OBJECTIVE:To evaluate the effect of low-level laser therapy on occlusal contact area, occlusal pressure and bite force in temporomandibular disorder patients. PATIENTS AND METHOD:Twenty patients (14 women, six men, mean age 33.1 ± 3.8 years) diagnosed with myofascial pain according to the Research Diagnostic Criteria for Temporomandibular Disorder (RDC/TMD) participated in the study. Twenty healthy individuals, matched in age and gender, served as a control group. Low-level laser was applied to the mastication muscles three times per week, for a total of 10 sessions. The mandibular mobility range was evaluated. The maximum bite force, occlusal contact area and occlusal pressure were measured bilaterally with a dental pre-scale before and after treatment. All variables were analyzed descriptively. Changes in the masticatory muscle tenderness, mandibular movements, maximum bite force, occlusal contact area and occlusal pressure were compared by paired-sample Student's t-tests. RESULTS:There was a significant increase in the pressure pain threshold of the examined muscles. Mandibular movements were significantly improved in all patients. There was also a significant decrease in pain by palpation after laser exposure. However, no significant change was found in the maximum bite force, occlusal contact area or occlusal pressure after the treatment and also the values after the treatment were still significantly lower than those of the healthy individuals. CONCLUSION:This particular type of LLLT is effective at relieving pain but does not provide physical improvement.

译文

目的:探讨低水平激光治疗对颞下颌关节疾病患者的咬合接触面积,咬合压力和咬合力的影响。
患者与方法:根据《颞下颌疾病研究诊断标准》(RDC / TMD)诊断为肌筋膜疼痛的20例患者(14例女性,6例男性,平均年龄33.1±3.8岁)参加了该研究。年龄和性别相匹配的二十名健康个体作为对照组。每周三次向咀嚼肌施加低强度激光,共10次。下颌活动范围进行了评估。在治疗前和治疗后,用牙科预量尺双向测量最大咬合力,咬合接触面积和咬合压力。描述性地分析所有变量。通过成对样本的学生t检验比较了咀嚼肌压痛,下颌运动,最大咬合力,咬合接触面积和咬合压力的变化。
结果:被检查肌肉的压力疼痛阈值显着增加。所有患者的下颌运动均得到明显改善。激光照射后触诊引起的疼痛也明显减轻。然而,治疗后的最大咬合力,咬合接触面积或咬合压力没有显着变化,并且治疗后的值仍显着低于健康个体。
结论:这种特殊类型的LLLT可有效缓解疼痛,但不能改善身体状况。

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