Abstract
Temporomandibular disorders (TMDs) are mostly inflammatory conditions widespread in the population. Previous studies have shown positive effects of either laser or light-emitting diode (LED) phototherapies on treating TMDs, but their action and mechanism in the inflammatory infiltrate of the temporomandibular joint are still poorly understood. The aim of this study was to assess, through histological analysis, the effectiveness of using laser light (λ 780 nm, 70 mW, continous wave (CW), 10 J) and LED (λ 850 ± 10 nm, 100 mW, CW, 10 J) on the inflammation of the temporomandibular joint of rats induced by carrageenan. Forty-five animals were divided into three groups with five animals each according to the experimental times of 2, 3, and 7 days: inflammation, inflammation+laser phototherapy, and inflammation+LED phototherapy. The first irradiation was performed 24 h after induction with an interval of 48 h between sessions. After animal death, specimens were processed and stained with hematoxylin-eosin (HE) and picrosirius. Then, the samples were examined histologically. Data were statistically analyzed. The inflammation group showed mild to moderate chronic inflammatory infiltrate between bone trabecules of the condyle. Over the time course of the study in the laser group, the region of the condyle presented mild chronic inflammation and intense vascularization. In the LED group, the condyle showed aspects of normality and absence of inflammation in some specimens. In all the time points, the laser-irradiated groups showed greater amount of collagen deposition in the condyle (p = 0.04) and in the disc (p = 0.03) when compared to the inflammation and LED groups, respectively. Laser- and LED-treated groups demonstrate a smaller number of layers of the synovial membrane when compared to the non-irradiated groups. It was concluded that, in general, laser and LED phototherapies resulted in a reduction of inflammatory infiltrate in the temporomandibular joint of rat.
Similar content being viewed by others
References
Okenson JP (2008) Management of temporomandibular disorders and occlusion. Mosby, St. Louis
Hutchins B, Spears R, Hinton R, Harper RP (2000) Calcitonin gene-related peptide and substance p immunoreactivity in rat trigeminal ganglia and brainstem following adjuvant-induced inflammation of the temporomandibular joint. Arch Oral Biol 45:335–345
Tominaga K, Alstergren P, Kurita H, Kopp S (1999) Serotonin in an antigen-induced arthritis of the rabbit temporomandibular joint. Arch Oral Biol 44:595–601
Silva WAB, Silva FA, Ribeiro CE, Silva LLB, Oliveira M (2011) Prevalence of signs and symptoms of temporomandibular dysfunction (TMD) in adults: a transversal pilot study. Rev Port Estomatol Med Dent Cir Maxillofac 52:200–204
Uzkeser H, Cadirci E, Halici Z, Odabasoglu F, Polat B, Yuksel TN, Ozaltin S, Atalay F (2012) Anti-inflammatory and antinociceptive effects of salbutamol on acute and chronic models of inflammation in rats: involvement of an antioxidant mechanism. Mediat Inflamm 2012:1–10. doi:10.1155/2012/438912
Carvalho CM, Lacerda JA, Dos Santos Neto FP, De Castro IC, Ramos TA, De Lima FO, De Cerqueira Luz JG, Ramalho MJ, Dos Santos JN, Pinheiro AL (2011) Evaluation of laser phototherapy in the inflammatory process of the rat’s TMJ induced by carrageenan. Photomed Laser Surg 29:245–254. doi:10.1089/pho.2009.2685
Barretto SR, De Melo GC, Dos Santos JC, De Oliveira MG, Pereira-Filho RN, Alves AV, Ribeiro MA, Lima-Verde IB, Quintans Júnior LJ, De Albuquerque Júnior RL, Bonjardi LR (2013) Evaluation of anti-nociceptive and anti-inflammatory activity of low-level laser therapy on temporomandibular joint inflammation in rodents. J Photochem Photobiol B 5:135–142. doi:10.1016/j.jphotobiol.2013.10.002
Cetiner S, Kahraman SA, Yücetaş S (2006) Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg 24:637–641
Ahrari F, Madani AS, Ghafouri ZS, Tunér J (2014) The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci 29:551–557. doi:10.1007/s10103-012-1253-6
Pallotta RC, Bjordal JM, Frigo L, Leal Junior EC, Teixeira S, Marcos RL, Ramos L, Messias Fde M, Lopes-Martins RA (2011) Infrared (810-nm) low-level laser therapy on rat experimental knee inflammation. Lasers Med Sci 27:71–78. doi:10.1007/s10103-011-0906-1
Albertini R, Aimbire FS, Correa FI, Ribeiro W, Cogo JC, Antunes E, Teixeira SA, De Nucci G, Castro-Faria-Neto HC, Zângaro RA, Lopes-Martins RA (2004) Effects of different protocol doses of low power gallium-aluminum-arsenate (Ga-Al-As) Laser radiation (650 nm) on carrageenan induced rat paw edema. J Photochem Photobiol A Chem B 74:101–107
Lim W, Lee S, Kim I, Chung M, Kim M, Lim H, Park J, Kim O, Choi H (2007) The anti-inflammatory mechanism of 635 nm light-emitting-diode irradiation compared with existing COX inhibitors. Lasers Surg Med 39:614–621
Panhoca VH, de Fatima Zanirato Lizarelli R, Nunez SC, Pizzo RC, Grecco C, Paolillo FR, Bagnato VS (2013) Comparative clinical study of light analgesic effect on temporomandibular disorder (TMD) using red and infrared led therapy. Lasers Med Sci. doi:10.1007/s10103-013-1444-9
Gynther GW, Dijkgraaf LC, Reinholt FP, Holmlund AB, Liem RS, de Bont LG (1998) Synovial inflammation in arthroscopically obtained biopsy specimens from the temporomandibular joint: a review of the literature and a proposed histologic grading system. J Oral Maxillofac Surg 56:1281–1286
Yamazaki Y, Ren K, Shimada M, Iwata K (2008) Modulation of paratrigeminal nociceptive neurons following temporomandibular joint inflammation in rats. Exp Neurol 214:209–218
Winter CA, Risley EA, Nuss GW (1962) Carrageenan induced edema in hind paw of rat as assay for antiinflamatory drugs. Proc Soc Exp Biol Med 111:544–547
Peter-Szabo M, Kekesi G, Nagy E, Sziver E, Benedek G, Horvath G (2007) Quantitative characterization of a repeated acute joint inflammation model in rats. Clin Exp Pharmacol Physiol 34:520–526
Debprasad C, Hemanta M, Paromita B, Durbadal O, Kumar KA, Shanta D, Kumar HP, Tapan C, Ashoke S, Sekhar C (2012) Inhibition of NO(2), PGE(2), TNF-α, and iNOS EXpression by Shorea robusta L.: an ethnomedicine used for anti-inflammatory and analgesic activity. Evid Based Complement Alternat Med 2012:254849. doi:10.1155/2012/254849
Goulart ACL, Correia FAS, Sousa COM, Luz JGC (2005) Study of the inflammatory process induced by injection of carrageenan or formalin in the rat temporomandibular joint. Braz Oral Res 19:99–105. doi:10.1590/S1806-83242005000200005
Bjordal JM, Couppé C, Chow RT, Tunér J, Ljunggren EA (2003) A systematic review of low level laser therapy with location-specific doses for pain from chronic joint disorders. Aust J Physiother 49:107–116
World Association for Laser Therapy (2010) Recommended treatment doses for low level laser therapy. WALT.http://waltza.co.za/wpcontent/uploads/2012/08/Dose_table_780860nm_for_Low_Level_Laser_Therapy_WALT-2010.pdf. Accessed 29 September 2014
Hegedus B, Viharos L, Gervain M, Gálfi M (2009) The effect of low-level laser in knee osteoarthritis: a double-blind, randomized, placebo-controlled trial. Photomed Laser Surg 27:577–584. doi:10.1089/pho.2008.2297
Xavier M, David DR, de Souza RA, Arrieiro AN, Miranda H, Santana ET, Silva JA Jr, Salgado MA, Aimbire F, Albertini R (2010) Anti-inflammatory effects of low-level light emitting diode therapy on Achilles tendinitis in rats. Lasers Surg Med 42:553–558. doi:10.1002/lsm.20896
Oshima Y, Coutts RD, Badlani NM, Healey RM, Kubo T, Amiel D (2011) Effect of light-emitting diode (LED) therapy on the development of osteoarthritis (OA) in a rabbit mode. Biomed Pharmacother 65:224–229. doi:10.1016/j.biopha.2011.02.011
Sousa AP, Paraguassú GM, Silveira NT, de Souza J, Cangussú MC, dos Santos JN, Pinheiro AL (2013) Laser and LED phototherapies on angiogenesis. Lasers Med Sci 28:981–987. doi:10.1007/s10103-012-1187-z
Agaiby AD, Ghali LR, Wilson R, Dyson M (2000) Laser modulation of angiogenic factor production by T-lymphocytes. Lasers Surg Med 26:357–363
De Castro ICV, Oliveira-Sampaio SCP, Monteiro JSC, Ferreira MFL, Cangussu MCT, Santos JN, Pinheiro ALB (2011) Evaluation of the effect of laser radiation on fibroblast proliferation in repair of skin wounds of rats with iron deficiency anemia. Proc SPIE. doi:10.1117/12.874222
Oliveira Sampaio SC, de C Monteiro JS, Cangussú MC, Pires Santos GM, dos Santos MA, dos Santos JN, Pinheiro AL (2013) Effect of laser and LED phototherapies on the healing of cutaneous wound on healthy and iron-deficient Wistar rats and their impact on fibroblastic activity during wound healing. Lasers Med Sci 28:799–806. doi:10.1007/s10103-012-1161-9
Barolet D (2008) Light-emitting diodes (LEDs) in dermatology. Semin Cutan Med Surg 27:227–238
Muto T, Kawakami J, Kanazawa M, Yajima T (1998) Histologic study of synovitis induced by trauma to the rat temporomandibular joint. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86:534–540
Porto GG, Vasconcelos BC, Andrade ES, Silva-Junior VA (2010) Comparison between human and rat TMJ: anatomic and histopathologic features. Acta Cir Bras 25:290–293
Suzuki T, Segami N, Sato J, Nojima T (2001) Accuracy of histologic grading of synovial inflammation in temporomandibular joints with internal derangement using Gynther’s system. J Oral Maxillofac Surg 59:498–501
Karu TI (1987) Photobiological fundamentals of low-power laser therapy. IEEE J Quantum Electron QE-23:1703–1717
Acknowledgments
We would like to thank the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) for providing financial support for this project.
Conflicts of interest
The authors received a grant from the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), a government research agency, but have full control of all primary data and agree to allow the journal to review their data if requested.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
de Castro, I.C.V., Rosa, C.B., Carvalho, C.M. et al. Assessment of different energy delivery settings in laser and LED phototherapies in the inflammatory process of rat’s TMJ induced by carrageenan. Lasers Med Sci 30, 2105–2113 (2015). https://doi.org/10.1007/s10103-015-1748-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10103-015-1748-z