adjunct (p = 0.00625), whereas biofunction stimulation across all other groupings failed to establish a positive association for PBMT. (4) Conclusions: The lack of significance is suggested to be attributable to a lack of operational detail relating to laser operating parameters, together with variation in a consistent clinical technique. The adoption of a consistent parameter recording and the possible inclusion of laser data within ethical approval applications may help to address the shortcomings in the objective benefits of laser PBM.

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Section: Discussionmentioning

confidence: 99%

Effect of Photobiomodulation Therapy Dosage on Orthodontic Movement, Temporomandibular Dysfunction and Third Molar Surgery Outcomes: A Five-Year Systematic Review

Parker,

Cronshaw,

Anagnostaki

et al. 2024

Applied Sciences

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“…Ensaios clínicos randomizados e duplo-cegos foram realizados testando protocolos rápidos de LBP (duas sessões, com intervalo de 48 horas entre elas) para o tratamento de dor miofascial, um subtipo de DTM muscular, e limitação de abertura bucal (Maracci et al, 2022;Chami et al, 2022).…”

Section: Laserterapia Em Disfunção Temporomandibularunclassified

Relatos do uso da laserterapia para tratamento da disfunção emporomandibular no curso de odontologia da Universidade Federal de Santa Maria

Silva,

Chami,

Maracci

et al. 2024

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A Disfunção Temporomandibular (DTM) caracteriza-se por um conjunto de distúrbios que envolvem os músculos mastigatórios, articulações temporomandibulares e estruturas associadas, sendo considerada a causa mais comum de dor não dental na região orofacial. Seu tratamento deve ser conservador, podendo ser realizado, em nível odontológico, através de aconselhamento, placas interoclusais, terapia medicamentosa e laserterapia. A laserterapia destaca-se por ser uma modalidade de tratamento não invasiva, apresentar bons resultados, ter baixo custo e dispender de pouco tempo para sua aplicação. Dada a grande procura de tratamento para DTM no Curso de Odontologia da Universidade Federal de Santa Maria (UFSM) e à aquisição de um equipamento de laser de baixa potência pela instituição em 2015, foi criado o projeto de extensão “Tratamento da Disfunção Temporomandibular com Laserterapia”. Em 2016 foi criado o programa de extensão “Disfunção Temporomandibular: Prevenção e Tratamento”, um programa mais amplo que combinava ações de ensino, pesquisa e extensão. Após seus cinco anos de vigência, foi sucedido pelo programa “VoaDor – Prevenção e tratamento da Disfunção Temporomandibular, Bruxismo e Dor Orofacial”.

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“…Thirty-six studies used diode lasers 1,[24][25][26][27][29][30][31][32][33][34][35][36][37][39][40][41][42][44][45][46][48][49][50][51][52][53][55][56][57][58][59][60]63,64 with different wavelengths, including 635 nm, 56 640 nm, 52,57 660 nm, 33,65 780 nm, 25,26,30,32,37,38,48,50,53,59 795 nm, 40 808 nm, 42,45,54,58 810 nm,…”

Section: Pbm Irradiation Parameters Wavelengthmentioning

confidence: 99%

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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Rapid LLLT protocol for myofascial pain and mouth opening limitation treatment in the clinical practice: An RCT

Cited by 8 publications

References 23 publications

Effect of Photobiomodulation Therapy Dosage on Orthodontic Movement, Temporomandibular Dysfunction and Third Molar Surgery Outcomes: A Five-Year Systematic Review

Effect of Photobiomodulation Therapy Dosage on Orthodontic Movement, Temporomandibular Dysfunction and Third Molar Surgery Outcomes: A Five-Year Systematic Review

Relatos do uso da laserterapia para tratamento da disfunção emporomandibular no curso de odontologia da Universidade Federal de Santa Maria

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

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