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Published in: Trials 1/2013

Open Access 01-12-2013 | Study protocol

Evaluation of effect of low-level laser therapy on adolescents with temporomandibular disorder: study protocol for a randomized controlled trial

Authors: Camila Haddad Leal de Godoy, Paula Fernanda da Costa Silva, Deise Sales de Araujo, Lara Jansiski Motta, Daniela Aparecida Biasotto-Gonzalez, Fabiano Politti, Raquel Agnelli Mesquita-Ferrari, Kristianne Porta Santos Fernandes, Regiane Albertini, Sandra Kalil Bussadori

Published in: Trials | Issue 1/2013

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Abstract

Background

A number of problems involving the temporomandibular joint (TMJ) and associated structures can lead to temporomandibular disorder (TMD). The aim of the proposed study is to assess the effect of low-level laser therapy on occlusal contacts, mandibular movements, electromyography activity in the muscles of mastication and pain in adolescents with TMD.

Methods/Design

A randomized, controlled, double-blind, clinical trial will be carried out involving 85 male and female adolescents between 15 and 18 years of age. The research diagnostic criteria for TMD will be used to assess all individuals who agree to participate. All participants will be submitted to a clinical examination and electromyographic analysis of the masseter muscles and anterior bundle of the temporal muscles bilaterally, to determine TMD. Based on the clinical findings, the participants will be classified as having or not having TMD. Those with TMD will be divided into four groups, three of which will receive low-level laser therapy and one of which will receive a placebo treatment. The treatments will involve the TMJ region alone, the masseter and temporal muscles alone, or both these regions together. The data will be submitted to descriptive statistical analysis. The chi-square test and Fisher’s exact test will be used to determine associations among the categorical variables. The Student’s t test and analysis of variance will be used for the comparison of mean electromyographic signals. Pearson’s correlation coefficients will be calculated for the analysis of correlations among the continuous variables.

Trial registration

The protocol for this study has been submitted to Clinical Trials – registration number (NCT01846000).
Appendix
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Literature
1.
go back to reference Marini I, Gatto MR, Bonetti GA: Effects of superpulsed low-level laser therapy on temporomandibular joint pain. Clin J Pain. 2010, 26 (Suppl 7): 611-616.CrossRefPubMed Marini I, Gatto MR, Bonetti GA: Effects of superpulsed low-level laser therapy on temporomandibular joint pain. Clin J Pain. 2010, 26 (Suppl 7): 611-616.CrossRefPubMed
2.
go back to reference Andrade TNC, Frare JC: Estudo comparativo entre os efeitos de técnicas de terapia manual isoladas e associadas à laserterapia de baixa potência sobre a dor em pacientes com disfunção temporomandibular. Rev Gauch Odontol. 2008, 56 (Suppl 3): 287-295. Andrade TNC, Frare JC: Estudo comparativo entre os efeitos de técnicas de terapia manual isoladas e associadas à laserterapia de baixa potência sobre a dor em pacientes com disfunção temporomandibular. Rev Gauch Odontol. 2008, 56 (Suppl 3): 287-295.
3.
go back to reference Frare JC, Nicolau RA: Análise clínica do efeito da fotobiomodulação laser (GaAs – 904 nm) sobre a disfunção temporomandibular. Rev Bras Fisioter. 2008, 12 (Suppl 1): 37-42. Frare JC, Nicolau RA: Análise clínica do efeito da fotobiomodulação laser (GaAs – 904 nm) sobre a disfunção temporomandibular. Rev Bras Fisioter. 2008, 12 (Suppl 1): 37-42.
4.
go back to reference Biasotto-Gonzalez DA: Abordagem interdisciplinar das disfunções temporomandibulares. 2005, Barueri: Manole Biasotto-Gonzalez DA: Abordagem interdisciplinar das disfunções temporomandibulares. 2005, Barueri: Manole
5.
go back to reference Okson JP: Tratamento das desordens temporomandibulares e oclusão. 2008, Elsevier: Rio de Janeiro Okson JP: Tratamento das desordens temporomandibulares e oclusão. 2008, Elsevier: Rio de Janeiro
6.
go back to reference Netto BP, Maior BSS, Oliveira RG, Teixeira ML, Miranda ME: Laserterapia de baixa intensidade no tratamento de desordens temporomandibulares. R Fac Odontol Porto Alegre. 2007, 48: 88-91. Netto BP, Maior BSS, Oliveira RG, Teixeira ML, Miranda ME: Laserterapia de baixa intensidade no tratamento de desordens temporomandibulares. R Fac Odontol Porto Alegre. 2007, 48: 88-91.
7.
go back to reference Carrasco TG, Mazzetto MO, Mazzetto RG, Mestriner W: Low intensity laser therapy in temporomandibular disorder: a phase II double-blind study. J Craniomandibular Pract. 2008, 26 (Suppl 4): 274-281. Carrasco TG, Mazzetto MO, Mazzetto RG, Mestriner W: Low intensity laser therapy in temporomandibular disorder: a phase II double-blind study. J Craniomandibular Pract. 2008, 26 (Suppl 4): 274-281.
8.
go back to reference Liu ZJ, Yamagata K, Kasahara Y, Ito G: Electromyographic examination of jaw muscles in relation to symptoms and occlusion of patients with temporomandibular joint disorders. J Oral Rehabil. 1999, 26: 33-47. 10.1046/j.1365-2842.1999.00356.x.CrossRefPubMed Liu ZJ, Yamagata K, Kasahara Y, Ito G: Electromyographic examination of jaw muscles in relation to symptoms and occlusion of patients with temporomandibular joint disorders. J Oral Rehabil. 1999, 26: 33-47. 10.1046/j.1365-2842.1999.00356.x.CrossRefPubMed
9.
go back to reference Kato MT, Kogawa EM, Santos CN, Conti PCR: TENS and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci. 2006, 14 (Suppl 2): 130-135.PubMedPubMedCentral Kato MT, Kogawa EM, Santos CN, Conti PCR: TENS and low-level laser therapy in the management of temporomandibular disorders. J Appl Oral Sci. 2006, 14 (Suppl 2): 130-135.PubMedPubMedCentral
10.
go back to reference Crider AB, Glaros AG: A meta-analysis of EMG biofeedback treatment of temporomandibular disorders. J Orofac Pain. 1999, 13 (Suppl 1): 29-37.PubMed Crider AB, Glaros AG: A meta-analysis of EMG biofeedback treatment of temporomandibular disorders. J Orofac Pain. 1999, 13 (Suppl 1): 29-37.PubMed
11.
go back to reference Carvalho CM, Lacerda JA, Neto FPS, Castro ICV, Ramos TA, Lima FO, Luz JGC, Ramalho MJP, Santos JN, Pinheiro ALB: Evaluation of laser phototherapy in the inflammatory process of the rat’s TMJ induced by carrageenan. Photomed Laser Surg. 2011, 29 (Suppl 4): 245-254.CrossRefPubMed Carvalho CM, Lacerda JA, Neto FPS, Castro ICV, Ramos TA, Lima FO, Luz JGC, Ramalho MJP, Santos JN, Pinheiro ALB: Evaluation of laser phototherapy in the inflammatory process of the rat’s TMJ induced by carrageenan. Photomed Laser Surg. 2011, 29 (Suppl 4): 245-254.CrossRefPubMed
12.
go back to reference Fikácková H, Dostálová T, Navrátil L, Klaschka J: Effectiveness of low-level laser therapy in temporomandibular joint disorders: a placebo-controlled study. Photomed Laser Surg. 2007, 25 (Suppl 4): 297-303.CrossRefPubMed Fikácková H, Dostálová T, Navrátil L, Klaschka J: Effectiveness of low-level laser therapy in temporomandibular joint disorders: a placebo-controlled study. Photomed Laser Surg. 2007, 25 (Suppl 4): 297-303.CrossRefPubMed
13.
go back to reference Mazzetto MO, Hotta TH, Pizzo RCA: Measurements of jaw movements and TMJ pain intensity in patients treated with GaA1As laser. Braz Dent J. 2010, 21 (Suppl 4): 356-360.PubMed Mazzetto MO, Hotta TH, Pizzo RCA: Measurements of jaw movements and TMJ pain intensity in patients treated with GaA1As laser. Braz Dent J. 2010, 21 (Suppl 4): 356-360.PubMed
14.
go back to reference Carvalho CM, Lacerda JA, Neto FPS, Cangussu MCT, Marques AMC, Pinheiro ALB: Wavelength effect in temporomandibular joint pain: a clinical experience. Lasers Med Sci. 2010, 25: 229-232.CrossRefPubMed Carvalho CM, Lacerda JA, Neto FPS, Cangussu MCT, Marques AMC, Pinheiro ALB: Wavelength effect in temporomandibular joint pain: a clinical experience. Lasers Med Sci. 2010, 25: 229-232.CrossRefPubMed
15.
go back to reference Nassri LFG, Abdala N, Szejnfeld J, Nassri MRG: Análise comparativa entre os achados de eletromiografia do músculo facial masseter em indivíduos com e sem disfunção temporomandibular: parte I. RSBO. 2009, 6: 393-400. Nassri LFG, Abdala N, Szejnfeld J, Nassri MRG: Análise comparativa entre os achados de eletromiografia do músculo facial masseter em indivíduos com e sem disfunção temporomandibular: parte I. RSBO. 2009, 6: 393-400.
16.
go back to reference Nardi V, Campos MIG, Campos PSF, Nascimento MA: Eletromiografia e disfunção temporomandibular. R Ci Méd Biol. 2010, 9 (Suppl 1): 53-56. Nardi V, Campos MIG, Campos PSF, Nascimento MA: Eletromiografia e disfunção temporomandibular. R Ci Méd Biol. 2010, 9 (Suppl 1): 53-56.
17.
go back to reference Felício CM, Melchior MO, Silva MAMR, Celeghini RMS: Desempenho mastigatório em adultos relacionado com a desordem temporomandibular e com a oclusão. Pró- Fono Revista de Atualização Científica. 2007, 19 (Suppl 2): 151-158.CrossRefPubMed Felício CM, Melchior MO, Silva MAMR, Celeghini RMS: Desempenho mastigatório em adultos relacionado com a desordem temporomandibular e com a oclusão. Pró- Fono Revista de Atualização Científica. 2007, 19 (Suppl 2): 151-158.CrossRefPubMed
18.
go back to reference Torii K, Chiwata I: Occlusal adjustment using the bite plate-induced occlusal position as a reference position for temporomandibular disorders: a pilot study. Head Face Med. 2010, 6: 5-10.1186/1746-160X-6-5.CrossRefPubMedPubMedCentral Torii K, Chiwata I: Occlusal adjustment using the bite plate-induced occlusal position as a reference position for temporomandibular disorders: a pilot study. Head Face Med. 2010, 6: 5-10.1186/1746-160X-6-5.CrossRefPubMedPubMedCentral
19.
go back to reference Gutknecht N, Eduardo CP: A odontologia e o laser. 2004, São Paulo: Quintessence Gutknecht N, Eduardo CP: A odontologia e o laser. 2004, São Paulo: Quintessence
20.
go back to reference Ross G, Ross A: Low level lasers in dentistry. Gen Dent. 2008, 56 (7): 629-634.PubMed Ross G, Ross A: Low level lasers in dentistry. Gen Dent. 2008, 56 (7): 629-634.PubMed
21.
go back to reference Emshoff R, Bosch R, Pumpel E, Schoning 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 Radiol Endod. 2008, 105 (Suppl 4): 452-456.CrossRefPubMed Emshoff R, Bosch R, Pumpel E, Schoning 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 Radiol Endod. 2008, 105 (Suppl 4): 452-456.CrossRefPubMed
22.
go back to reference Shirani AM, Gutknecht N, Taghizadeh M, Mir M: Low-level laser therapy and myofacial pain dysfunction syndrome: a randomized controlled clinical trial. Lasers Med Sci. 2009, 24: 715-720. 10.1007/s10103-008-0624-5.CrossRefPubMed Shirani AM, Gutknecht N, Taghizadeh M, Mir M: Low-level laser therapy and myofacial pain dysfunction syndrome: a randomized controlled clinical trial. Lasers Med Sci. 2009, 24: 715-720. 10.1007/s10103-008-0624-5.CrossRefPubMed
23.
go back to reference Martens LC: Laser physics and a review of laser applications in dentistry for children. Eur Arch Paediatr Dent. 2011, 12 (Suppl 2): 61-67.CrossRefPubMed Martens LC: Laser physics and a review of laser applications in dentistry for children. Eur Arch Paediatr Dent. 2011, 12 (Suppl 2): 61-67.CrossRefPubMed
24.
go back to reference Venezian GC, Silva MAMR, 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. J Craniomandibular Pract. 2010, 28 (Suppl 2): 84-91. Venezian GC, Silva MAMR, 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. J Craniomandibular Pract. 2010, 28 (Suppl 2): 84-91.
25.
go back to reference Petrucci A, Sgolastra F, Gatto R, Mattei A, Monaco A: Effectiveness of low-level laser therapy in temporomandibular disorders: a systematic review and meta-analysis. J Orofac Pain. 2011, 25 (Suppl 4): 298-307.PubMed Petrucci A, Sgolastra F, Gatto R, Mattei A, Monaco A: Effectiveness of low-level laser therapy in temporomandibular disorders: a systematic review and meta-analysis. J Orofac Pain. 2011, 25 (Suppl 4): 298-307.PubMed
27.
go back to reference Hermens HJ, Freriks B, Merletti R, Rau G, Disselhorst-Klug C, Stegeman DF, Hagg GM: European Recommendations for Surface Electromyography – SENIAM. Deliverable 8. Biomedical and Health Research Program. 1999, Enschede: Roessingh Research and Development Hermens HJ, Freriks B, Merletti R, Rau G, Disselhorst-Klug C, Stegeman DF, Hagg GM: European Recommendations for Surface Electromyography – SENIAM. Deliverable 8. Biomedical and Health Research Program. 1999, Enschede: Roessingh Research and Development
28.
go back to reference Biasotto-Gonzalez DA, Berzin F, da Costa JM, de Gonzalez TO: Electromyographic study of stomatognathic system muscles during chewing of different materials. Eletromyogr Clin Neurophysiol. 2010, 50 (Suppl 2): 121-127. Biasotto-Gonzalez DA, Berzin F, da Costa JM, de Gonzalez TO: Electromyographic study of stomatognathic system muscles during chewing of different materials. Eletromyogr Clin Neurophysiol. 2010, 50 (Suppl 2): 121-127.
29.
go back to reference Moyers RE: Etiologia da Maloclusão. Ortodontia. 1991, Rio de Janeiro: Guanabara Koogan, 157-159. 212–237, 4 Moyers RE: Etiologia da Maloclusão. Ortodontia. 1991, Rio de Janeiro: Guanabara Koogan, 157-159. 212–237, 4
30.
go back to reference Koos B, Godt A, Schille C, Göz G: Precision of an instrumentation-based method of analyzing occlusion and its resulting distribution of forces in the dental arch. J Orofac Orthop. 2010, 71 (Suppl 6): 403-410.CrossRefPubMed Koos B, Godt A, Schille C, Göz G: Precision of an instrumentation-based method of analyzing occlusion and its resulting distribution of forces in the dental arch. J Orofac Orthop. 2010, 71 (Suppl 6): 403-410.CrossRefPubMed
31.
go back to reference Pereira Júnior FJ, Favilla EE, Dworkin S, Huggins K: Critérios de diagnóstico para pesquisa das disfunções temporomandibulares (RDC/TMD). Tradução oficial para a língua portuguesa. J Bras Clin Odontol Integr. 2004, 8 (Suppl 47): 384-395. Pereira Júnior FJ, Favilla EE, Dworkin S, Huggins K: Critérios de diagnóstico para pesquisa das disfunções temporomandibulares (RDC/TMD). Tradução oficial para a língua portuguesa. J Bras Clin Odontol Integr. 2004, 8 (Suppl 47): 384-395.
32.
go back to reference Arango HG, Mendes ST: Bioestatística: Teórica e Computacional. 2005, Guanabara Koogan: Rio de Janeiro, 2 Arango HG, Mendes ST: Bioestatística: Teórica e Computacional. 2005, Guanabara Koogan: Rio de Janeiro, 2
Metadata
Title
Evaluation of effect of low-level laser therapy on adolescents with temporomandibular disorder: study protocol for a randomized controlled trial
Authors
Camila Haddad Leal de Godoy
Paula Fernanda da Costa Silva
Deise Sales de Araujo
Lara Jansiski Motta
Daniela Aparecida Biasotto-Gonzalez
Fabiano Politti
Raquel Agnelli Mesquita-Ferrari
Kristianne Porta Santos Fernandes
Regiane Albertini
Sandra Kalil Bussadori
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Trials / Issue 1/2013
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/1745-6215-14-229

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