Effects of photobiomodulation therapy in patients diagnosed with temporomandibular dysfunction of Coari municipality: case report
Keywords:Temporomandibular joint; Photobiomodulation; Pain; Range of motion; Temperature.
Temporomandibular dysfunction (TMD) is defined as a group of heterogeneous disorders and clinical problems that involve the masticatory muscles, temporomandibular joint (TMJ), and other structures of the orofacial region. Among the non-invasive therapeutic modalities, photobiomodulation therapy (PBMT) has been widely used in the treatment of musculoskeletal disorders because of its positive effects in reducing pain, inflammation and optimizing tissue repair processes. The aim of this study was to analyze the effects of PBMT in the treatment of TMD, aiming at reducing pain and improving joint range of motion, as well as to compare muscle condition before and after irradiation by measuring localized temperature. This is a case report, with 2 participants. Pain was assessed by visual analog scale (VAS), joint range of motion by pachymeter, and temperature by thermography. They were evaluated before and after a protocol of 9 sessions of TFBM with low power laser (GaAs) with the following parameters: wavelength 790 nm, average power density 0.12mWcm2, energy density 6J/cm2. There was a reduction in pain and an increase in TMJ joint range of motion. In addition, PBMT was not shown to have an effect on facial temperature.
Ahrari, F., Madani, A. S., Ghafouri, Z. S., & Tunér, J. (2014). The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers in medical science, 29(2), 551–557. https://doi.org/10.1007/s10103-012-1253-6
Bjordal, J. M., Lopes-Martins, R. A. B., Joensen, J., & Iversen, V. V. (2010). The anti-inflammatory mechanism of low level laser therapy and its relevance for clinical use in physiotherapy. Physical Therapy Reviews, 15(4), 286-293. https://doi.org/10.1179/1743288X10Y.0000000001
Catão, M., Oliveira, P., & Costa, R. (2013). Avaliação da eficácia do laser de baixa intensidade no Tratamento das disfunções temporomandibulares: um estudo clínico randomizado. Revista CEFAC, 15(6):1601-1608.
Çetiner, S., & Kahraman, Y. (2006). Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Revista Photomedicine and Laser Surgery. 24(5):637–641.
Costa, D. R., Costa, D. R., Delpasso, C. A., Pessoa, D. R., Ribeiro, L. A. P., Ribeiro, C. A. D., & Nicolau, R. A. (2022). Time response of increases in muscle performance after Low-Level Laser Therapy (LLLT) in weight training practitioners. Revista Brasileira De Educação Física E Esporte, 36, e36172426. https://doi.org/10.11606/issn.1981-4690.2022e36172426
Costa, D. R., Costa, D. R., Pacetti, G. A., & Nicolau, R. A. (2018). Wavelet transformado na análise do efeito da terapia LED sobre a atividade dos músculos masseteres em mulheres com disfunção temporomandibular. Scientia Medica, 28 (2), ID29045. https://doi.org/10.15448/1980-6108.2018.2.29045
Costa, D. R., Costa, D. R., Pessoa, D. R., Masulo, L. J., Arisawa, E., Ângela, L. S., & Nicolau, R. A. (2017). Efeito da terapia LED na disfunção temporomandibular: um estudo de caso. Scientia Medica, 27 (2), ID25872. https://doi.org/10.15448/1980-6108.2017.2.2587
Costa, D. R., Delpasso, C. A., Ribeiro, L. A. P., Maciel, T. S., & Costa, D. R. (2021a). Fotobiomodulação empregada no tratamento e/ou prevenção da fadiga muscular em humanos: Direcionamento para a empregabilidade clínica. Research, Society and Development, 10(4), e24410414126. https://doi.org/10.33448/rsd-v10i4.14126
Costa, D. R., Pessoa, D. R., Seefeldt, V. B., Costa, D. R., Maia, D., Maciel, T. S., Mota, B., Delpasso, C. A., Ribeiro, C., & Nicolau, R. A. (2021b). Orofacial evaluation of individuals with temporomandibular disorder after LED therapy associated or not of occlusal splint: a randomized double-blind controlled clinical study. Lasers in medical science, 36(8), 1681–1689. https://doi.org/10.1007/s10103-021-03269-2
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 surgery, oral medicine, oral pathology, oral radiology, and endodontics, 105(4), 452–456. https://doi.org/10.1016/j.tripleo.2007.09.012
Furto, E. S., Cleland, J. A., Whitman, J. M., Olson, K. A. (2006). Manual physical therapy interventions and exercise for patients with temporomandibular disorders. Cranio : the journal of craniomandibular practice. 24(4), 283-291. https://doi.org/10.1179/crn.2006.044
Gendron, D. J., & Hamblin, M. R. (2019). Applications of Photobiomodulation Therapy to Musculoskeletal Disorders and Osteoarthritis with Particular Relevance to Canada. Photobiomodulation, photomedicine, and laser surgery, 37(7), 408–420. https://doi.org/10.1089/photob.2018.4597
Greene, C. S., & Manfredini, D. (2021). Transitioning to chronic temporomandibular disorder pain: A combination of patient vulnerabilities and iatrogenesis. Journal of oral rehabilitation, 48(9), 1077–1088. https://doi.org/10.1111/joor.13180
Greene, C. S., Klasser, G. D., & Epstein, J. B. (2010). Revision of the American Association of Dental Research's Science Information Statement about Temporomandibular Disorders. Journal (Canadian Dental Association), 76, a115.
Herpich, C. M., Leal-Junior, E., Gomes, C., Gloria, I., Amaral, A. P., Amaral, M., Politti, F., & Biasotto-Gonzalez, D. A. (2018). Immediate and short-term effects of phototherapy on pain, muscle activity, and joint mobility in women with temporomandibular disorder: a randomized, double-blind, placebo-controlled, clinical trial. Disability and rehabilitation, 40(19), 2318–2324. https://doi.org/10.1080/09638288.2017.1336648
Huang, Y. Y., Chen, A. C., Carroll, J. D., & Hamblin, M. R. (2009). Biphasic dose response in low level light therapy. Dose-response: a publication of International Hormesis Society, 7(4), 358–383. https://doi.org/10.2203/dose-response.09-027.Hamblin
Joensen, J., Demmink, J. H., Johnson, M. I., Iversen, V. V., Lopes-Martins, R. Á., & Bjordal, J. M. (2011). The thermal effects of therapeutic lasers with 810 and 904 nm wavelengths on human skin. Photomedicine and laser surgery, 29(3), 145–153. https://doi.org/10.1089/pho.2010.2793
Leal, M. V. S., Lima, M. O., Costa, D. R., Nicolau, R. A., Ribeiro, L. A. P., Costa, D. R., Carvallho, T. M. T., Silva, K. N. G., Pessoa, D. R., & Arisawa, E. A. L. S. (2022). Avaliação dos efeitos da fotobiomodulação (808 nm) na dor e na qualidade de vida de pacientes com neuropatia diabética. Research, Society and Development, 11(2), e26211225552. https://doi.org/10.33448/rsd-v11i2.25552
Maia, M. L., Bonjardim, L. R., Quintans, J., Ribeiro, M. A., Maia, L. G., & Conti, P. C. (2012). Effect of low-level laser therapy on pain levels in patients with temporomandibular disorders: a systematic review. Journal of applied oral science: revista FOB, 20(6), 594–602. https://doi.org/10.1590/s1678-77572012000600002
Mazzetto, M. O., Hotta, T. H., & Pizzo, R. C. (2010). Measurements of jaw movements and TMJ pain intensity in patients treated with GaAlAs laser. Brazilian dental journal, 21(4), 356–360. https://doi.org/10.1590/s0103-64402010000400012
Panhoca, V. H., Lizarelli, R., Nunez, S. C., Pizzo, R. C., Grecco, C., Paolillo, F. R., & Bagnato, V. S. (2015). Comparative clinical study of light analgesic effect on temporomandibular disorder (TMD) using red and infrared led therapy. Lasers in medical science, 30(2), 815–822. https://doi.org/10.1007/s10103-013-1444-9
Pessoa, D. R., Costa, D. R., Prianti, B. M., Costa, D. R., Delpasso, C. A., Arisawa, E., & Nicolau, R. A. (2018). Association of facial massage, dry needling, and laser therapy in Temporomandibular Disorder: case report. CoDAS, 30(6), e20170265. https://doi.org/10.1590/2317-1782/20182017265
Silva, P. F., Marqueti, M. M., Magri, A. M. P., Lodovichi, S. E., Santos, L. H. G. (2012). Functional evaluation of temporomandibular joint disorders after bioestimulation combined with kinesiotherapy. Revista Fisioterapia Brasil. 13(4):264-271.
Stamborowski, S. F., de Oliveira Spinelli, B. M., Lima, F., Costa, D. R., de Silveira Souza, G. A., Lima, M. O., & Lopes Martins, R. (2021). The influence of photobiomodulation on the temperature of the brachial biceps during muscle fatigue protocol. Lasers in medical science, 36(8), 1741–1749. https://doi.org/10.1007/s10103-021-03360-8
Venezian, G. C., da Silva, M. A., Mazzetto, R. G., & Mazzetto, M. O. (2010). Low level laser effects on pain to palpation and electromyographic activity in TMD patients: a double-blind, randomized, placebo-controlled study. Cranio: the journal of craniomandibular practice, 28(2), 84–91. https://doi.org/10.1179/crn.2010.012
How to Cite
Copyright (c) 2022 Karolayne Souto de Souza; Davidson Ribeiro Costa; Tatiana Araújo da Silva; Daniel de Oliveira Lima; William Bezerra Leite; Thiago dos Santos Maciel
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.