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Photobiomodulation in Temporomandibular Disorders.
Photobiomodul Photomed Laser Surg 2019; 37(12):826-836PP

Abstract

Objective:

This systematic review aimed to comprehensively review all available documents regarding photobiomodulation therapy (PBMT) application in temporomandibular disorder (TMD) patients and to suggest an evidence-based protocol for therapeutic PBM administration for these patients. Background data: The existence of temporomandibular joint and/or pain and dysfunction in masticatory muscles is characterized in TMDs. PBMT is, due to its impact on biological processes, especially inflammation, considered as an adjuvant treatment modality in TMD cases. Materials and methods: All original articles related to PBMT for TMDs in EMBASE, MEDLINE (NCBI PubMed and PMC), Cochrane library, Scopus, Web of Science, and Google Scholar were reviewed until December 2018.

Results:

The energy density ranging from 0.75 to 112.5 J/cm2 with 0.9-500 mW power was found to be a window protocol for light application. The best results for pain relief and mandibular movement enhancement were reported after application of GaAlAs diode laser, 800-900 nm, 100-500 mW, and <10 J/cm2, twice a week for 30 days on trigger points. The session of light applications varied from 1 to 20.

Conclusions:

Although most articles showed that PBMT is effective in reducing pain and contributed to functional enhancement in TMD patients, the heterogenic parameters that have been reported in various studies made the standardization of PBMT complicated. However, such evidence-based consensus can be beneficial for both future research and for clinical applications.

Authors+Show Affiliations

Private Practice, Swedish Laser Medical Society (SLMS), Stockholm, Sweden.School of Dentistry, The University of Queensland, Brisbane, Australia.Radiation Sciences Research Center, Laser Research Center in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran. International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31770071

Citation

Tunér, Jan, et al. "Photobiomodulation in Temporomandibular Disorders." Photobiomodulation, Photomedicine, and Laser Surgery, vol. 37, no. 12, 2019, pp. 826-836.
Tunér J, Hosseinpour S, Fekrazad R. Photobiomodulation in Temporomandibular Disorders. Photobiomodul Photomed Laser Surg. 2019;37(12):826-836.
Tunér, J., Hosseinpour, S., & Fekrazad, R. (2019). Photobiomodulation in Temporomandibular Disorders. Photobiomodulation, Photomedicine, and Laser Surgery, 37(12), pp. 826-836. doi:10.1089/photob.2019.4705.
Tunér J, Hosseinpour S, Fekrazad R. Photobiomodulation in Temporomandibular Disorders. Photobiomodul Photomed Laser Surg. 2019;37(12):826-836. PubMed PMID: 31770071.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Photobiomodulation in Temporomandibular Disorders. AU - Tunér,Jan, AU - Hosseinpour,Sepanta, AU - Fekrazad,Reza, Y1 - 2019/11/26/ PY - 2019/11/27/pubmed PY - 2019/11/27/medline PY - 2019/11/27/entrez KW - low-level laser therapy KW - photobiomodulation KW - temporomandibular disorder KW - temporomandibular joint SP - 826 EP - 836 JF - Photobiomodulation, photomedicine, and laser surgery JO - Photobiomodul Photomed Laser Surg VL - 37 IS - 12 N2 - Objective: This systematic review aimed to comprehensively review all available documents regarding photobiomodulation therapy (PBMT) application in temporomandibular disorder (TMD) patients and to suggest an evidence-based protocol for therapeutic PBM administration for these patients. Background data: The existence of temporomandibular joint and/or pain and dysfunction in masticatory muscles is characterized in TMDs. PBMT is, due to its impact on biological processes, especially inflammation, considered as an adjuvant treatment modality in TMD cases. Materials and methods: All original articles related to PBMT for TMDs in EMBASE, MEDLINE (NCBI PubMed and PMC), Cochrane library, Scopus, Web of Science, and Google Scholar were reviewed until December 2018. Results: The energy density ranging from 0.75 to 112.5 J/cm2 with 0.9-500 mW power was found to be a window protocol for light application. The best results for pain relief and mandibular movement enhancement were reported after application of GaAlAs diode laser, 800-900 nm, 100-500 mW, and <10 J/cm2, twice a week for 30 days on trigger points. The session of light applications varied from 1 to 20. Conclusions: Although most articles showed that PBMT is effective in reducing pain and contributed to functional enhancement in TMD patients, the heterogenic parameters that have been reported in various studies made the standardization of PBMT complicated. However, such evidence-based consensus can be beneficial for both future research and for clinical applications. SN - 2578-5478 UR - https://www.unboundmedicine.com/medline/citation/31770071/Photobiomodulation_in_Temporomandibular_Disorders L2 - https://www.liebertpub.com/doi/full/10.1089/photob.2019.4705?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -