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Effects of superpulsed low-level laser therapy on temporomandibular joint pain

Marini I, Gatto MR, Bonetti GA

The Clinical journal of pain · 66 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2010-07-20 · Clin J Pain · vol. 26 · número 7 · págs. 611–616
Editorial
Lippincott Williams & Wilkins
Citado
118 citas · más que el 97% de estudios similares · 8.7× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
50 trabajos
Acceso
De pago
Áreas de investigación
Temporomandibular Joint Disorders · Laser Applications in Dentistry and Medicine · Acupuncture Treatment Research Studies
Palabras clave
temporomandibular disorders, temporomandibular joint pain, disc displacement without reduction, temporomandibular joint osteoarthritis, ibuprofen, nonsteroidal anti-inflammatory drugs, mandibular function, mouth opening, lateral movement, pain intensity
MeSH
temporomandibular joint, humans, temporomandibular joint disorders, osteoarthritis, pain, ibuprofen, anti-inflammatory agents, non-steroidal, pain measurement, treatment outcome, statistics, nonparametric, double-blind method, patient selection, adolescent, adult, middle aged, female, male, low-level light therapy

3 autores

  • Ida Marini🇮🇹 · autor de correspondenciaUniversity of Bologna
  • Maria Rosaria Gatto🇮🇹University of Bologna
  • Giulio Alessandri Bonetti · autor de correspondencia

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objectives

A randomized double-blind study was conducted to compare the efficacy of superpulsed low-level laser therapy (SLLLT) with nonsteroidal anti-inflammatory drugs in the treatment of pain caused by temporomandibular joint disorders.

Methods

A total of 99 patients with temporomandibular joint disorders, secondary to disc displacement without reduction or osteoarthritis were randomly divided into 3 groups. Thirty-nine patients received SLLLT in 10 sessions over 2 weeks, 30 patients received ibuprofen 800 mg twice a day for 10 days, and 30 patients received sham laser as placebo in 10 sessions over 2 weeks. Pain intensity was measured by visual analog scale at baseline, 2, 5, 10, and 15 days of treatment. Mandibular function was evaluated by monitoring active and passive mouth openings and right and left lateral motions at baseline, 15 days, and 1 month of treatment. Magnetic resonance imaging was performed at baseline and the end of therapy.

Results

Mean visual analog scale pain scores in SLLLT group was significantly lower than in nonsteroidal anti-inflammatory drug group and control group (P=0.0001) from fifth day up to the end of the observation period. As for active and passive mouth openings and right and left lateral motions, superiority of SLLLT was evident 1 month after treatment (interaction time treatment, P=0.0001).

Discussion

Mandibular function improved in all SLLLT patients proving the effectiveness in the treatment of pain, as demonstrated by a significant improvement in clinical signs and symptoms of temporomandibular joint disc displacement without reduction and osteoarthritis at the end of treatment and stability over a period of 1 month.

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