Journal of oral rehabilitation · 2025
Isolated and Combined Laser Acupuncture and Occlusal Device Therapy in TMD Myalgia: A Randomised Controlled Clinical Trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
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Brant Camila Freire, da Costa Siqueira Letícia, Malaquias Lara Kramer Chiomark, de Assis Ariadne Juliany Goulart, Soares Lélio Fernando Ferreira, Contente Marta Maria Martins Giamatei, Pigossi Suzane Cristina, Almeida Daniel Augusto de Faria
Аннотация
BACKGROUND: This study aimed to assess the effectiveness of the occlusal device (OD), laser acupuncture therapy and their combination in treating temporomandibular dysfunction (TMD).
METHODS: A total of 104 participants (84 women and 20 men), diagnosed with TMD of Muscular Origin, were randomised into three groups: OD group (n = 34): OD; LAT group (n = 34): laser acupuncture (LAT) and ODLAT group (n = 36): OD and LAT. Pain intensity, mandibular mobility and oral health-related quality of life (OHIP-14) were assessed before treatment and at 0, 2, 4 and 12 weeks.
RESULTS: The three treatment modalities reduced self-reported pain (OD-p < 0.0001; LAT-p = 0.0005; ODLAT-p < 0.0001) and increased voluntary mouth opening over 12 weeks (OD-p = 0.0005; LAT-p < 0.0001; ODLAT-p < 0.0001). The ODLAT group experienced less pain than the OD group at weeks 2 (p < 0.0001) and 4 (p = 0.047) and showed greater mouth opening at weeks 2 (p = 0.002), 4 (p = 0.001), and 12 (p = 0.008). The LAT and ODLAT groups had significant improvements in pain reduction post-treatment at weeks 0 and 2 (p < 0.0001). The ODLAT group exhibited superior mouth opening after sessions at week 2 (p = 0.002), 4 (p = 0.001) and 12 (p = 0.008) in comparison with other groups. While all therapies reduced OHIP-14 scores, the ODLAT group exhibited significantly lower scores at re-evaluation (p = 0.003).
CONCLUSIONS: ODLAT therapy resulted in superior improvements in the myofascial pain symptoms in comparison to the individual treatments.
METHODS: A total of 104 participants (84 women and 20 men), diagnosed with TMD of Muscular Origin, were randomised into three groups: OD group (n = 34): OD; LAT group (n = 34): laser acupuncture (LAT) and ODLAT group (n = 36): OD and LAT. Pain intensity, mandibular mobility and oral health-related quality of life (OHIP-14) were assessed before treatment and at 0, 2, 4 and 12 weeks.
RESULTS: The three treatment modalities reduced self-reported pain (OD-p < 0.0001; LAT-p = 0.0005; ODLAT-p < 0.0001) and increased voluntary mouth opening over 12 weeks (OD-p = 0.0005; LAT-p < 0.0001; ODLAT-p < 0.0001). The ODLAT group experienced less pain than the OD group at weeks 2 (p < 0.0001) and 4 (p = 0.047) and showed greater mouth opening at weeks 2 (p = 0.002), 4 (p = 0.001), and 12 (p = 0.008). The LAT and ODLAT groups had significant improvements in pain reduction post-treatment at weeks 0 and 2 (p < 0.0001). The ODLAT group exhibited superior mouth opening after sessions at week 2 (p = 0.002), 4 (p = 0.001) and 12 (p = 0.008) in comparison with other groups. While all therapies reduced OHIP-14 scores, the ODLAT group exhibited significantly lower scores at re-evaluation (p = 0.003).
CONCLUSIONS: ODLAT therapy resulted in superior improvements in the myofascial pain symptoms in comparison to the individual treatments.