Resumo
Objetivo: Revisar a literatura acerca do uso do laser de baixa intensidade como escolha de tratamento para disfunções temporomandibulares (DTM). Métodos: Pesquisaram-se os descritores “temporomandibular joint disorders”, “phototherapy” e “low-level light therapy”, conectados pelo operador booleano “AND”, na base de dados Pubmed nos últimos 5 anos. Resultados: Obtiveram-se 75 artigos, sendo selecionados 11 estudos, com base na leitura de títulos e resumos. Foram incluídos artigos em inglês e disponíveis na íntegra que relatassem o tema referido. Foram excluídos estudos laboratoriais, revisões de literatura e artigos que não abordassem o assunto. Foi selecionado um ensaio clínico que observou que o uso da fotobiomodulação com LEDs (Light-Emiting Diode), que são diodos emissores de luz, que ajudam a melhorar a limitação na movimentação da mandíbula. Foi eficaz nas atividades musculares. Apenas um estudo clínico inferiu que a laserterapia foi eficaz isoladamente e 9 estudos clínicos concluíram que o laser de baixa intensidade (LBI) quando associado a outras terapias promove efeitos positivos. Considerações finais: Em suma, os artigos demonstraram a eficácia da LBI para o tratamento da DTM, principalmente quando gerenciados em uma abordagem terapêutica multidisciplinar.
Referências
ABBASGHOLIZADEH ZS, et al. Evaluation of the efficacy of different treatment modalities for painful temporomandibular disorders. Int J Oral Maxillofac Surg, 2020; 49(5): 628-635.
AISAITI A, et al. Effect of photobiomodulation therapy on painful temporomandibular disorders. Sci Rep, 2021; 11(1): 9049.
AL-QUISI AF, et al. The reliability of using light therapy compared with LASER in pain reduction of temporomandibular disorders: a randomized controlled trial. BMC Oral Health, 2023; 23(1): 91.
AYYILDIZ S, et al. Evaluation of Low-Level Laser Therapy in TMD Patients. Case Rep Dent, 2015; 2015: 1-6.
BROCHADO FT, et al. Comparative effectiveness of photobiomodulation and manual therapy alone or combined in TMD patients: a randomized clinical trial. Braz Oral Res, 2018; 32: 1-12.
CHELLAPPA D e THIRUPATHY M. Comparative efficacy of low-Level laser and TENS in the symptomatic relief of temporomandibular joint disorders: A randomized clinical trial. Indian J Dent Res, 2020; 31(1): 42-47.
COSTA SAP, et al. The analgesic effect of photobiomodulation therapy (830 nm) on the masticatory muscles: a randomized, double-blind study. Braz Oral Res, 2017; 31: 1-7.
DANTAS CMG, et al. The influence of educational measures and low-level laser phototherapy on temporomandibular disorders: Study protocol clinical trial (SPIRIT Compliant). Medicine (Baltimore), 2020; 99(10): 1-8.
DEMIRKOL N, et al. Efficacy of Low-Level Laser Therapy in Subjective Tinnitus Patients with Temporomandibular Disorders. Photomed Laser Surg, 2017; 35(8): 427-431.
DONNARUMMA MDC, et al. Temporomandibular Disorders: signs, symptoms and multidisciplinary approach. Rev. CEFAC, 2010; 12(5): 788-794.
FERREIRA LA, et al. Laser acupuncture in patients with temporomandibular dysfunction: a randomized controlled trial. Lasers Med Sci, 2013; 28(6): 1549-58.
HAMBLIN MR, et al. Photobiomodulation and Cancer: What Is the Truth? Photomed Laser Surg, 2018; 36(5): 241-245.
LANGELLA LG, et al. Photobiomodulation versus light-emitting diode (LED) therapy in the treatment of temporomandibular disorder: study protocol for a randomized, controlled clinical trial. Trials, 2018; 19(1): 71.
LIMA MCR et al. Controle da disfunção temporomandibular utilizando a laserterapia. Revista Eletrônica Acervo Saúde, 2021; 13(4): e7281.
MACHADO BC, et al. Effects of oral motor exercises and laser therapy on chronic temporomandibular disorders: a randomized study with follow-up. Lasers Med Sci, 2016; 31(5): 945-54.
MELCHIOR MO, et al. Effect of speech-language therapy after low-level laser therapy in patients with TMD: a descriptive study. Codas, 2016; 28(6): 818-822.
OHRBACH R, et al. Clinical orofacial characteristics associated with risk of first-onset TMD: the OPPERA prospective cohort study. J Pain, 2013; 14: 33- 50.
PESSOA DR, et al. Association of facial massage, dry needling, and laser therapy in Temporomandibular Disorder: case report. Codas, 2018; 30(6): 1-6.
RODRIGUES MDF, et al. Effects of low-power laser auriculotherapy on the physical and emotional aspects in patients with temporomandibular disorders: A blind, randomized, controlled clinical trial. Complement Ther Med, 2019; 42: 340-346.
SERIQUE AVC, et al. Laser therapy in the treatment of temporomandibular dysfunction, trismus and xerostomia of oncologic patient: case report. Revista Eletrônica Acervo Saúde, 2021; 13(1): e5129.
SOUSA DFM, et al. Photobiomodulation with simultaneous use of red and infrared light emitting diodes in the treatment of temporomandibular disorder: study protocol for a randomized, controlled and double-blind clinical trial. Medicine (Baltimore), 2019; 98(6): 1-7.
SHOBHA R, et al. Low-level laser therapy: A novel therapeutic approach to temporomandibular disorder - A randomized, double-blinded, placebo-controlled trial. Indian J Dent Res, 2017; 28(4): 380-387.
WIECKIEWICZ M, et al. Reported concepts for the treatment modalities and pain management of temporomandibular disorders. J Headache Pain, 2015; 16(1): 1-12.
