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Journal of Maxillofacial and Oral Surgery

, Volume 13, Issue 4, pp 444–450 | Cite as

Management of Temporomandibular Disorders with Low Level Laser Therapy

  • Nabeel Sayed
  • C. Murugavel
  • A. Gnanam
Research Paper

Abstract

Purpose

To evaluate the efficacy of low level laser therapy (LLLT) in the treatment of temporomandibular disorders (TMD) in relation to pain intensity, tender points, joint sounds and jaw movements.

Materials and Methods

Twenty patients received 6 sessions of LLLT (3 times a week for 2 weeks) with semiconductive diode laser (gallium arsenide; 904 nm, 0.6 W, 60 s, 4 J/cm2). Pain intensity, number of tender points, joint sounds and active range of motion were assessed before and immediately after each session and after 1, 2 weeks, 1, 3 and 6 months.

Results

Statistically significant results were achieved in all study parameters.

Conclusion

LLLT promoted satisfactory results in reducing the pain intensity, number of tender points, joint sounds and improvement in the range of jaw motion. Hence it is an effective and efficient treatment method for TMDs.

Keywords

Temporomandibular disorders Low level laser therapy Semiconductive diode laser 

References

  1. 1.
    Okeson JP (2008) Management of temporomandibular disorders and occlusion, 6th edn. Mosby, PhiladelphiaGoogle Scholar
  2. 2.
    Dimitroulis G (1998) Temporomandibular disorders: a clinical update. Br Med J 317:190CrossRefGoogle Scholar
  3. 3.
    Karu T (1998) The science of low power laser therapy. Gordon and Beach Science, AmsterdamGoogle Scholar
  4. 4.
    Conti PC (1997) Low level laser therapy in the treatment of temporomandibular disorders (TMD): a double-blind pilot study. Cranio 15:144PubMedGoogle Scholar
  5. 5.
    Bezuur NJ, Habets LL, Hansson TL (1988) The effect of therapeutic laser treatment in patients with craniomandibular disorders. J Craniomandib Disord 2:83PubMedGoogle Scholar
  6. 6.
    Hatano Y (1989) Laser in diagnosis of the TMJ problems. Laser Dent 1:169Google Scholar
  7. 7.
    Bertolucci LE, Grey T (1995) Clinical comparative study of microcurrent electrical stimulation to mid-laser and placebo treatment in degenerative joint disease of the temporomandibular joint. J Craniomandib Pract 13:116Google Scholar
  8. 8.
    Eckerdal A, Bastian L (1996) Can low reactive-level laser therapy be used in the treatment of neurogenic facial pain? A double-blind, placebo controlled investigation of patients with trigeminal neuralgia. Laser Ther 8:247CrossRefGoogle Scholar
  9. 9.
    Bradley PF (1997) A review of the use of the neodymium YAG laser in oral and maxillofacial surgery. Br J Oral Maxillofac Surg 35:26PubMedCrossRefGoogle Scholar
  10. 10.
    Al Pinherio, Cavalcanti ET, Pinherio TI (1998) Low level laser therapy is an important tool to treat disorders of the maxillofacial region. J Clin Laser Med Surg 16:223Google Scholar
  11. 11.
    Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M (2003) Effectiveness of low-level laser therapy in temporomandibular disorder. Scand J Rheumatol 32:114PubMedCrossRefGoogle Scholar
  12. 12.
    Çetiner S, Kahraman S, Yücetas SU (2006) Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg 24:5CrossRefGoogle Scholar
  13. 13.
    Fikácková H, Dostálová T, Navrátil L, Klaschka J (2007) Effectiveness of low-level laser therapy in temporomandibular joint disorders: a placebo-controlled study. Photomed Laser Surg 25:297PubMedCrossRefGoogle Scholar
  14. 14.
    Mazzetto MO, Carrasco TG, Bidinelo EF, de Andrade Pizzo RC, Mazzetto RG (2007) Low intensity laser application in temporomandibular disorders: a phase I double-blind study. Cranio 25:186PubMedGoogle Scholar
  15. 15.
    Frare JC, Nicolau RA (2008) Clinical analysis of the effect of laser photobiomodulation (GaAs-904 nm) on temporomandibular joint dysfunction. Rev Bras Fisioter 12:37CrossRefGoogle Scholar
  16. 16.
    Carrasco TG, Mazzetto MO, Mazzetto RG, Mestriner W Jr (2008) Low intensity laser therapy in temporomandibular disorder: a phase II double-blind study. Cranio 26:274PubMedGoogle Scholar
  17. 17.
    Lassemi E, Jafari SM, Motamedi MH, Navi F, Lasemi R (2008) Low-level laser therapy in the management of temporomandibular joint disorder. J Oral Laser Appl 8:83Google Scholar
  18. 18.
    Shirani AM, Gutknecht N, Taghizadeh M, Mir M (2009) Low-level laser therapy and myofacial pain dysfunction syndrome: a randomized controlled clinical trial. Laser Med Sci 24(5):715CrossRefGoogle Scholar
  19. 19.
    Santos TS, Piva MR, Ribeiro MH, Antunes AA, Melo AR, Silva ED (2010) Laser therapy efficacy in temporomandibular disorders: control study. Braz J Otorhinolaryngol 76:294CrossRefGoogle Scholar
  20. 20.
    Taha AR, Taftazani EA (2003) Effect of soft laser and occlusal splints on temporomandibular joint disorders (electromyographic study). Cairo Dent J 19:179Google Scholar
  21. 21.
    Kogawa EM, Kato MT, Santos CN, Conti PC (2005) Evaluation of the efficacy of low-level laser therapy (LLLT) and the microelectric neurostimulation (MENS) in the treatment of myogenic temporomandibular disorders: a randomized clinical trial. J Appl Oral Sci 13:280PubMedCrossRefGoogle Scholar
  22. 22.
    Núñez SC, Garcez AS, Suzuki SS, Ribeiro MS (2006) Management of mouth opening in patients with temporomandibular disorders through low-level laser therapy and transcutaneous electrical neural stimulation. Photomed Laser Surg 24:1CrossRefGoogle Scholar
  23. 23.
    Kato MT, Kogawa EM, Santos CN, Conti PC (2006) Tens and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci 14:130PubMedCrossRefGoogle Scholar
  24. 24.
    Hansen HJ, Thoroe U (1990) Low power laser biostimulation of chronic oro-facial pain. A double-blind placebo controlled cross-over study in 40 patients. Pain 43:169PubMedCrossRefGoogle Scholar
  25. 25.
    Venancio DA, Camparis CM, Lizarelli FZ (2005) Low intensity laser therapy in the treatment of temporomandibular disorders: a double-blind study. J Oral Rehabil 32:800CrossRefGoogle Scholar
  26. 26.
    Emshoff R, Bösch R, Pümpel E, Schöning H, Strobl H (2008) 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 105:452PubMedCrossRefGoogle Scholar
  27. 27.
    Wertz RL (2006) Class IV high power laser therapy in physical medicine and rehabilitation. Dyn Chiropr 24(23):8Google Scholar

Copyright information

© Association of Oral and Maxillofacial Surgeons of India 2013

Authors and Affiliations

  1. 1.Department of Oral and Maxillofacial SurgerySRM Dental CollegeChennaiIndia
  2. 2.Department of Oral and Maxillofacial SurgerySrinivas Institute of Dental SciencesMangaloreIndia

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