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BMC Oral Health
Published in: BMC Oral Health 1/2015

Open Access 01-12-2015 | Research article

Early results of low-level laser application for masticatory muscle pain: a double-blind randomized clinical study

Authors: Erkan Sancakli, Bilge Gökçen-Röhlıg, Ali Balık, Değer Öngül, Selin Kıpırdı, Haluk Keskın

Published in: BMC Oral Health | Issue 1/2015

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Abstract

Background

To evaluate the effect of Low Level Laser (LLL) application at the points of greatest pain in patients with chronic masticatory muscle pain.

Methods

A total number of 30 (21 women, 9 men, with a mean age of 39.2) were selected after the diagnosis of MPDS according to the Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD). The patients were randomly divided into three groups; laser group I (n = 10); patients received the LLL at the point of greatest pain, laser group II (n = 10); patients received LLL at pre-established points in the effected muscles and placebo group (n = 10). LLL and placebo were applied three times per week, for a total of 12 sessions. Mandibular mobility was examined, masticator muscles tenderness were assessed and PPT values were obtained. Subjective pain levels were evaluated using VAS. The measurements performed before the treatment and after the completion of the therapy. Descriptive statistics (mean, standard deviation, and frequency) Student’s t-test, Mann–Whitney U-test and paired-sample t-tests were used for analysis.

Results

In both laser groups, there was a statically significant reduction in PPT values of the muscles, number of muscles without any pain on palpation increased significantly, mandibular movements’ ranges were improved. Laser group I demonstrated statistically better results than the Laser group II in all of the measured values. Plasebo group did not show any statistically difference in any of the measured values.

Conclusions

LLLT can be accepted as an alternative treatment modality in the management of masticatory muscle pain and direct irradiation seems to effect better.

Trial registration

Current Controlled Trials ISRCTN31085, Date of registration 28/08/20145.
Literature
1.
Magnusson T, Egemark I, Carlsson GE. A longitudinal epidemiologic study of signs and symptoms of temporomandibular disorders from 15 to 35 years of age. J Orofac Pain. 2000;14:310–9.PubMed
2.
Okeson JP. Orofacial pain: guidelines for assessment, diagnosis and management. Chigaco: Quintessence Publishing Co, Inc; 1996.
3.
De Leeuw R. Orofacial Pain: Guidelines for assesement, diagnosis and management. 4th ed. Chicago: Quintessence; 2008.
4.
Ozdemir-Karatas M, Peker K, Balık A, Uysal O, Tuncer EB. Identifying potential predictors of pain-related disability in Turkish patients with temporomandibular disorder pain. J Headache Pain. 2013;14:7.CrossRef
5.
Carlsson GE, Magnusson T. Management of Temporomandibular Disorders in the General Dental Practice. Chicago: Quintessence Publishing Co; 1999.
6.
McNeill C. History and evolution of TMD concepts. Oral Surg. Oral Med Oral Pathol Oral Radiol Endod. 1997;83:51–60.CrossRef
7.
Herpich CM, Amaral AP, Leal-Junior ECP, de Paiva J, Tosato CA, de Paula F, et al. Analysis of laser therapy and assessment methods in the rehabilitation of temporomandibular disorder: a systematic review of the literature. J Phys Ther Sci. 2015;27(1):295–301.CrossRefPubMedPubMedCentral
8.
Sattayut S, Bradley P. A study of the influence of Low- Intensity Laser Therapy on Painful of the Temporomandibular Disorder Patients. Laser Ther. 2012;21(3):183–92.CrossRefPubMedPubMedCentral
9.
Herranz-Aparicio J, Vazquez-Delgado E, Arnabt-Dominguez J, Espana-Tost A, Gay-Escoda C. The use of low-level laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg. 2006;24:637–41.CrossRef
10.
Kato MT, Kogawa EM, Santos CN, Rodrigues PC. Tens and low-level laser therapy in the management of temporomandibular joint disorders. A review of the literature. Med Oral Patol Cir Bucal. 2013;18(4):e603–12.
11.
Karu TI. Photobiology of low-power laser effects. Hlth Phys. 1989;56:691–704.CrossRef
12.
Karu TI. Photobiology of low-power laser effects. London: Harwood Academic Publishers; 1989.
13.
Emshoff R, Bösch R, Pümpel E,Schöning H, Strobl H. Low-level laser therapy for treatment of temporomandibular joint pain: a double blind and placebo-controlled trial. Oral Surg Oral Med Oral Pathol Oral Radil Endod.2008;105:452–6.CrossRef
14.
Venancio RA, Camparis CM, Lizarelli RFZ. Low intensity laser therapy in the treatment of temporomandibular disorders: a double-blind study. J Oral Rehabil. 2005;32:800–7.CrossRef
15.
Hakgüder A, Birtane M, Gürcan S, Kokino S. Efficacy of low level laser therapy in myofascial pain syndrome: an algometric and thermographic evaluation. Lasers Surg Med. 2003;33(5):339–43.CrossRefPubMed
16.
Tulberg M, Alstergen PJ, Ernberg MM. Effects of low-power laser exposure on masseter muscle pain and microcirculation. Pain. 2003;105(1–2):89–96.CrossRef
17.
Külekçioğlu S, Sivrioğlu K, Özcan O, Parlak M. Effectiveness of low-level laser therapy in temporomandibular disorder. Scan J Rheumatol. 2003;32:114–8.CrossRef
18.
Conti PC. Low level laser therapy in the treatment of temporomandibular disorders (TMD): a double-blind pilot study. J Craniomandib Pract. 1997;15:144–9.
19.
Al P, Cavalcanti ET, Pinheiro TI, Alves MJ, Miranda ER, DeQuevedo AS, et al. low-level laser therapy is an important tool to treat disorders of the maxillofacial region. J Clin Laser Med Surg. 1998;16:223–6.
20.
Simunovic Z. Low level laser therapy with trigger points technique: a clinical study on 243 patients. J Clin Laser Med Surg. 1996;14:163–7.PubMed
21.
Özdemir F, Birtane M, Kokino S. The clinical efficacy of low-level laser therapy on pain and function in cervical osteoarthritis. Clin Rheumatol. 2001;20:181–4.CrossRefPubMed
22.
Cunha LA, Firoozmand LM, Silva AP, Esteves SA, Oliveira W. Efficacy of low-level laser therapy in the treatment of temporomandibular disorder. Int Dent J. 2008;58:213–7.CrossRefPubMed
23.
Leon IG, Almagro S, Garcia RC. Los trastornos temporomandibulares y la radiacion laser. Rev-Cubana Estomatol. 2007;44:1–8.
24.
List T, Axelsso S. Management of TMD: evidence from systematic reviews and meta-analyses. J Oral Rehabil. 2010;37:430–51.CrossRefPubMed
25.
Venezian GC, Silva MA, Mazzetto RG, Mazzetto MO. Low level laser effects on pain to palpation and electromyographic activity in TMD patients: a double-blind, randomized, placebo-controlled study. Cranio. 2010;28:84–91.CrossRefPubMed
26.
Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord Fac Oral Pain. 1992;6:301–55.
27.
Gur A, Cosut A, Sarac AJ, Nas K, Karakoc M. Efficacy of low-level laser therapy and exercise on pain and functions in chronic low back pain. Lasers Surg Med. 2003;32:233–8.CrossRefPubMed
28.
Turk DC, Dworkin RH, Allen RR, Bellamy N, Brandenburg N, Carr DB, et al. Core outcome domains for chronic pain clinical trials: IMMPACT recommendations. Pain. 2003;106:337–45.CrossRefPubMed
29.
Dworkin RH, Turk DC, Wyrwich KW, Beaton D, Cleeland CS, Farrar JT, et al. Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations. J Pain. 2008;9(2):105–21.CrossRefPubMed
30.
Acquadro C, Berzon R, Dubois D, Leidy NK, Marquis P, Revicki D, et al. Incorporating the patient’s perspective into drug development and communication: an ad hoc task force report of the Patient-Reported Outcomes (PRO) Harmonization Group meeting at the Food and Drug Administration, February 16, 2001. Value Health. 2003;6(5):522–31.CrossRefPubMed
31.
Turk DC, Dworkin RH, Burke LB, Gershon R, Rothman M, Scott J, et al. Developing patient-reported outcome measures for pain clinical trials: IMMPACT recommendations. Pain. 2006;125(3):208–15.CrossRefPubMed
32.
Simma I, Gleditsch JM, Simma L, Piehslinger E. Immediate effects of microsystem acupuncture in patients with oromyofacial pain and craniomandibular disorders (CMD): a double-blind, placebo-controlled trials. British Dental J. 2009;207:1–4.CrossRef
Metadata
Title
Early results of low-level laser application for masticatory muscle pain: a double-blind randomized clinical study
Authors
Erkan Sancakli
Bilge Gökçen-Röhlıg
Ali Balık
Değer Öngül
Selin Kıpırdı
Haluk Keskın
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2015
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-015-0116-5

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