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The Effectiveness of Multimodality Treatment Including Stabilization Splint and Low-Level Laser Therapies on Managing
Zahra Afshari1, Nazieh Abdollah Kookhi2, Mahdi Shamali3
1Department of Prosthodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clinical and Experimental Dental Research
|January 31, 2025
Summary
Combining stabilization splint therapy (SST) with low-level laser therapy (LLLT) for temporomandibular disorder (TMD) significantly reduced pain and improved patient satisfaction more than individual therapies. This combined approach offers superior outcomes for TMD management.
Area of Science:
- Dentistry
- Pain Management
- Physical Therapy
Background:
- Temporomandibular disorder (TMD) presents diverse clinical issues affecting the temporomandibular joint and masticatory muscles.
- Common symptoms include pain, joint/muscle tenderness, and limited jaw movement.
- Evidence for combined modality treatment in TMD is limited.
Purpose of the Study:
- To evaluate the effectiveness of combining stabilization splint therapy (SST) with low-level laser therapy (LLLT) for TMD management.
- To compare the combined treatment (CT) efficacy against SST and LLLT alone.
Main Methods:
- A pilot parallel randomized clinical trial involving 30 TMD patients.
- Patients were randomized into three groups: SST, LLLT, and combined treatment (CT).
- Outcomes (pain, functional limitations) were assessed at baseline and weekly for four weeks.
Main Results:
- Combined treatment (CT) demonstrated significantly greater pain reduction in TMD patients compared to LLLT and SST.
- LLLT showed reduced pain but was less effective than SST at certain time points.
- Functional limitations improved over time, particularly in the CT group, with higher patient satisfaction.
Conclusions:
- The combined modality treatment (CT) yielded superior results compared to SST and LLLT alone for TMD.
- This pilot trial suggests that a combined approach may offer the greatest improvement for TMD patients.
Keywords:
low‐level laser therapymyofascial painorofacial painstabilization splinttemporomandibular disorders
