Effect of LED therapy on temporomandibular disorder: a case study
DOI:
https://doi.org/10.15448/1980-6108.2017.2.25872Keywords:
temporomandibular joint dysfunction syndrome, phototherapy, low-level light therapy.Abstract
*** Effect of LED therapy on temporomandibular disorder: a case study ***
AIMS: To evaluate the effect of light emitting diode (LED) therapy on temporomandibular disorder.
CASE DESCRIPTION: A woman diagnosed with temporomandibular disorder was subjected to four LED therapy sessions at a seven-day interval. In the initial examination of the temporomandibular joint the patient presented a mouth opening without pain of 23 mm, a maximum opening of 25 mm and a maximum opening with the aid of 27 mm. After the treatment, there was an increase of 7 mm in the opening without pain between the first and last evaluation, while the maximum opening of the mouth and the maximum opening with aid increased 6 mm between the first and last evaluation. After 21 days of treatment, a 50% reduction in painful sites was detected on the palpation examination. After the end of the treatment, the visual analog pain scale detected a decrease in pain intensity on both sides, and there was a decrease in the total mean pain intensity. By analyzing the responses to the Medical Outcomes Study 36-item Short Form Health Survey (SF-36), of the eight quality of life domains evaluated, four showed improvement.
CONCLUSIONS: In this case study, after LED therapy there was reduction in pain intensity and increase of the mandibular range of motion. The resolution of the signs and symptoms of temporomandibular disorder resulted in patient’s better quality of life.
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Costa DR, Ribeiro-Costa D, Delpasso CA, Prianti BM, Masulo LJ, Seefeldt VB, Nicolau RA. Fototerapia de baixa intensidade no tratamento de desordens temporomandibulares: métodos de avaliação e aspectos atuais. XV Encontro Latino-americano de Pós- Graduação – Universidade do Vale do Paraíba: 2015 22,23 Oct; São José dos Campos, SP, Brazil: UNIVAP; 2015.
Demirkol N, Sari F, Bulbul M, Demirkol M, Simsek I, Usumez A. Effectiveness of occlusal splints and low-level laser therapy on myofascial pain. Lasers Med Sci. 2014:30(3):1007-12. https://doi.org/10.1007/s10103-014-1522-7
Oliveira W. Disfunções Temporomandibulares. Volume único. São Paulo: Artes Médicas, 2002.
Panhoca VH, Lizarelli RZ, Nunez SC, Pizzo RA, Grecco C, Paolollo FR, Bagnato VS. Comparative clinical study of light analgesic effecton temporomandibular disorder (TMD) using red and infrared led therapy F. Lasers Med Sci. 2015:30(2):815–22. https://doi.org/10.1007/s10103-013-1444-9
Rodrigues JH, Marques MM, Biasotto-gonzalez DA, Moreira MS, Bussadori SK, Mesquita-ferrari RA, Martins MD. Evaluation of pain, jaw movements, and psychosocial factors in elderly individuals with temporomandibular disorder under laser phototherapy. Lasers Med Sci. 2015:30(3):953-9. https://doi.org/10.1007/s10103-013-1514-z
Pereira TS, Flecha OD, Guimarães RC, Oliveira D, Botelho AM, Glória JCR, Tavano KA. Efficacy of red and infrared lasers in treatment of temporomandibular disorder - a double blind, randomized, parallel clinical trial. Cranio. 2014:32(1):51-56. https://doi.org/10.1179/0886963413Z.0000000005
Catão MCV, Oliveira OS, Costa RO, Carneiro VSM. Avaliação da eficácia do laser de baixa intensidade no tratamento das disfunções temporo-mandibular: estudo clínico randomizado. Rev CEFAC. 2013:15(6):1601-08. https://doi.org/10.1590/S1516-18462013005000052
Lizarelli RFZ, Miguel FAC, Freitas–Pontes KM, Villa GEP, Nunez SC, Bagnato VS. Dentin hypersensitivity clinical study comparing LILT and LEDT keeping the same irradiation parameters. Med Phys. 2010:7(11):805–11. https://doi.org/10.1002/lapl.201010060
Godoy CH, Silva PF, Araujo DS, Motta LJ, Biasotto-Gonzalez DA, Politti F, Mesquita-ferrari RA, Fernandes KP, Albertini R, Bussadori SK. Evaluation of effect of low-level laser therapy on adolescents with temporomandibular disorder: study protocol for a randomized controlled trial. Trials. 2012:14(229). https://doi.org/10.1186/1745-6215-14-229
Ahrari F, Madani AS, Ghafouri ZS, Tunér J. The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci. 2014:29(2):551-7. https://doi.org/10.1007/s10103-012-1253-6
Gökçen-röhlig B, KipirdI S, Baca E, Keskin H, Sato S. Evaluation of orofacial function in temporomandibular disorder patients after low-level laser therapy. Acta Odontol Scand. 2013:71(5):1112-7. https://doi.org/10.3109/00016357.2012.749517
Carvalho CM, Lacerda JÁ, Santos neto FP, Cangussu MC, Marques AM, Pinheiro AL. Wavelength effect in temporomandibular joint pain: a clinical experience. Lasers Med Sci. 2010:25(2):229-32. https://doi.org/10.1007/s10103-009-0695-y
Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. Cranio. 1992:6:339-342.
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma M. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras de Reumatol. 1999:39(3):143-50.
Ruaro JA, Ruaro MB, Frez AR, Daniel CR, Nicolau RA. Qualidade de vida em mulheres com fibromialgia submetidas à laserterapia de baixa intensidade. R Bras Qual Vida. 2014:6(1):46-52. https://doi.org/10.3895/S2175-08582014000100006
Ruckenstuhl P, Gerwin AB, Sadoghi P, Glehr M, Holzer LA, Leithner A, Wolf M, Gruber G. Quality of life after volar locked plating: a 10-year follow-up study of patients with intra-articular distal radius fractures. BMC Musculoskelet Disord. 2014:15(250). https://doi.org/10.1186/1471-2474-15-250
Villalonga LR, Viniegras CR, Seucjo AH, Leonard DP, Diaz LC, Migues MB. Linfedema y calidad de vida. Rev Cuba Angiol Cir Vasc. 2012:13(1).
Pimenta FA, Simil FF, Tôrres HO, Amaral CF, Rezende CF, Coelho TO, Rezende NA. Avaliação da qualidade de vida de aposentados com a utilização do questionário SF-36. Rev Assoc Med Bras. 2008:54(1): 55-60. https://doi.org/10.1590/S0104-42302008000100021
Frare JC, Nicolau RA. Análise clínica do efeito da fotobiomodulação laser (GaAs – 904 nm) sobre a disfunção temporomandibular. Rev Bras Fisioter. 2008:12(1):37-42. https://doi.org/10.1590/S1413-35552008000100008
Dostalová T, Hlinakova P, Kasparova M, Rehacek A, Vavrickova L, Navrátil L. Effectiveness of physiotherapy and GaAlAs laser in the management of temporomandibular joint disorders. Photomed Laser Surg. 2012:30(5):275-80. https://doi.org/10.1089/pho.2011.3171
Ferreira CLB, Nicolau RA, Oliveira MA, Costa DR, Prianti Júnior ACG. Efeito da terapia LED (λ = 945 ± 20 nm) de baixa intensidade sobre tecido epitelial de ratos diabéticos em processo de reparo. Rev Bras Eng Bioméd. 2013:29(4):404-13.
Giuliani A, Lorenzini L, Gallamini M, Massell A, Giardino L, Calzà L. Low infrared laser light irradiation on cultured neural cells: effects on mitochondria and cell viability after oxidative stress. Complementary and Alternative Medicine. 2009:9(8):1-10.
Piva JAAC, Abreu EMC, Silva VS, Nicolau RA. Ação da terapia com laser de baixa potência nas fases iniciais do reparo tecidual: princípios básicos. Arq Bras Dermatol. 2011:86(5):947-54. https://doi.org/10.1590/S0365-05962011000500013
Ricci R. Estudo in vitro da bioestimulação de células endoteliais em resposta a diferentes dosimetrias do laser de semicondutor fosfeto de índio-gálio-alumínio [dissertation]. [São José dos Campos]: Instituto de Pesquisa & Desenvolvimento, Universidade do Vale do Paraíba; 2003. 109p.
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