None listed
Conditions
Brief summary
The application of low-energy laser stimulation on acupuncture points is an alternative therapeutic appeal to the use of needles employed in the pain control of diverse pathologies. The traditional acupuncture as therapy for the Temporomandibular Disorder (TMD) has deserved prominence in current research, while studies using laser acupuncture are still scarce. The objective of this study is to evaluate the performance of the laser on acupuncture points together the Occlusal Splint therapy in patients with facial pain. 36 patients will be divided into 2 groups that received OS and true laser acupuncture (study group) or OS and false laser acupuncture (control group). The groups were compared for changes in physical and psychological symptoms.
Interventions
Low intensity laser acupuncture to temporomandibular disorder treatment. The acupuncture points: S6, SI19, GB20, LI4, L3, SJ3, GB34, Ex-3, low power (50mW) infrared laser, for 90s each, with the objective of sedation.
Laser acupuncture therapy will happen weekly in one-hour sessions. Laser treatment is continuous and punctual, directed at each point for a period of 90 seconds. Twelve weekly sessions will complete three months of treatment.
The laser acupuncture therapy will follow the standards
Low intensity laser acupuncture to temporomandibular disorder treatment. The acupuncture points: S6, SI19, GB20, LI4, L3, SJ3, GB34, Ex-3, low power (50mW) infrared laser, for 90s each, with the objective of sedation. Laser acupuncture therapy will happen weekly in one-hour sessions. Laser treatment is continuous and punctual, directed at each point for a period of 90 seconds. Twelve weekly sessions will complete three months of treatment. The laser acupuncture therapy will follow the standards of protection for the use of lasers, including the protection of patients' eyes. Such protection inhibits the visual stimulus during application of therapy. Neuromuscular relaxing occlusal splint is a dentistry conventional treatment directed to all participants of the research. The splints will be made of acrylic and individually adjusted by surface's sanding . The adjustment is to obtain simultaneous tooth contacts in a physiological mandibular position, where the chewing muscles and temporomandibular joints are protected from excessive occlusal loads. They will wear it for three months, at the night, when usually the involuntary muscle hyperactivity occurs. The adjustments will take place weekly, aiming occlusal changes that result in facial muscleand joint relaxation.
Sponsors
Luciano Ambrosio Ferreira
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
All subjects will be volunteers by signing the consent term; Female subjects; Aged between 20 and 40; Irrespective of race, creed or social level; Presence of a diagnosis of myofascial pain and arthralgia orofacial chronic, persisting for a minimum period of six months; Minimum intensity of muscle and joint pain of 4.0 points, measured in the VAS during the first evaluation; Present temporomandibular disorders diagnosis according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD)
Exclusion criteria
Subjects with evidence of muscle diseases, rheumatic and joint systemic origin, such as fibromyalgia and rheumatoid arthritis; Presence of fungal skin changes, hyperplastic, erythematous keloid or continuity in areas related to acupuncture points; Medical, pharmacological, psychological or physical therapy for TMD, concomitant therapies introduced in this study; Pregnants, the possible influence of intrauterine contraction and movement promoted by some acupuncture points such as LI4; Report or finding of facial trauma as a possible etiology of TMD; Individuals who have undergone prior treatment with neuromuscular relaxing plate, acupuncture or laser therapy for TMD; Subject denture wearers an upper or lower; Individuals with intellectual disability or impairment that would hinder the collection of data.
Outcome results
None listed