Effectiveness of occlusal splints and low-level laser therapy on myofascial pain

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• 作者：Nermin Demirkol ; Fatih Sari ; Mehmet Bulbul ; Mehmet Demirkol…
• 关键词：Low ; level laser therapy ; Nd ; YAG laser ; Myofascial pain ; Occlusal splint
• 刊名：Lasers in Medical Science
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：30
• 期：3
• 页码：1007-1012
• 全文大小：292 KB
• 参考文献：1. Venezian, GC, Silva, MA, Mazzetto, RG, Mazzetto, MO (2010) Low level laser effect on pain to palpation and electromyographic activity in TMD patients a double-blind, randomized, placebo-controlled study. Cranio 28: pp. 84-91
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  7. Fernández-Carnero, J, Touche, R, Ortega-Santiago, R, Galan-del-Rio, F, Pesquera, J, Ge, HY, Fernández-de-Las-Pe?as, C (2010) Short-term effects of dry needling of active myofascial trigger points in the masseter muscle in patients with temporomandibular disorders. J Orofac Pain 24: pp. 106-112
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  10. ?z, S, G?k?en-R?hlig, B, Saruhanoglu, A, Tuncer, EB (2010) Management of myofascial pain: low-level laser therapy versus occlusal splints. J Craniofac Surg 21: pp. 1722-1728 CrossRef
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• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Medicine/Public Health, general
  Dentistry
  Laser Technology and Physics and Photonics
  Quantum Optics, Quantum Electronics and Nonlinear Optics
  Applied Optics, Optoelectronics and Optical Devices
  
• 出版者：Springer London
• ISSN：1435-604X

文摘

The present study was designed to evaluate the effects of low-level laser (Nd:YAG) therapy and occlusal splints in patients with signs and symptoms of temporomandibular disorders (TMD) characterized with myofascial pain (MP). A total of 30 patients were selected after being diagnosed with MP according to the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TDM). The patients were divided into three groups. The first group was occlusal splint (OS) group A (n--0), the second was low-level laser therapy (LLLT) group B (n--0), and the last group C was placebo (n--0). LLLT (1,064?nm, 8?j/cm2, 250?mW, Fotona) was applied to the patients in the study group once a day for 10?days, for a total of ten sessions. The same parameters and application times were used for placebo group, but the patients were not irradiated. The application was on the trigger points. The patients in the OS group were instructed to wear occlusal splints 12?h/day for 3?weeks. Functional examination was based on RDC/TDM, and pressure pain values were obtained with the Visual Analog Scale. Comparisons were made between the groups before and after the treatment according to Wilcoxon, Mann–Whitney U, and Kruskal–Wallis tests. The pain score values decreased significantly after both LLLT (p--.05) and occlusal splint therapy (p--.05) compared to placebo group (p--.05). There was no significant difference between LLLT and OS groups after treatment (p--.05). OS and LLLT are effective for decreasing MP. In addition, this particular type of LLLT is as effective as occlusal splint for pain relief.