Photobiomodulation on Pain in Patients With Temporomandibular Dysfunction
- Conditions
- TMJ Pain
- Interventions
- Device: Photobiomodulation using LEDDevice: Placebo
- Registration Number
- NCT06068959
- Lead Sponsor
- University of Nove de Julho
- Brief Summary
These studies aim to validate the effects of photobiomodulation using clusters of 850nm LEDs (infrared) and 630nm LEDs (red); in pain and cervical and mandibular mobility in patients with TMD. It is a randomized, controlled, and blind clinical trial, which will consist of n= 36, of both genders, with ages ranging from 18 to 45 years, divided into 2 groups: Group 1 Red and infrared LED cluster, Group 2 placebo. The areas where they will receive photobiomodulation will be the TMJ area, masseter muscles, temporal muscles, scalenes, and trapezius. 6 non-consecutive sessions will be performed over 2 weeks. Diagnostic Criteria for Temporomandibular Disorders - DC/TMD will be used to determine TMD and validate participants. To validate the mandibular range of motion (ADM) a pachymeter will be used and for the cervical ADM a goniometer (fleximeter). The pain will be validated using the visual analog scale-VAS. All participants will be evaluated after the first therapeutic intervention, and again at the end, following the same validation procedures used initially.
- Detailed Description
The term temporomandibular disorders (TMD), according to the American American Dental Association (ADA), refers to a group of disorders characterized by pain in the temporomandibular joint (TMD) in the periauricular area or in the masticatory muscles, in addition to TMD sounds during jaw function and deviation or restriction of jaw movements. Its multifactorial etiology is related to a heterogeneous group of functional, structural, and psychological factors, making it difficult to identify the association between a single etiological factor and the signs and symptoms of TMD. As a treatment option, it hasphotobiomodulation, using different light sources, alone or in combination. These studies aim to validate the effects of photobiomodulation using clusters of 850nm LEDs (infrared) and 630nm LEDs (red); in pain and cervical and mandibular mobility in patients with TMD. It is a randomized, controlled, and blind clinical trial, which will consist of n= 36, of both genders, with ages ranging from 18 to 45 years, divided into 2 groups: Group 1 Red and infrared LED cluster, Group 2 placebo. The areas where they will receive photobiomodulation will be the TMJ area, masseter muscles, temporal muscles, scalenes, and trapezius. 6 non-consecutive sessions will be performed over 2 weeks. Diagnostic Criteria for Temporomandibular Disorders - DC/TMD will be used to determine TMD and validate participants. To validate the mandibular range of motion (ADM) a pachymeter will be used and for the cervical ADM a goniometer (fleximeter). The pain will be validated using the visual analog scale-VAS. All participants will be evaluated after the first therapeutic intervention, and again at the end, following the same validation procedures used initially.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 32
- present TMD according Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) Axis I
- have all permanent teeth
- be undergoing orthodontic treatment
- be undergoing other treatment for TMD
- present dental caries or gingival disease.
- Initiate or use any type of medication during the phases of the study
- comorbidity
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Photobiomodulation Photobiomodulation using LED Photobiomodulation using a LED cluster Placebo Photobiomodulation Placebo Placebo Photobiomodulation with the equipment turned off
- Primary Outcome Measures
Name Time Method Pain Baseline Before an intervention Evaluation of Pain using visual analogic scale in centimeters (0-10cm)
Final Pain 2 weeks after treatment Evaluation of Pain using visual analogic scale in centimeters (0-10cm)
- Secondary Outcome Measures
Name Time Method Final Mandibular mobility 2 weeks after intervention Evaluation of mandibular mobility using caliper in millimeters
Final Cervical spine mobility 2 weeks after intervention Evaluation of cervical spine mobility using goniometer in degrees
Mandibular mobility baseline Before an intervention Evaluation of mandibular mobility using caliper in millimeters
Cervical spine mobility baseline Before an intervention Evaluation of cervical spine mobility using goniometer in degrees