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Comparative evaluation of low-level laser therapy and ultrasound heat therapy in reducing temporomandibular joint disorder pain

Journal of Dental Anesthesia and Pain Medicine 2019³â 19±Ç 5È£ p.289 ~ 294
Khairnar Sanyukta, Bhate Kalyani, Santhosh Kumar S. N., Kshirsagar Kapil, Jagtap Bhagyashree, Kakodkar Pradnya,
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 ( Khairnar Sanyukta ) - Dr. D.Y. Patil Vidyapeeth Department of Oral and Maxillofacial Surgery
 ( Bhate Kalyani ) - Dr. D.Y. Patil Vidyapeeth Department of Oral and Maxillofacial Surgery
 ( Santhosh Kumar S. N. ) - Dr. D.Y. Patil Vidyapeeth Department of Oral and Maxillofacial Surgery
 ( Kshirsagar Kapil ) - D Y Patil Dental School Department of Oral and Maxillofacial Surgery
 ( Jagtap Bhagyashree ) - Dr. D.Y. Patil Vidyapeeth Department of Oral and Maxillofacial Surgery
 ( Kakodkar Pradnya ) - Dr. D.Y. Patil Vidyapeeth Department of Oral and Maxillofacial Surgery

Abstract


Background: Pain, limitations in opening, asymmetrical jaw movements, and temporomandibular joint (TMJ) sounds are the most common findings in temporomandibular joint disorders (TMDs), which causes excruciating pain, inflammation of the surrounding muscles, posterior fibers, and synovial fluid. This study aimed to evaluate and compare the effects of ultrasound heat therapy and low-level laser therapy (LLLT) in reducing TMD-related pain.

Methods: This prospective study included 42 patients (age range, 25?45 years), who were divided into two groups of 21 patients each. All patients were prescribed a non-steroidal anti-inflammatory drug (NSAID) twice a day for 5 days for temporary relief of pain prior to the commencement of treatment. Patients were kept on a soft diet and asked to restrict mouth opening during the same period. Fifteen sessions of LLLT (Group A) or ultrasound therapy (Group B) were administered to the affected side.

Results: Post-therapy, the mean visual analog scale score for group A and group B was 4.81 (2.01) and 6.19 (1.20), respectively; the difference was statistically significant and favoring the LLLT group. Similarly, the mean mouth opening for group A and group B was 3.99 (0.40) and 3.65 (0.41), respectively; the difference was statistically significant and favoring the LLLT group.

Conclusion: Our study recommends LLLT for treating TMD-related pain with no underlying bony pathology.

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Low-Level Laser Therapy; Temporomandibular Joint Disorders; Ultrasonic Therapy

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