Treatment of myofascial pain with a rapid laser therapy protocol compared to occlusal splint: A double-blind, randomized clinical trial

Maracci, Lucas Machado; Stasiak, Gabriela; Chami, Vitória de Oliveira; Franciscatto, Gisele Jung; Milanesi, Jovana de Moura; Figueiró, Cláudio; Silva, Tatiana Bernardon; Guimarães, Magáli Beck; Marquezan, Mariana

doi:10.1080/08869634.2020.1773661

Cited by 12 publications

(36 citation statements)

References 32 publications

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“…The sample size (n) distribution amongst the included studies was as follows; n > 50 in 10 studies [58,64,65,69,82,[89][90][91]93,98], n = 40-50 in 15 studies [59,61,62,67,68,70,73,[83][84][85]87,88,92,95,99], n = 30-40 in 7 studies [72,73,75,78,81,95,98], n = 20-30 in 7 studies [57,58,76,77,80,87,97] and n = 10-20 in 5 studies [61,64,67,79,82].…”

Section: Sample Sizementioning

confidence: 99%

“…Amongst the included studies, gender distribution was noted as follows: more than a 50% female population in 27 studies [57][58][59]62,65,[67][68][69][70][71][73][74][75][78][79][80][81][82][83][84][85][86][87][88][89]91,97,98,100], an onlyfemale population in eight studies [61,72,76,77,90,93,95,99] and an approximately equal proportion of both males and female population in three studies [63,92,96]. Additionally, five studies failed to report any relevant information on gender distribution in their respective studies [60,64,66,78,84].…”

Section: Gender Distributionmentioning

confidence: 99%

“…The majority of the included studies reported a combination of one or more of the following symptoms upon their first visit to the hospital; myofascial pain in 13 studies [59,67,68,72,76,78,[80][81][82]94,97,98,100], orofacial pain in nine studies [58,69,71,[73][74][75]87,96,99], MPDS in nine studies [66,67,78,81,[96][97][98][99][100], limited MM in five studies [58,66,75,87,91], disc displacement in five studies [57,60,64,70,97], whereas capsulitis/synovitis [57,60,64] and limited mouth opening [77,84,89] were in three studies each. Two studies presented with TMJ clicking [87,…”

Section: Presented Symptomsmentioning

confidence: 99%

“…The main TMD aetiology of recruited subjects in 39 out of 44 studies was related to myofascial pain disorder (extra-articular origin) [58,59,[61][62][63][65][66][67][68][69]71,96,[98][99][100], whereas in the remaining five studies [57,60,64,70,97], the aetiology was of mixed intra and extra-articular origins, distributed as follows: an inflammatory origin (capsulitis and synovitis) in three studies [57,60,64], osteoarthritis in one study [70] and disc displacement disorder with reduction in five studies [57,60,64,70,97].…”

Section: Aetiology Of Tmdmentioning

confidence: 99%

“…The affected areas in the included studies were categorized as follows: TMJ in nine studies [57,59,60,63,65,70,88,96,99]; extraoral (EO) masticatory muscles in eight studies [66,68,76,78,80,81,83,97]; intraoral (IO) masticatory muscles in one study [95]; TMJ and masticatory muscles (EO) in 10 studies [69,[73][74][75]85,[90][91][92][93]98]; TMJ and masticatory muscles (EO and IO) in seven studies [11,16,21,28,33,38,44]; TMJ, masticatory muscles (EO) and cervical (neck muscles) in four studies [61,62,71,87]; TMJ, masticatory (EO and IO) and cervical muscles in four studies [58,64,79,82]; and masticatory (EO and IO) and cervical muscles in one study [86].…”

Section: Affected Areamentioning

confidence: 99%

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Role of Photobiomodulation Therapy in Modulating Oxidative Stress in Temporomandibular Disorders. A Systematic Review and Meta-Analysis of Human Randomised Controlled Trials

Hanna

Dalvi²,

Bensadoun

et al. 2021

Antioxidants

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This systematic review and meta-analysis (PROSPERO registration; ref CRD 42020198921) aimed to govern photobiomodulation therapy (PBMT) efficacy in temporomandibular disorder (TMD). PRISMA guidelines and Cochrane Collaboration recommendations were followed. Differences in pain reduction assessment by qualitative measurement with visual analogue scale pain (VAS), pressure threshold (PPT) and maximum mouth opening (MMO) were calculated with 95% confidence intervals and pooled in a random effects model with a subgroup analysis, evaluating the role of follow-up duration. Heterogeneity was analysed using Q and I2 tests. Publication bias was assessed by visual examination of funnel plot symmetry. Qualitative analysis revealed 46% of the 44 included studies showed a high risk of bias. Meta-analysis on 32 out of 44 studies revealed statistically significant intergroup differences (SSID) for VAS (SMD = −0.55; 95% CI = −0.82 to −0.27; Z = 3.90 (p < 0.001)), PPT (SMD = −0.45; 95% CI = −0.89 to 0.00; Z = 1.97 (p = 0.05)) and MMO (SMD = −0.45; 95% CI = −0.89 to 0.00; Z = 1.97 (p = 0.05)), favouring PBMT compared to control treatment strategies. Sensitivity analysis revealed SSID (SMD = −0.53; 95% CI = −0.73 to −0.32; Z = 5.02 (p < 0.0001)) with low heterogeneity (T2 = 0.02; χ2 = 16.03 (p = 0.31); I2 = 13%). Hence, this review, for first time, proposed suggested recommendations for PBMT protocols and methodology for future extensive TMD research.

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Section: Sample Sizementioning

confidence: 99%

Section: Gender Distributionmentioning

confidence: 99%

Section: Presented Symptomsmentioning

confidence: 99%

Section: Aetiology Of Tmdmentioning

confidence: 99%

Section: Affected Areamentioning

confidence: 99%

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Role of Photobiomodulation Therapy in Modulating Oxidative Stress in Temporomandibular Disorders. A Systematic Review and Meta-Analysis of Human Randomised Controlled Trials

Hanna

Dalvi²,

Bensadoun

et al. 2021

Antioxidants

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Effects of stabilization splints on the signs and symptoms of temporomandibular disorders of muscular origin: A systematic review

et al. 2022

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Efficacy of stabilisation splint and low‐level laser therapy for patients with chronic closed lock from non‐reducible displaced temporo‐mandibular joint discs: A parallel randomised clinical trial

El-Shaheed

Mostafa

Aboelez

2023

J of Oral Rehabilitation

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Background: Stabilisation splint therapy (SST) and low-level laser therapy (LLLT) are effective-invasive treatment for temporo-mandibular disorder (TMD) patients.However, the specific efficacy of each therapy in patients with chronic closed lock (CCL) from temporo-mandibular joints (TMJ) disc displacement without reduction (DDwoR) remains unknown. Objectives:The aim of this study was to assess and compare the efficacy of SST and LLLT alone or in combination in patients with CCL from TMJ DDwoR.Methods: This parallel randomised clinical trial included 42 patients who were diagnosed with CCL from TMJ DDwoR. Patients were allocated equally and randomly into three treatment groups: group I received combined SST and LLLT, group II received LLLT and group III received SST. Maximum mouth opening (MMO), visual analogue scale (VAS), muscle and joint palpation scores and time required to achieve normal state were evaluated at baseline, 1, 2, 4 weeks, 3 and 6 months after the intervention.Data were collected and analysed using SPSS software.Results: Regarding MMO and VAS, a statistically significant improvement was found between group I versus group II and versus group III at all evaluation times. Regarding muscle and joint palpation scores, a statistically significant difference was found between group I versus group III, while non-significant difference was found between group I and group II. A statistically significant faster improvement was found in group I versus group III and versus group II. Conclusion:All treatment modalities can be effective in management of CCL from a TMJ DDwoR cases, but the combined SST and LLLT group seems to provide the best and quickest improvement.Clinical trial registration number: NCT05548894.

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Treatment of myofascial pain with a rapid laser therapy protocol compared to occlusal splint: A double-blind, randomized clinical trial

Cited by 12 publications

References 32 publications

Role of Photobiomodulation Therapy in Modulating Oxidative Stress in Temporomandibular Disorders. A Systematic Review and Meta-Analysis of Human Randomised Controlled Trials

Role of Photobiomodulation Therapy in Modulating Oxidative Stress in Temporomandibular Disorders. A Systematic Review and Meta-Analysis of Human Randomised Controlled Trials

Effects of stabilization splints on the signs and symptoms of temporomandibular disorders of muscular origin: A systematic review

Efficacy of stabilisation splint and low‐level laser therapy for patients with chronic closed lock from non‐reducible displaced temporo‐mandibular joint discs: A parallel randomised clinical trial

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