nach oben

Lasers in Dental Science

Erschienen in:

16.05.2023 | Original Article

Photobiomodulation therapy: an exemplary therapeutic approach to myofascial pain dysfunction syndrome—a randomized controlled trial and review of the literature

verfasst von: Sulem Ansari, Shivayogi Charantimath, Jayraj B. Malik, Anabelle Fernandes, Ram Surath Kumar K

Erschienen in: Lasers in Dental Science | Ausgabe 3/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To assess and compare the effectiveness of photobiomodulation therapy (PBMT) in managing myofascial pain dysfunction syndrome (MPDS).

Methods

Forty patients with MPDS between 18 and 40 years were randomly divided into two groups based on RDC/TMD axis I. Group A (20) patients received PBMT biweekly for 3 weeks, and group B (20) received skeletal muscle relaxants (SMR) thrice daily for 2 weeks. The pain was assessed by the visual analog scale. In addition, the inter-incisal distance was measured by using a vernier caliper.

Results

By the paired T-test, a comparison was made between baseline and post-therapy values of VAS and mouth opening in the case and control groups; a considerable variation was observed between the initial and final values (p < 0.05).

Conclusion

The results revealed a statistically significant amount of pain reduction after PBMT; the majority of patients reported improvement in mouth opening, compared with the SMR group. PBMT is non-invasive, without known side effects, and effective treatment for conservative management of myofascial pain—it is an exemplary approach.

Trial registration

This trial is registered under the clinical trial registry of India (CTRI/2021/04/032609)

Murphy MK, MacBarb RF, Wong ME, Athanasiou KA (2013) Temporomandibular joint disorders: a review of etiology, clinical management, and tissue engineering strategies. Int J Oral Maxillofac Implants 28(6):e393CrossRefPubMedPubMedCentral

Bonini JA, Campos DD, Carrascosa AC, Bonafé FS, Maroco J (2014) Epidemiology of severity of temporomandibular disorders in Brazilian women. J Oral Facial Pain Headache 28:147–152CrossRef

Feteih RM (2006) Signs and symptoms of temporomandibular disorders and oral parafunctions in urban Saudi Arabian adolescents: a research report. Head Face Med 2(1):1–7CrossRef

Schiffman E, Ohrbach R, Truelove E, Look J, Anderson G, Goulet JP, List T, Svensson P, Gonzalez Y, Lobbezoo F, Michelotti A (2014) Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: recommendations of the International RDC/TMD Consortium Network and Orofacial Pain Special Interest Group. J Oral Facial Pain Headache 28(1):6CrossRefPubMedPubMedCentral

Gauer R, Semidey MJ (2015) Diagnosis and treatment of temporomandibular disorders. Am Fam Physician 91(6):378–386PubMed

Gray R, Al-Ani Z (2010) Risk management in clinical practice. Part 8. Temporomandibular disorders. Br Dent J. 209(9):433–49CrossRefPubMed

Ghurye S, McMillan R (2015) Pain-related temporomandibular disorder–current perspectives and evidence-based management. Dent update 42(6):533–546CrossRefPubMed

Sharmila R (2015) Muscle relaxants in treating tempromandibular joint disorder-an update. J Pharm Sci & Res 7(8):611–614

Alpaslan C, Kahraman SA, Durmuslar C, Cula S (2012) Comparative efficacy of four muscle relaxants on signs and symptoms of the myofascial pain syndrome associated with temporomandibular disorders: a randomized clinical trial. J Musculoskelet Pain 20(4):310–316CrossRef

10.

Kushibiki T, Hirasawa T, Okawa S, Ishihara M (2015) Low reactive level laser therapy for mesenchymal stromal cells therapies. Stem Cells Int 26:2015

11.

Gao X, Xing D (2009) Molecular mechanisms of cell proliferation induced by low power laser irradiation. J Biomed Sci 16(1):1–6CrossRef

12.

Liao X, Xie GH, Liu HW, Cheng B, Li SH, Xie S, Xiao LL, Fu XB (2014) Helium-neon laser irradiation promotes the proliferation and migration of human epidermal stem cells in vitro: proposed mechanism for enhanced wound re-epithelialization. Photomed Laser Surg 32(4):219–225CrossRefPubMedPubMedCentral

13.

Woodruff LD, Bounkeo JM, Brannon WM, Dawes KS, Barham CD, Waddell DL, Enwemeka CS (2004) The efficacy of laser therapy in wound repair: a meta-analysis of the literature. Photomed Laser Surg 22(3):241–247CrossRefPubMed

14.

Hawkins D, Houreld N, Abrahamse H (2005) Low level laser therapy (LLLT) as an effective therapeutic modality for delayed wound healing. Ann. N.Y. Acad Sci 1056:486–493CrossRef

15.

Silveira PC, Streck EL, Pinho RA (2007) Evaluation of mitochondrial respiratory chain activity in wound healing by low-level laser therapy. J Photochem Photobiol B. 86:279–282CrossRefPubMed

16.

Avci P, Gupta A, Sadasivam M, Vecchio D, Pam Z, Pam N, Hamblin MR (2013) Low-level laser (light) therapy (LLLT) in skin: stimulating, healing, restoring. Semin Cutan Med Surg, NIH Public Access 32(1):41

17.

Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M (2003) Effectiveness of low-level laser therapy in temporomandibular disorder. Scand J Rheumatol 32(2):114–118CrossRefPubMed

18.

PovedaRoda R, Bagán JV, DíazFernández JM, Hernández Bazán S, Jiménez SY (2007) Review of temporomandibular joint pathology: Part I: classification, epidemiology and risk factors. Med Oral Patol Oral Cir Bucal 12(4):292–298

19.

Liu YC, Lo YK, Wu SN (2003) Stimulatory effects of chlorzoxazone, a centrally acting muscle relaxant, on large conductance calcium-activated potassium channels in pituitary GH3 cells. Brain res 959(1):86–97CrossRefPubMed

20.

Cotler HB, Chow RT, Hamblin MR, Carroll J (2015) The use of low level laser therapy (LLLT) for musculoskeletal pain. J orthop rheumatol 2(5):1–8

21.

Lassemi E, Jafari SM, Motamedi MH, Navi F, Lasemi R (2008) Lowlevel laser therapy in the management of temporomandibular joint disorder. J Oral Laser Appl 8(2):83–86

22.

Haefeli M, Elfering A (2006) Pain assessment. Eur Spine J 15(1):S17-24CrossRefPubMed

23.

Huang YY, Chen AC, Carroll JD, Hamblin MR (2009) Biphasic dose response in low level light therapy. Dose-Response 7(4):1–26CrossRef

24.

Karu TI, Kolyakov SF (2005) Exact action spectra for cellular responses relevant to phototherapy. Photomed Laser Ther 23(4):355–361CrossRef

25.

Desmet KD, Paz DA, Corry JJ, Eells JT, Wong-Riley MT, Henry MM, Buchmann EV, Connelly MP, Dovi JV, Liang HL, Henshel DS (2006) Clinical and experimental applications of NIR-LED photobiomodulation. Photomed Laser Ther 24(2):121–128CrossRef

26.

Rennó AC, Toma RL, Feitosa SM, Fernandes K, Bossini PS, de Oliveira P, Parizotto N, Ribeiro DA (2011) Comparative effects of low-intensity pulsed ultrasound and low-level laser therapy on injured skeletal muscle. Photomed Laser Surg 29(1):5–10CrossRefPubMed

27.

Chow RT, Armati PJ (2016) Photobiomodulation: implications for anesthesia and pain relief. Photomed Laser Surg 34(12):599–609CrossRefPubMed

28.

Cury V, Moretti AI, Assis L, Bossini P, de Souza Crusca J, Neto CB, Fangel R, De Souza HP, Hamblin MR, Parizotto NA (2013) Low level laser therapy increases angiogenesis in a model of ischemic skin flap in rats mediated by VEGF, HIF-1α and MMP-2. J Photochem Photobiol B, Biol. 125:164–70CrossRef

29.

Wang CZ, Chen YJ, Wang YH, Yeh ML, Huang MH, Ho ML, Liang JI, Chen CH (2014) Low-level laser irradiation improves functional recovery and nerve regeneration in sciatic nerve crush rat injury model. PLoS ONE 9(8):e103348CrossRefPubMedPubMedCentral

30.

Klimek L, Bergmann KC, Biedermann T, Bousquet J, Hellings P, Jung K, Merk H, Olze H, Schlenter W, Stock P, Ring J (2017) Visual analogue scales (VAS): measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care. Allergo j int 26(1):16–24CrossRefPubMedPubMedCentral

Titel: Photobiomodulation therapy: an exemplary therapeutic approach to myofascial pain dysfunction syndrome—a randomized controlled trial and review of the literature
verfasst von: Sulem Ansari
Shivayogi Charantimath
Jayraj B. Malik
Anabelle Fernandes
Ram Surath Kumar K
Publikationsdatum: 16.05.2023
Verlag: Springer International Publishing
Erschienen in: Lasers in Dental Science / Ausgabe 3/2023
Elektronische ISSN: 2367-2587
DOI: https://doi.org/10.1007/s41547-023-00188-z

Update Zahnmedizin

Bestellen Sie unseren kostenlosen Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Photobiomodulation therapy: an exemplary therapeutic approach to myofascial pain dysfunction syndrome—a randomized controlled trial and review of the literature

Abstract

Purpose

Methods

Results

Conclusion

Trial registration

Neu im Fachgebiet Zahnmedizin

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Klinikreform soll zehntausende Menschenleben retten

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Zahnmedizin

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Trial registration

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2023

Treatment of vascular lesion in the lower lip with photocoagulation: a case report

Correlation of low-intensity laser irradiation and rate of orthodontic tooth movement — a prospective clinical study

The effectiveness of low-level laser therapy on orthodontic tooth movement: a systematic review

The 980-nm diode laser treatment for oral venous lakes: report of a series of 11 cases

“The effect of diode laser 940 nm and 445 nm on the rise in temperature of a pulp simulating material: in vitro study”

Comparison of different doses of Er:YAG laser irradiation combined with MI-varnish on the inhibition of enamel demineralization

Neu im Fachgebiet Zahnmedizin

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

Klinikreform soll zehntausende Menschenleben retten

Darf man die Behandlung eines Neonazis ablehnen?

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

Update Zahnmedizin