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01-03-2020 | Craniomandibular Dysfunction and Stress | Original Article

Intraoral photobiomodulation diminishes pain and improves functioning in women with temporomandibular disorder: a randomized, sham-controlled, double-blind clinical trial

Intraoral photobiomodulation diminishes pain in women with temporomandibular disorder

Authors: Carolina Marciela Herpich, Ernesto Cesar Pinto Leal-Junior, Fabiano Politti, Cid André Fidelis de Paula Gomes, Igor Phillip dos Santos Glória, Maitê de Freitas Rocha de Souza Amaral, Graciela Herpich, Ludmila Menezes Alves de Azevedo, Tabajara de Oliveira Gonzalez, Daniela Aparecida Biasotto-Gonzalez

Published in: Lasers in Medical Science | Issue 2/2020

Abstract

The aim of the present study was to evaluate the effect of intraoral photobiomodulation involving super-pulsed laser (905 nm) combined with red (640 nm) and infrared (875 nm) light-emitting diodes on pain, mandibular range of motion, and functioning in women with myogenous temporomandibular disorder. A randomized, sham-controlled, double-blind clinical trial was conducted involving 30 women with myogenous temporomandibular disorder diagnosed using the Research Diagnostic Criteria for Temporomandibular Disorders. The participants were randomly allocated to two groups (active and sham photobiomodulation). The evaluations involved this use of the visual analog scale, digital calipers, and a functional scale. Photobiomodulation was administered intraorally in the region of the pterygoid muscles, bilaterally, in all participants for a total of six sessions. Evaluations were performed on five occasions: prior to the intervention, immediately after the first session, 24 h and 48 h after the first session, and after the six sessions. Significant differences between groups were found regarding pain (p ≤ 0.01) and functioning (p ≤ 0.04). However, no statistically significant difference was found regarding range of mandibular motion. The findings demonstrate that intraoral photobiomodulation involving super-pulsed laser (905 nm) combined with red (640 nm) and infrared (875 nm) light-emitting diodes diminishes pain and improves functioning but does not exert an influence on mandibular range of motion in women with temporomandibular disorder.

Trial registration: NCT02839967

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Title: Intraoral photobiomodulation diminishes pain and improves functioning in women with temporomandibular disorder: a randomized, sham-controlled, double-blind clinical trial
Intraoral photobiomodulation diminishes pain in women with temporomandibular disorder
Authors: Carolina Marciela Herpich
Ernesto Cesar Pinto Leal-Junior
Fabiano Politti
Cid André Fidelis de Paula Gomes
Igor Phillip dos Santos Glória
Maitê de Freitas Rocha de Souza Amaral
Graciela Herpich
Ludmila Menezes Alves de Azevedo
Tabajara de Oliveira Gonzalez
Daniela Aparecida Biasotto-Gonzalez
Publication date: 01-03-2020
Publisher: Springer London
Keywords: Craniomandibular Dysfunction and Stress
Phototherapy
Laser
Published in: Lasers in Medical Science / Issue 2/2020
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-019-02841-1

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Intraoral photobiomodulation diminishes pain and improves functioning in women with temporomandibular disorder: a randomized, sham-controlled, double-blind clinical trial

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