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Photobiomodulation in Temporomandibular Disorders.

Jan Tunér1, Sepanta Hosseinpour2, Reza Fekrazad3,4

  • 1Private Practice, Swedish Laser Medical Society (SLMS), Stockholm, Sweden.

Photobiomodulation, Photomedicine, and Laser Surgery
|November 27, 2019
PubMed
Summary
This summary is machine-generated.

Photobiomodulation therapy (PBMT) effectively reduces pain and improves function in temporomandibular disorder (TMD) patients. Specific parameters, including GaAlAs diode laser at 800-900 nm, show promising results for pain relief and enhanced mandibular movement.

Keywords:
low-level laser therapyphotobiomodulationtemporomandibular disordertemporomandibular joint

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Area of Science:

  • Biomedical Engineering
  • Laser Therapy
  • Pain Management

Background:

  • Temporomandibular disorders (TMDs) involve temporomandibular joint dysfunction and masticatory muscle pain.
  • Photobiomodulation therapy (PBMT) is explored as an adjunctive treatment for TMD due to its anti-inflammatory effects.
  • Standardized protocols for PBMT in TMD are lacking, necessitating a comprehensive review.

Purpose of the Study:

  • To systematically review all available literature on PBMT for TMD patients.
  • To propose an evidence-based protocol for therapeutic PBMT administration in TMD.
  • To identify optimal parameters for PBMT in managing TMD symptoms.

Main Methods:

  • A systematic review of original articles on PBMT for TMDs was conducted.
  • Databases searched included EMBASE, MEDLINE, Cochrane Library, Scopus, Web of Science, and Google Scholar.
  • Data extraction focused on PBMT parameters, application sites, and reported outcomes.

Main Results:

  • PBMT demonstrated effectiveness in reducing pain and improving mandibular function in TMD patients.
  • Optimal parameters identified include GaAlAs diode laser (800-900 nm, 100-500 mW, <10 J/cm²), applied twice weekly for 30 days on trigger points.
  • Reported energy densities ranged from 0.75 to 112.5 J/cm² with power from 0.9-500 mW.

Conclusions:

  • PBMT is a promising therapeutic option for managing TMD symptoms, particularly pain and functional deficits.
  • Despite positive outcomes, heterogeneity in study parameters complicates standardization.
  • Further research with standardized protocols is recommended for clinical application and future studies.