Isolated and Combined Laser Acupuncture and Occlusal Device Therapy in TMD Myalgia: A Randomised Controlled Clinical Trial.

IF 4 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of oral rehabilitation Pub Date : 2025-08-15 DOI:10.1111/joor.70036

Camila Freire Brant, Letícia da Costa Siqueira, Lara Kramer Chiomark Malaquias, Ariadne Juliany Goulart de Assis, Lélio Fernando Ferreira Soares, Marta Maria Martins Giamatei Contente, Suzane Cristina Pigossi, Daniel Augusto de Faria Almeida

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引用次数: 0

Abstract

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.

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激光单独和联合治疗TMD肌痛：一项随机对照临床试验。

背景：本研究旨在评价咬合装置（OD）、激光针刺疗法及其联合治疗颞下颌功能障碍（TMD）的疗效。方法：共有104名被诊断为肌肉源性TMD的参与者（84名女性和20名男性）被随机分为三组：OD组（n = 34）： OD；LAT组（n = 34）：激光针刺（LAT）； ODLAT组（n = 36）： OD + LAT。治疗前、治疗第0周、治疗第2周、治疗第4周和治疗第12周分别评估疼痛强度、下颌活动度和口腔健康相关生活质量（OHIP-14）。结果：三种治疗方式减少了自我报告的疼痛（OD-p）结论：与单独治疗相比，ODLAT治疗对肌筋膜疼痛症状的改善更明显。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.