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Lasers in Medical Science
Published in: Lasers in Medical Science 2/2015

01-02-2015 | Original Article

Comparative clinical study of light analgesic effect on temporomandibular disorder (TMD) using red and infrared led therapy

Authors: Vitor Hugo Panhoca, Rosane de Fatima Zanirato Lizarelli, Silvia Cristina Nunez, Renata Campi de Andrade Pizzo, Clovis Grecco, Fernanda Rossi Paolillo, Vanderlei Salvador Bagnato

Published in: Lasers in Medical Science | Issue 2/2015

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Abstract

Low-level laser therapy (LLLT) has been widely applied in pain relief in several clinical situations, including temporomandibular disorders (TMD). However, the effects of LED therapy on TMD has not been investigated. This study aims to evaluate the effects of red and infrared LEDs on: (1) tissue temperature in ex vivo and (2) pain relief and mandibular range of motion in patients with TMD. Thirty patients between 18 and 40 years old were included and randomly assigned to three groups. The two experimental groups were: the red LED (630 ± 10 nm) group and the infrared LED (850 ± 10 nm) group. The irradiation parameters were 150 mW, 300 mW/cm2, 18 J/cm2, and 9 J/point. The positive control group received an infrared laser (780 nm) with 70 mW, 1.7 W/cm2, 105 J/cm2, and 4.2 J/point. LED and laser therapies were applied bilaterally to the face for 60 s/point. Five points were irradiated: three points around the temporomandibular joint (TMJ), one point for the temporalis, and one near the masseter. Eight sessions of phototherapy were performed, twice a week for 4 weeks. Pain induced by palpating the masseter muscle and mandibular range of motion (maximum oral aperture) were measured at baseline, immediately after treatment, 7 days after treatment, and 30 days after treatment. There was an increase in tissue temperature during both the red and the infrared LED irradiation in ex vivo. There was a significant reduction of pain and increase of the maximum oral aperture for all groups (p ≥ 0.05). There was no significant difference in pain scores and maximum oral aperture between groups at baseline or any periods after treatment (p ≥ 0.05). The current study showed that red and infrared LED therapy can be useful in improving outcomes related to pain relief and orofacial function for TMD patients. We conclude that LED devices constitute an attractive alternative for LLLT.
Literature
1.
Fricton JR (2004) Temporomandibular muscle and joint disorders. Pain 109:530CrossRef
2.
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 24:45–49PubMedCrossRef
3.
Weinberg LA (1980) The etiology, diagnosis, and treatment of TMJ dysfunction-pain syndrome. Part II: differential diagnosis. J Prosthet Dent 43:58–70PubMedCrossRef
4.
Ibuldu E, Cakmak A, Disci R, Aydin R (2004) Comparison of laser, dry needling and placebo laser treatments in myofascial syndrome. Photomed Laser Surg 22:306–311CrossRef
5.
De Medeiros JS, Vieira GF, Nishimura PY (2005) Laser application effects on the bite strength of the masseter muscle, as an orofacial pain treatment. Photomed Laser Surg 23:373–376PubMedCrossRef
6.
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 105:452–456PubMedCrossRef
7.
Conti PCR (1997) Low level laser therapy in the treatment of temporomandibular disorders (TMD): a double blind pilot study. J Craniomandib Pract 15:144–149
8.
Gur A, Sarac AJ, Cevik R, Altindag O, Sarac S (2004) Efficacy of 904 nm gallium arsenide low level laser therapy in the management of chronic myofascial pain in the neck: a double-blind and randomized trial. Lasers Surg Med 35:229–235PubMedCrossRef
9.
Salmos-Brito JA, de Menezes RF, Teixeira CE, Gonzaga RK, Rodrigues BH, Braz R, Bessa-Nogueira RV, Gerbi ME (2013) Evaluation of low-level laser therapy in patients with acute and chronic temporomandibular disorders. Lasers Med Sci 28:57–64PubMedCrossRef
10.
Ahrari F, Madani AS, Ghafouri ZS, Tunér J (2013) The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci (in press)
11.
Gökçen-Röhlig B, Kipirdi S, Baca E, Keskin H, Sato S (2012) Evaluation of orofacial function in temporomandibular disorder patients after low-level laser therapy. Acta Odontol Scand 4:1–6
12.
13.
de Moraes Maia ML, Ribeiro MA, Maia LG, Stuginski-Barbosa J, Costa YM, Porporatti AL, Conti PC, Bonjardim LR (2013). Evaluation of low-level laser therapy effectiveness on the pain and masticatory performance of patients with myofascial pain. Lasers Med Sci (in press)
14.
15.
Chow R et al (2011) Inhibitory effects of laser irradiation on peripheral mammalian nerves and relevance to analgesic effects: a systematic review. Photomed Laser Surg 29:365–381PubMedCrossRef
16.
Kulekcioglu S, Sivrioglu K, Ozcan O, Parlak M (2003) Effectiveness of low–level laser therapy in temporomandibular disorder. Scand J Rheumatol 32:114–118.
17.
Ferreira L A, de Oliveira R G, Guimarães J P, Carvalho A C P, De Paula, M V Q (2013). Laser acupuncture in patients with temporomandibular dysfunction: a randomized controlled trial. Lasers Med Sci (in press)
18.
Hotta PT, Hotta TH, Bataglion C, Bataglion SA, de Souza Coronatto EA, Siéssere S, Regalo SCH (2010) Emg analysis after laser acupuncture in patients with temporomandibular dysfunction (TMD). Implications for practice. Complement Ther Clin Pract 16(3):158–160PubMedCrossRef
19.
Fikackova H, Dostalova T, Navratil L, Klaschka J (2007) Effectiveness of low-level laser therapy in temporomandbular joint disorders: a placebo-controlled study. Photomed Laser Surg 25:297–303PubMedCrossRef
20.
Oz S, Gokçen-Rohlig B, Saruhanoglu A, Tuncer EB (2010) Management of myofacial pain: low-level laser therapy versus occlusal splints. J Craniofac Surg 21:1722–1728PubMedCrossRef
21.
Walsh LJ (1997) The current status of low level laser therapy in dentistry, part 1, soft tissue applications. Aust Dent J 42(4):247–254PubMedCrossRef
22.
Stadler I, Lanzafame RJ, Oskoui P, Zhang RY, Coleman J, Whittaker M (2004) Alteration of skin temperature during low-level laser irradiation at 830 nm in a mouse model. Photomed Laser Sur 22(3):227–231CrossRef
23.
Sopena EP, Serra MC, Sopena M, Lopez-Silva SM (1996) Cuban experience for therapy in dentistry with light-emitting diodes. Proc SPIE 2630:147–154CrossRef
24.
Corazza AV, Jorge J, Kurachi C, Bagnato VS (2007) Photobiomodulation on the angiogenesis of skin wounds in rats using different light sources. Photomed Laser Surg 25:102–106PubMedCrossRef
25.
Bastos JLN, Lizarelli RFZ, Parizotto NA (2009) Comparative study of laser and LED systems of low intensity applied to tendon healing. Laser Physics 19(9):1925–1931CrossRef
26.
Lizarelli RFZ, Miguel FAC, Freitas–Pontes KM, Villa GEP, Nunez SC, Bagnato VS (2010) Dentin hypersensitivity clinical study comparing LILT and LEDT keeping the same irradiation parameters. Laser Physics Letters 7(11):805–811CrossRef
27.
28.
Paolillo FR, Borghi-Silva A, Parizotto NA, Kurachi C, Bagnato VS (2011) New treatment of cellulite with infrared-LED illumination applied during high-intensity treadmill training. J Cosmet Laser Ther 13(4):166–171PubMed
29.
Paolillo FR, Milan JC, Aniceto IV, Barreto SG, Rebelatto JR, Borghi-Silva A, Bagnato VS (2011) Effects of infrared-LED illumination applied during high-intensity treadmill training in postmenopausal women. Photomed Laser Surg 29(9):639–645PubMedCrossRef
30.
Paolillo FR, Corazza AV, Borghi-Silva A, Parizotto NA, Kurachi C, Bagnato VS (2013) Infrared LED irradiation applied during high-intensity treadmill training improves maximal exercise tolerance in postmenopausal women: a 6-month longitudinal study. Lasers Med Sci 28:415–422PubMedCrossRef
31.
Paolillo FR, Lins EC, Corazza AV, Kurachi C, Bagnato VS (2013) Thermography applied during exercises with or without infrared light-emitting diode irradiation: individual and comparative analysis. Photomed Laser Surg 31(7):349–355PubMedCentralPubMedCrossRef
32.
Vinck E, Coorevits P, Cagnie B, De Muynck M, Vanderstraeten G, Cambier D (2005) Evidence of changes in sural nerve conduction mediated by light emitting diode irradiation. Lasers Med Sci 20:35–40PubMedCrossRef
33.
Petrucci A, Sgolastra F, Gatto R, Mattei A, Monaco A (2011) Effectiveness of low-level laser therapy in temporomandibular disorders: a systematic review and meta-analysis. J Orofac Pain 25(4):298PubMed
34.
Dworkin SF, LeResche L (1992) Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 6(4):301–355PubMed
35.
Pereira FJ Jr, Huggins KH, Dworkin SF et al (2004) Critérios de diagnóstico para pesquisa das desordens temporomandibulares RDC/TMD. Tradução oficial para a língua portuguesa. J Bras Clin Odontol Int 8:384–395
36.
Komisnky M, Lucena LBS, Siqueira JTT et al (2004) Adaptação cultural do questionário "Research diagnostic criteria for temporomandibular disorders" axis II para o português. Jl Bras Clin Odontol Int 4(1):51–61
37.
Florez FLE, Andrade MF, Campos EA, Oliveira Júnior OB, Bagnato VS, Panhoca VH (2011) In-office dental bleaching efficacy assessment in function of the light exposure regime by digital colorimetric reflectance spectroscopy. J Dent Oral Hyg 3(8):99–105
38.
Leonard DL, Charlton DG, Roberts HW, Cohen ME (2002) Polymerization efficiency of LED curing lights. J Esthet Restor Dent 14(5):286–295PubMedCrossRef
39.
Svanberg S (2002) Tissue diagnostics using lasers. In: Waynant RW (ed) Lasers in medicine. CRC Press, Boca Raton, FL, pp 135–169
40.
Makihara E, Makihara M, Masumi SI, Sakamoto E (2005) Evaluation of facial thermographic changes before and after low-level laser irradiation. Photomed Laser Ther 23(2):191–195CrossRef
41.
Makihara E, Masumi SI (2008) Blood flow changes of a superficial temporal artery before and after low-level laser irradiation applied to the temporomandibular joint area. J Jpn Prosthodont Soc 52(2):167–170CrossRef
42.
Lowe AS, Baxter GD, Walsh DM, Allen JM (1994) Effect of low intensity laser (830 nm) irradiation on skin temperature and antidromic conduction latencies in the human median nerve: relevance of radiant exposure. Lasers Surg Med 14(1):40–46PubMedCrossRef
43.
Lowe AS, Baxter GD, Walsh DM, Allen JM (1995) The relevance of pulse repetition rate and radiant exposure to the neurophysiological effects of low-intensity laser (820 nm/pulsed wave) irradiation upon skin temperature and antidromic conduction latencies in the human median nerve. Laser Med Sci 10(4):253–259CrossRef
44.
Noble JG, Lowe AS, Baxter GD (2001) Monochromatic infrared irradiation (890 nm): effect of a multisource array upon conduction in the human median nerve. J Clin Laser Med Surg 19(6):291–295PubMedCrossRef
45.
Pöntinen PJ (2000) Laseracupuncture. In: Simunovic Z (ed) Lasers in medicine and dentistry: basic and up-to-date clinical application of low-energy-level laser therapy (LLLT). Vitgraf, Rijeka, Croatia, pp 55–475
46.
Hode T, Jenkins P, Jordison S, Hode L. (2011). To what extent is coherence lost in tissue? SPIE BiOS-International Society for Optics and Photonics, Bellingham, WA, pp. 788703–788703
47.
Eells JT, Wong-Riley MT, VerHoeve J, Henry M, Buchman EV, Kane MP, Gould LJ, Das R, Jett M, Hodgson BD, Margolis D, Whelan HT (2004) Mitochondrial signal transduction in accelerated wound and retinal healing by near-infrared light therapy. Mitochondrion 4(5):559–567PubMedCrossRef
48.
Kelencz CA, Muñoz IS, Amorim CF, Nicolau RA (2010) Effect of low-power gallium-aluminum-arsenium noncoherent light (640 nm) on muscle activity: a clinical study. Photomed Laser Surg 28(5):647–652PubMedCrossRef
Metadata
Title
Comparative clinical study of light analgesic effect on temporomandibular disorder (TMD) using red and infrared led therapy
Authors
Vitor Hugo Panhoca
Rosane de Fatima Zanirato Lizarelli
Silvia Cristina Nunez
Renata Campi de Andrade Pizzo
Clovis Grecco
Fernanda Rossi Paolillo
Vanderlei Salvador Bagnato
Publication date
01-02-2015
Publisher
Springer London
Published in
Lasers in Medical Science / Issue 2/2015
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI
https://doi.org/10.1007/s10103-013-1444-9

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