Clinical Treatment with Photobiomodulation Combined with Vacuum Therapy in Temporomandibular Disorders
Vitor Hugo Panhoca, PhD; Marcela Sene-Fiorese, PhD; Patrícia Eriko Tamae; Fernanda Rossi Paolillo, PhD; Vanderlei Salvador Bagnato, PhD
Abstract
Background: Temporomandibular disorder (TMD) may occur in all age groups. Noninvasive and nonpharmacological treatments are desired, mainly, for long-term care. Objective: The purpose of the present study was to investigate the synergic effects of photobiomodulation combined with the vacuum therapy on pain, full range of mandibular motion and quality of life in patients with TMD. Materials and methods: A clinical trial was performed. Fourteen patients with TMD participated in this study. The device of photobiomodulation and vacuum therapy was used for treatment at 3 regions on face: temporomandibular joint, anterior fibers of the temporal muscle and entire extension of the masseter muscle. The treatment was performed twice a week for 4 weeks, totaling 8 sessions. Measurements of pain intensity and range of mandibular motion during maximum mouth opening were carried out at three moments: T0 = pretreatment, T1 = post-treatment, and T2 = 15 days after termination of the treatment. Oral health-related quality of life measures was performed during T0 and T1. Results: The pain intensity was significantly reduced for the right and left side of the masseter and temporal muscles as well as the mouth opening was significantly enhanced after the last session (T1) and 15 days after the last session (T2). In addition, oral health-related quality of life was significantly improved. Conclusion: The synergistic treatment of photobiomodulation and vacuum therapy was effective to produce better outcomes in terms of reduced pain, increased mandibular range of motion and improved quality of life in patients with TMD. Moreover, its beneficial effects persisted for at 15 days after the end of treatment.
Full Text: PDF DOI: 10.15640/ijhs.v11n2a3
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