Orofacial evaluation of individuals with temporomandibular disorder after LED therapy associated or not of occlusal splint: a randomized double-blind controlled clinical study
Authors:
- Davidson Ribeiro CostaDCDavidson Ribeiro Costa
- Diego Rodrigues PessoaDPDiego Rodrigues Pessoa
- Vanessa Borelli SeefeldtVSVanessa Borelli Seefeldt
- Daniel Tineu Leite MaiaDMDaniel Tineu Leite Maia
- Thiago dos Santos MacielTMThiago dos Santos Maciel
- Brenda Barros Magalhães MotaBMBrenda Barros Magalhães Mota
- Carolina Alves DelpassoCDCarolina Alves Delpasso
- Renata Amadei NicolauRNRenata Amadei Nicolau
- 22 February 2021
- journal article
- research article
- Published by Springer Nature in Lasers in Medical Science
- Vol. 36 (8) , 1681-1689
Abstract
This study compared the effects of LED therapy associated with occlusal splint (OS) on the signs and symptoms of temporomandibular disorder (TMD). In this randomized, double-blind clinical trial, 70 TMD patients were randomly divided into six groups. The volunteers received the following treatments: Group 1 (G1) was the control and received only conventional therapy with OS; Group 2 (G2) was the placebo and received treatment with OS and therapy with LED (device turned off); Group 3 (G3) LED therapy (infrared,) once a week; Group 4 (G4) LED therapy (infrared) twice a week; Group 5 (G5) OS associated with LED (infrared) therapy (once a week); Group 6 (G6) received OS therapy plus infrared LED (two sessions per week). The patients were evaluated before, after, and 30 days after treatment. The pain intensity in masticatory system was recorded at each interval. The evaluation of the electromyographic signals (EMG) of the muscles (masseter and temporal) and blood lactate was performed before and after treatment. The associated groups presented better clinical results in relation to the control. The associated groups showed significant differences (p < 0.05) from control in the analysis of pain intensity and in decrease of the RMS value (EMG analysis). In the intragroup analysis, the volunteers in G6 exhibited a significant reduction (p < 0.05) in blood lactate. In conclusion, the association of LED therapy and OS presented superior results in relation to the isolated therapies, especially the protocol with two weekly sessions.Keywords
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