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The use of low level laser therapy in the treatment of temporomandibular joint disorders. Review of the literature

机译:低水平激光疗法在颞下颌治疗中的应用关节疾病。文献回顾

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摘要

Introduction: The temporomandibular disorders (TMDs) have been identified as the most important cause of pain in the facial region. The low level laser therapy (LLLT) has demonstrated to have an analgesic, anti-inflammatory and biostimulating effects. The LLLT is a noninvasive, quick and safe, non-pharmaceutical intervention that may be beneficial for patients with TMDs. However the clinical efficiency of LLLT in the treatment of this kind of disorders is controversial. Objectives: Literature review in reference to the use of LLLT in the treatment of TMDs, considering the scientific evidence level of the published studies. Material and Methods: A MEDLINE and COCHRANE database search was made for articles. The keywords used were “temporomandibular disorders” and “low level laser therapy” or “phototherapy” and by means of the Boolean operator “AND”. The search provided a bank of 35 articles, and 16 relevant articles were selected to this review. These articles were critically analyzed and classified according to their level of scientific evidence. This analysis produced 3 literature review articles and 13 are clinical trials. The SORT criteria (Strength of Recommendation Taxonomy) was used to classify the articles. Results: Only one article presented an evidence level 1, twelve presented an evidence level 2, and three presented an evidence level 3. According to the principle of evidence-based dentistry, currently there is a scientific evidence level B in favor of using LLLT for treatment of TMDs. Discussion and conclusions: Publications on the use of LLLT for treatment of TMDs are limited making difficult to compare the different studies due to the great variability of the studied variables and the selected laser parameters. The great majority of the studies concluded that the results should be taken with caution due to the methodological limitations. > Key words:Low level laser therapy; phototherapy; temporomandibular joint disorders.
机译:简介:颞下颌疾病(TMD)已被确定为面部区域疼痛的最重要原因。低水平激光疗法(LLLT)已证明具有止痛,抗炎和生物刺激作用。 LLLT是一种无创,快速,安全,无药物的干预措施,可能对TMD患者有益。然而,LLLT在治疗此类疾病中的临床疗效尚存争议。目的:考虑到已发表研究的科学证据水平,文献综述涉及使用LLLT治疗TMDs。材料和方法:对MEDLINE和COCHRANE数据库进行了文章搜索。所使用的关键词是“颞下颌疾病”和“低水平激光疗法”或“光疗”,并通过布尔运算符“ AND”来实现。该搜索提供了35篇文章,并选择了16篇相关文章进行本次审查。这些文章根据其科学证据水平进行了严格的分析和分类。该分析产生了3篇文献综述文章,其中13篇是临床试验。 SORT标准(推荐分类标准的强度)用于对文章进行分类。结果:只有一篇文章提供了证据等级1,十二篇提供了证据等级2,三篇提供了证据等级3。根据循证牙科的原理,目前存在科学等级B的证据,它支持将LLLT用于TMD的治疗。讨论与结论:由于研究变量和所选激光参数的巨大差异,有关使用LLLT治疗TMD的出版物非常有限,使得难以比较不同的研究。绝大多数研究得出结论,由于方法上的局限性,应谨慎对待结果。 >关键词:低水平激光治疗;光疗;颞下颌关节疾病。

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