Superluminous Devices Versus Low-Level Laser for Temporomandibular Disorders

Sveshtarov, Vasil; Nencheva-Sveshtarova, Savina; Grozdanova, R.; Prodanova, Krasimira

doi:10.2478/amb-2018-0002

Cited by 4 publications

(5 citation statements)

References 13 publications

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“…An important advantage of this study is that it uses various photo emitting devices that achieve a cumulative therapeutic eff ect, which generally gives a better result -both in terms of reducing pain symptoms and overcoming contractures, compared to mono laser applications [23,24,25]. Some devices combine a red wavelength with a near infrared (NIR) wavelength on the basis that the combination of two wavelengths can have an additive eff ect.…”

Section: Discussionmentioning

confidence: 99%

“…It provides both accelerated tissue healing and pain relief with cumulative eff ects -increase in microcirculation resulting in the relief of minor muscle and joint aches, stiff ness and helps with the relaxation of muscles [22]. Light energy can be generated by a variety of devices such as laser diodes or super-bright LEDs called superluminous diodes (SLD) [23][24][25].…”

Section: Introductionmentioning

confidence: 99%

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Management of Pain Symptoms and Contractures in Patients with Chronic Temporomandibular Disorders and Psychosocial Comorbidities Using Gaalas Phototherapy

Svecshtarov,

Prodanova,

Nencheva-Sveshtarova

2023

Acta Medica Bulgarica

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The most important clinical indicators of temporomandibular disorders (TMD) are pain in the temporomandibular joints, masticatory and cervical muscles, as well as a reduction in the opening capacity of the mouth. Psychosocial factors have a significant impact in the persistence of the disease and should be taken in consideration in the treatment plan. The aim of the present study was to perform clinical and statistical evaluation on the management of pain symptoms and overcome of pronounced arthro- and myogenic mandibular contractures in GAD 7 positive patients with chronic temporomandibular disorders using combined irradiation with infrared gallium-aluminum-arsenide laser (785 nm), superluminescent visible red (633 nm) and infrared (880 nm) light emitting devices. Materials and methods. The study included 62 individuals with various types of temporomandibular disorders, which were established using the latest diagnostic criteria – DC/TMD, 2014, revision 2020. Fifteen out of 62 patients responded positively to the GAD 7 questionnaire, which indicates depression and/or anxiety. In 8 out of these 15 cases, the presence of pain symptoms, mandibular contractures and psychosocial comorbidities exceeded 6 months. According to DC/TMD standards, these are patients with chronic temporomandibular disorders and they were the target group for our study. The average interincisal distance from this eight-member group was 27.62 mm (SD – 8.17). Results. The Student t-test for the dependent samples showed a significant reduction in VAS pain scores and an increased interincisal distance after phototherapy procedures. Conclusions. Combined phototherapy has proven to be an effective treatment of mandibular contractures, joint and muscle pain in TMD patients with psychosocial comorbid conditions.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Management of Pain Symptoms and Contractures in Patients with Chronic Temporomandibular Disorders and Psychosocial Comorbidities Using Gaalas Phototherapy

Svecshtarov,

Prodanova,

Nencheva-Sveshtarova

2023

Acta Medica Bulgarica

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“…Two studies (16,49) evaluated mouth opening in patients with TMD (49) and acute trismus (16) and found an increase in this variable. Several other studies (13,17,(23)(24)(25)(26)(27)29,32,39,40,46,51) that mainly focused on pain, also considered the mouth opening, and only five of them did not find a significant improvement in this parameter (25,26,39,45) .…”

Section: Fatiguementioning

confidence: 99%

“…Most of the studies included in this integrative review presented positive results for pain management in the head and neck muscles (1,6,11,13,15,(17)(18)(19)(23)(24)(25)(26)(27)(28)(29)(30)(32)(33)(34)(35)(38)(39)(40)42,44,46,(50)(51)(52)(53)(54)(55)(56)(57) . For pain, there is evidence that PBM blocks the axonal transport of thin nerves, resulting in decreased mitochondrial membrane potential with a consequent decrease in the available ATP necessary for nerve function (11,62) .…”

Section: Painmentioning

confidence: 99%

The use of photobiomodulation for the muscles of head and neck: an integrative review

Ferreira

Cunha

Almeida

et al. 2021

Audiol., Commun. Res.

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Purpose To carry out an integrative review of the literature on the use of photobiomodulation (PBM) for the head and neck muscles. Research strategy The research took place between June/2019 and March/2021, in the following databases: PubMed, Scopus, Web of Science, LILACS, and SciELO. The MeSH used were Low-Level Light Therapy, Phototherapy, Masseter Muscle, Masticatory Muscles, Tongue, Palate, Mouth, Neck Muscles, and Facial Muscles in English and Portuguese. No limitation was imposed on the year and language of publication. Selection criteria studies that answered the guiding question: what is the use of photobiomodulation to the head and neck muscles?. Results 2857 articles were found, of which 102 were selected for full reading, 52 of those were excluded, giving a total of 50 articles included. The included publications date from 2003 to 2020. Brazil was the country that most published on the topic. With regard to the objectives, 82% of the studies aimed to investigate the analgesic effect of PBM, of these, 50% were related to articular or muscular temporomandibular disorders (TMD). The heterogeneity of the studies makes it impossible to define the dose protocols. Conclusion PBM has been applied to the head and neck muscles mainly for the treatment of pain caused by TMD. There is no treatment protocol to define the doses to be used, due the heterogeneity of the methodologies applied and results found.

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“…Por fim, quatorze artigos foram excluídos por não indicarem a faixa etária dos pacientes e/ou por descrever apenas a média de idade dos participantes ou por apresentar pacientes com mais de 55 anos no estudo (MAZZETTO, M.O;HOTTA;PIZZO, 2010;SANTOS et al, 2010;BORGES et al, 2018;MAGRI et al, 2017;DEMIRKOL et al, 2015;AHRARI et al, 2014;MAIA et al, 2014;VENEZIAN et al, 2010;CUNHA et al, 2008;ZANIRATO, 2005;SVESHTAROV et al, 2018;DEMIRKOL et al, 2017;ÇETINER;KAHRAMAN;YÜCETAŞ, 2006;CONTI., 1997), não correspondendo aos critérios de inclusão da pesquisa. Dessa forma, foram incluídos apenas cinco artigos.…”

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Laserterapia no controle da disfunção temporomandibular dolorosa: evidências científicas

Pereira¹

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Laser Therapy in the Management of Painful Temporomandibular Dysfunction: Scientific Evidence Low-intensity laser application has been described in the literature as an intervention proposal for cases of Temporomandibular Dysfunction (TMD), and scientific evidence-based action is key for a successful treatment. This research aims to identify in literature the effectiveness of laser therapy for the control of painful TMD in adults. A systematic literature review was carried out through specific search strategies tailored for each of the databases analyzed. The researcher used PICO on PubMed, Bireme, Embase, and Scopus databases by cross-referencing the descriptors from DeCS/MESH and random keywords. Clinical trials were included involving human subjects of both sexes, aged between 18 and 55 years old, who used either GaAs or AsGaAl (infrared) low-intensity laser as an intervention in the treatment of TMD. The studies included presented laser type, application parameters and settings, and the assessment tools for potential analysis of the results for the therapy protocols that were used, with independent and non-associated therapy. All participants diagnosed with painful TMD and Muscle Temporomandibular and/or Joint Dysfunction were included. Two independent reviewers selected the articles, then the data were organized by the researcher responsible for the project, and later the data were analyzed according to the information previously collected and organized. After excluding articles by reading their title and abstract and removing duplicates, 33 of those articles related to the topic were selected and, finally, five of those were chosen. The number of participants in the study ranged from 18 to 74 subjects. Amongst the five studies analyzed, three of them were conducted in Brazil. Two studies had more than one experimental group with different dosimetry in the laser application, and only one article presented another associated therapy. Regarding the TMD diagnosis, three articles used the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) as the assessment tool. The total number of sessions ranged from three to ten, with a weekly frequency of two to four times a week, which lasted from one to five weeks. Both device and dosimetry of the studies were different, but most studies presented continuous-wave laser. Only one article did not disclose such information. Application time in the experimental and placebo groups ranged from ten to sixty seconds. Four of the five articles used GaAlAs laser and one used GaAs laser. We could identify that, out of the five studies selected, four presented improvement in the painful symptoms through laser therapy and one showed results that were similar to the placebo group. However, due to the limited number of studies and variabilities in how results were assessed and presented, it was not possible to apply the statistical treatment (meta-analysis) to prove the effectiveness of laser therapy in adults with painful TMD.

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Superluminous Devices Versus Low-Level Laser for Temporomandibular Disorders

Cited by 4 publications

References 13 publications

Management of Pain Symptoms and Contractures in Patients with Chronic Temporomandibular Disorders and Psychosocial Comorbidities Using Gaalas Phototherapy

Management of Pain Symptoms and Contractures in Patients with Chronic Temporomandibular Disorders and Psychosocial Comorbidities Using Gaalas Phototherapy

The use of photobiomodulation for the muscles of head and neck: an integrative review

Laserterapia no controle da disfunção temporomandibular dolorosa: evidências científicas

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