IS LOW-LEVEL LASER THERAPY (LLLT) EFFECTIVE IN RELIEVING THE SYMPTOMS OF TEMPOROMANDIBULAR DISORDERS (TMDS)? A SYSTEMATIC REVIEW

Guillermo Lanas Teran, Kleber Vallejo Rosero, Maria Cristina Zindel Deboni, Maria Graça Naclério Homem

Abstract


Introduction: LLLT is used in various clinical situations for the relief of postoperative inflammatory symptoms in TMD cases. Many treatment protocols use laser radiation, but there is still no evidence as to whether one of them is superior to all the other. The objective was to establish whether there is evidence that LLLT can reduce the main symptoms of TMDs and to determine the most effective application protocol. Methods: a systematic review of the literature was performed in the main databases: PubMed, Scopus and Web of Science, by independent researchers who evaluated studies using different LLLT protocols to treat TMD symptoms, considering specific outcomes such as pain, mouth opening and jaw movements. Results: thirteen studies fully met the eligibility criteria. The most used laser type was GaAlAg, with a wavelength of 830 nm, number of applications ranging from 8 to 10, and 4 weeks of follow-up. Conclusions: LLLT may be considered as an alternative for the relief of TMD symptoms; however, scientific evidence of one of the protocols being superior to the others could not be found.


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References


Melchior MO, Venezian GC, Machado BC, Borges RF, Mazzetto MO. Does low intensity laser therapy reduce pain and change orofacial myofunctional conditions? Cranio. 2013; 31(2): 133-9. DOI: https://doi.org/10.1179/crn.2013.021

Cetiner S, Kahraman SA, Yücetas S. Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg. 2006; 24(5): 637-41. DOI: https://doi.org/10.1089/pho.2006.24.637

Acosta R, Roura N. Una revisión de la literatura sobre la relación causal entre los factores oclusales (FO) y los desórdenes temporomandibulares (DTM) II: estudios epidemiológicos analíticos de observación. Rev Fac Odontol Univ Antioq. 2009; 21(1): 98-111.

Fricton JR, Olsen T. Predictors of outcome for treatment of temporomandibular disorders. J of Oral Facial Pain. 1996; 10(1): 54-65.

Emshoff R, Bösch R, Pümpel E, Schöning H, Strobl H. Low-level laser therapy for treatment of temporomandibular joint pain: a double-blind and placebo-controlled trial. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008; 105(4): 452-6. DOI: https://doi.org/10.1016/j.tripleo.2007.09.012

Mazzetto MO, Hotta TH, Pizzo RC. Measurements of jaw movements and TMJ pain intensity in patients treated with GaAlAs laser. Braz Dent J. 2010; 21(4): 356-60.

Fikácková H, Dostalová T, Navrátil L, Klaschka J. Effectiveness of low-level laser therapy in temporomandibular

joint disorders: a placebo-controlled study. Photomed Laser Surg. 2007; 25(4): 297-303.DOI: https://doi.org/10.1089/pho.2007.2053

Pereira TS, Flecha OD, Guimaraes RC, de Oliveira D, Botelho AM, Ramos Gloria JC et al. Efficacy of red and infrared lasers in treatment of temporomandibular disorders - a double-blind, randomized, parallel clinical trial. Cranio. 2014; 32(1): 51-6. DOI: https://doi.org/10.1179/0886963413Z.0000000005

Conti PC. Low level laser therapy in the treatment of temporomandibular disorders (TMD): a double-blind pilot study. Cranio. 1997; 15(2): 144-9.

De Godoy CH, Silva PF, de Araujo DS, Motta LJ, Biasotto-Gonzalez DA, Politti F et al. Evaluation of effect of low-level laser therapy on adolescents with temporomandibular disorder: study protocol for a randomized controlled trial. Trials. 2013; 14: 229. DOI: https://doi.org/10.1186/1745-6215-14-229

Salmos-Brito JA, de Menezes RF, Teixeira CE, Machado Gonzaga RK, Rodrigues BH, Braz R et al. Evaluation of low-level laser therapy in patients with acute and chronic temporomandibular disorders. Lasers Med Sci. 2013; 28(1): 57-64. DOI: https://doi.org/10.1007/s10103-012-1065-8

Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015; 4(1): 1. DOI: https://doi.org/10.1186/2046-4053-4-1

Da Silva MA, Botelho AL, Turim CV, da Silva AM. Low level laser therapy as an adjunctive technique in the management of temporomandibular disorders. Cranio. 2012; 30(4): 264-71. DOI: https://doi.org/10.1179/crn.2012.040

Öz S, Gökcen-Röhlig B, Saruhanoglu A, Tuncer EB. Management of myofascial pain: low-level laser therapy versus occlusal splints. J Craniofac Surg. 2010; 21(6): 1722-8. DOI: https://doi.org/10.1097/SCS.0b013e3181f3c76c

Venezian GC, da Silva MA, Mazzetto RG, Mazzetto MO. Low level laser effects on pain to palpation and electromyographic activity in TMD patients: a double-blind, randomized, placebo-controlled study. Cranio. 2010; 28(2): 84-91. DOI: https://doi.org/10.1179/crn.2010.012

Da Cunha LA, Firoozmand LM, da Silva AP, Camargo SE, Oliveira W. Efficacy of low-level laser therapy in the treatment of temporomandibular disorder. Int Dent J. 2008; 58(4): 213-7.

Demirkol N, Sari F, Bulbul M, Demirkol M, Simsek I, Usumez A. Effectiveness of occlusal splints and low-level laser therapy on myofascial pain. Lasers Med Sci. 2015; 30(3): 1007-12. DOI: https://doi.org/10.1007/s10103-014-1522-7

Scalize PH, de Sousa LG, Regalo SCH, Semprini M, Pitol DL, da Silva GA et al. Low-level laser therapy improves bone formation: stereology findings for osteoporosis in rat model. Lasers Med Sci. 2015; 30(5): 1599-607. DOI: https://doi.org/10.1007/s10103-015-1773-y

Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M. Effectiveness of low-level laser therapy in temporomandibular

disorder. Scand J Rheumatol. 2003; 32(2): 114-8.

Bertolucci LE, Grey T. Clinical analysis of mid-laser versus placebo treatment of arthralgic TMJ degenerative joints. Cranio. 1995; 13(1): 26-9.

Moreira Rodrigues da Silva MA, Botelho AL, Turim CV, Bettoni Rodrigues da Silva AM. Low level laser therapy as an adjunctive technique in the management of temporomandibular disorders. Cranio. 2012; 30(4): 264-71. DOI: https://doi.org/10.1179/crn.2012.040

Trullols Casas C, España Tost AJ, Berini Aytés L, Gay Escoda C. Aplicaciones del láser blando en odontología. An Esp Odontoestomatol. 1997; 2: 45-51.

Oltra-Arimon D, España-Tost AJ, Berini-Aytés L, Gay-Escoda C. Aplicaciones del láser de baja potencia en odontología. RCOE. 2004; 9(5): 517-24.

Salmos-Brito JAL, de Menezes RF, Teixeira CEC, Gonzaga RKM, Rodrigues BHM, Braz R et al. Evaluation of low-level laser therapy in patients with acute and chronic temporomandibular disorders. Lasers Med Sci. 2013; 28(1): 57–64. DOI: https://doi.org/10.1007/s10103-012-1065-8




DOI: https://doi.org/10.17533/udea.rfo.v31n1-2a6 Abstract : 90 PDF : 42

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