Effect of low-level laser therapy on pain levels in patients with temporomandibular disorders: a systematic review
Maia ML, Bonjardim LR, Quintans Jde S, Quintans Jde S, Ribeiro MA, Maia LG, Conti PC
Journal of applied oral science : revista FOB · 81 citas
Cómo se estudió
- Diseño
- Revisión sistemática (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
Según la declaración de financiación del texto completo.
Publicación
- Publicado
- 2012-12-01 · J Appl Oral Sci · vol. 20 · número 6 · págs. 594–602
- Editorial
- University of São Paulo
- Citado
- 163 citas · más que el 100% de estudios similares · 4.7× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 41 trabajos
- Acceso
- Acceso abierto (publicación gratuita) · CC-BY
- Áreas de investigación
- Temporomandibular Joint Disorders · Laser Applications in Dentistry and Medicine · Oropharyngeal Anatomy and Pathologies
- Palabras clave
- Medicine, Temporomandibular joint, Low level laser therapy, Placebo, Research Diagnostic Criteria, Temporomandibular Joint Dysfunction Syndrome, Inclusion and exclusion criteria, Laser therapy, Physical therapy, Temporomandibular disorder, Orofacial pain, Dentistry, Chronic pain, Laser, Alternative medicine, Pathology
- MeSH
- humans, temporomandibular joint disorders, facial pain, pain measurement, treatment outcome, clinical protocols, radiation dosage, low-level light therapy
6 autores
- Mila Leite de Moraes Maia🇧🇷Universidade Federal de Sergipe
- Leonardo Rigoldi Bonjardim🇧🇷Universidade Federal de Sergipe
- Jullyana de Souza Siqueira Quintans🇧🇷Universidade Federal de Sergipe
- Maria Amália Gonzaga Ribeiro🇧🇷Universidade Federal de Sergipe
- Luiz Guilherme Martins Maia🇧🇷Centro Universitário de Araraquara
- Paulo César Rodrigues Conti🇧🇷Universidade de São Paulo
Resumen
El texto original del estudio, en el idioma en que se publicó.
Unlabelled
Temporomandibular disorders (TMD) are characterized by the presence of temporomandibular joint (TMJ) and/or masticatory muscle pain and dysfunction. Low-level laser is presented as an adjuvant therapeutic modality for the treatment of TMD, especially when the presence of inflammatory pain is suspected.
Objective
To systematically review studies that investigated the effect of low level laser therapy (LLLT) on the pain levels in individuals with TMD.
Material and methods
The databases Scopus, embase, ebsco and PubMed were reviewed from January/2003 to October/2010 with the following keywords: laser therapy, low-level laser therapy, temporomandibular joint disorders, temporomandibular joint dysfunction syndrome, temporomandibular joint, temporomandibular, facial pain and arthralgia, with the inclusion criteria for intervention studies in humans. exclusion criteria adopted were intervention studies in animals, studies that were not written in english, Spanish or Portuguese, theses, monographs, and abstracts presented in scientific events.
Results
After a careful review, 14 studies fit the criteria for inclusion, of which, 12 used a placebo group. As for the protocol for laser application, the energy density used ranged from 0.9 to 105 J/cm², while the power density ranged from 9.8 to 500 mW. The number of sessions varied from 1 to 20 and the frequency of applications ranged from daily for 10 days to 1 time per week for 4 weeks. A reduction in pain levels was reported in 13 studies, with 9 of these occurring only in the experimental group, and 4 studies reporting pain relief for both the experimental group and for the placebo.
Conclusion
Most papers showed that LLLT seemed to be effective in reducing pain from TMD. However, the heterogeneity of the standardization regarding the parameters of laser calls for caution in interpretation of these results. Thus, it is necessary to conduct further research in order to obtain a consensus regarding the best application protocol for pain relief in patients with TMD.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY-NC).
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