Effect of low-level laser therapy in the treatment of temporomandibular disorder: Case report
DOI:
https://doi.org/10.33448/rsd-v10i6.15390Keywords:
Temporomandibular joint; Lasers; Laser therapy; Facial pain; Temporomandibular joint disorders.Abstract
Temporomandibular disorder (TMD) is a multifactorial pathology characterized, in most cases, by pain conditions that affect the temporomandibular joint and / or the orofacial muscles. There are several conservative therapeutic modalities, including low-level laser therapy or LLLT, which are used successfully for the management of TMD. The aim of this study was to report the case of a patient with temporomandibular disorder of muscular origin whose therapeutic approach was laser therapy and psychological monitoring. The selected patient was submitted to a 12-session laser therapy protocol with an AsGaAl diode laser (808 nm, 80mW, 120J / cm², continuous). The RDC / TMD axis I and II instrument was used to initially assess the patient. The variables: maximum mouth opening (measured in mm) and pain (mediated by the Visual Analogue Scale (VAS) 0-10; 0 with no pain and 10 with maximum pain) were analyzed during the sessions and at the end of treatment. According to the evaluation by EVA, there was a reduction in pain from 8 (pre-irradiation) to 1 (post-irradiation), and an improvement in mouth opening of 4mm. There was a positive result regarding the decrease in myofascial pain and improvement in the opening of the mouth due to the dysfunction presented by the patient. Therefore, laser therapy is a viable option in the control of TMD of muscular origin.
References
Aparicio J. H., Delgado E. V., Domìnguez J. A., Tosti A. E. & Escoda C.G. (2013). The use of low level laser therapy in the treatment of temporomandibular joint disorders. Review of the literature. Med Oral Patol Oral Cir Bucal. 18 (4): 603–612p.
Battistella C. B., Guimarães T. B., Quaglio C. L., Cabrini M. B. F, Martins D. A. G & Novo N. F. (2016). Fatores biopsicossociais do Eixo II dos Critérios de Diagnóstico para Pesquisa das Desordens Temporomandibulares em indivíduos com disfunção temporomandibular muscular e migrânea. Rev Dor. São Paulo; 17(1):19-23p.
Bessa-Nogueira R. V., Vasconcelos B. C. & Niederman R. (2008). The methodological quality of systematic reviews comparing temporomandibular joint disorder surgical and non-surgical treatment. BMC Oral Health. 26; 8:27p.
Carvalho A. A. F., Vieira J. B. & Oliveira L. Q. C. (2014). Imagens tomográficas e radiográficas de forma incomum de cisto de retenção mucoso no seio maxilar direito. Rev Odontol UNESP, 43(N Especial):301p.
Castillo D. B., Azato F. K., Coelho T. K., Pereira P. Z & Silva M. G. (2016). Estudo clínico da posição da cabeça e mandíbula em pacientes com disfunção temporomandibular muscular. Rev Dor. 17(2):88-92p.
Catão M. H. C. V., Oliveira P. S., Costa R. O. & Carneiro V. S. M. (2012) Avaliação da eficácia do laser de baixa intensidade no tratamento das disfunções têmporo-mandibular: estudo clínico randomizado. Rev. CEFAC. 15(6): 1601-1608p.
Cavalcanti T. M., Almeida-Barros R. Q., Catão M. H. C. V., Feitosa A. P. A. & Lins R. D. A. U. (2011). Conhecimento das propriedades físicas e da interação do laser com os tecidos biológicos na odontologia. An. Bras. Dermatol., Rio de Janeiro, 86 (5):. 955-960 p.
Dantas A. M. X., Santos E. J. L., Vilela R. M. & Lucena L. B. S. (2015) Perfil epidemiológico de pacientes atendidos em um Serviço de Controle da Dor Orofacial. Rev Odontol UNESP. 44(6): 313-319.
Dias I. F. L. D., Siqueira C. P. C. M. S., Filho D. O. T., Duarte J. L., Laureto E. & Lima F. M. (2009). Efeitos da luz em sistemas biológicos. Semina: Ciências Exatas e Tecnológicas. 30(1): 33-40p.
Dworkin S. F. & LeRresche L. (1992). Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord.6:301-5p.
Friedman M. H. (1993). Closed lock. A survey of 400 cases. Oral Surg Oral Med Oral Pathol. 75(4):422-7p.
Greenspan J. D. & Winfield J.A. (1992). Reversible pain and tactile déficits associated with a cerebral tumor compressing the posterior insula and parietal operculum. Pain. 50(1): 29-39p.
Henriques A. C. G., Cazal C. & Castro J. F. L. (2010). Ação da laserterapia no processo de proliferação e diferenciação celular. Revisão da literatura. Rev. Col. Bras. Cir. 37(4): 295-302p.
Lopez, V. J. (1986). El láser em tratamiento de las disfunciones de ATM. Rev Actual Estomatol Madrid. 46 (355):35-40p.
Ludke, M. & Andre, M. E. D. A. (2013). Pesquisas em educação: uma abordagem qualitativa. São Paulo: E.P.U.
Mcneely M. L., Olivo S. A. & Magee D. J. (2006). A systematic review of the effectiveness of physical therapy interventions for temporomandibular disorders. Phys Ther. 86(5):710-25p.
Piccin C. F., Pozzebon D., Chiodelli L., Boufleus J., Pasinato F. & Corrêa E. C. R. (2016). Aspectos clínicos e psicossociais avaliados por critérios de diagnóstico para disfunção temporomandibular. Rev. CEFAC. 18(1):113-119p.
Pozzebon D., Piccin C. F., Silva A. M. T. & Corrêa E. C. R. (2016). Disfunção temporomandibular e dor craniocervical em profissionais da área da enfermagem sob estresse no trabalho. Rev. CEFAC. 18(2):439-448p.
Quinto, C. A. (2000). Classificação e tratamento das disfunções temporomandibulares: qual o papel do fonoaudiólogo no tratamento dessas disfunções. Rev. Cefac, v.
Salmos-Brito J. A., de Menezes R. F., Teixeira C. E., Gonzaga R. K., Rodrigues B. H., Braz R., Bessa-Nogueira R. V. & Gerbi M. E. (2013). Evaluation of low-level laser therapy in patients with acute and chronic temporomandibular disorders. Lasers Med Sci. 28(1):57-64p.
Venancio R. A., Camparis C. M. & Lizarelli R. F. Z. (2002). Laser no Tratamento de Desordens Temporomandibulares. JBA, Curitiba, v.2, n.7, p.229-234.
Vera R. M. D. L. T., Grillo C. M., Fortinguerra M. L. B. & Sousa M. L. R., Berzin F. (2013). Acupuntura no manuseio da dor orofacial e do tinido. Relato de caso. Rev Dor. São Paulo, 14(3):226-30p.
Webster G., Ikino C. M. Y., Salles B. W., Lino A. R., Manoel E. M. & Filho W. C. (2011). Avaliação do efeito do tratamento de distúrbios temporomandibulares sobre o zumbido. Arq. Int. Otorrinolaringol. 15(3):327-332p.
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