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Lasertherapy efficacy in temporomandibular disorders: control study
Authors:Thiago de Santana Santos  Marta Rabello Piva  Maria Helena Ribeiro  Antonio Azoubel Antunes  Auremir Rocha Melo  Emanuel Dias de Oliveira e Silva
Affiliation:1. Expert in Maxillo-Facial Surgery – Brazilian College of Maxillofacial Surgery; MSc student in Maxillofacial Surgery and Traumatology – Dentistry School of Pernambuco, FOP/UPE;2. PhD in Oral Pathology – Rio Grande do Norte University – UFRN, Professor of Oral Pathology of the Federal University of Sergipe, UFS;3. Expert in Endodontics – Federal University of Rio de Janeiro – UFRJ, Professor of Dentistry – Federal University of Sergipe – UFS;4. Expert in Maxillofacial Surgery and Traumatology – Dentistry School of Pernambuco – FOP/UPE., MSc Student in Maxillofacial Surgery and Traumatology – Dentistry School of Ribeirão Preto, FORB-USP;5. Expert in Maxillofacial Surgery – Brazilian College of Maxillo-Facial Surgery; MSc student in Maxillofacial Surgery and Traumatology – Dentistry School of Pernambuco, FOP/UPE;6. Expert in Maxillofacial Surgery and Traumatology, head of the Residency Program in Maxillofacial Surgery and Traumatology – Oswaldo Cruz University Hospital HUOC/UPE. Universidade Federal de Sergipe (UFS) Universidade de Pernambuco (UPE)
Abstract:Temporomandibular dysfunction is characterized by the presence of painful joint/muscular symptoms muscle in the face. The main justification for the use of lasers in laser therapy dysfunction is its analgesic effect, which was observed in most studies in the literature.Aim: We evaluated the effectiveness of laser therapy in the treatment of temporomandibular disorders.Methods: 50 volunteers with temporomandibular disorders were divided into two groups (control and experimental) had amplitudes of movements of mouth opening, right and left laterality recorded before and after laser application. Was also recorded, the score the individual gave to pain by visual analog scale and, through physical examination, the pain points. We used the AsGaAl laser with a 40mW power, with 80J/cm2 for 16 seconds at four selected points for just one session with reassessment after a week. Study design: Clinical.Results: It was noted that laser therapy increased the mean amplitude of mandibular movements (p = 0.0317) and decreased significantly (43.6%) the pain intensity measured by the visual analog scale.Conclusions: The laser decreases the painful symptoms of the patient after application through its analgesic and/or a placebo effect.
Keywords:lasers  temporomandibular joint dysfunction syndrome  temporomandibular joint disorders
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