Comparison of the efficiency of two alternative therapies for the management of temporomandibular disorders


Yamaner F. E., ÇELAKIL T., Roehlig B.

CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE, vol.40, no.3, pp.189-198, 2022 (SCI-Expanded, Scopus)

  • Publication Type: Article / Article
  • Volume: 40 Issue: 3
  • Publication Date: 2022
  • Doi Number: 10.1080/08869634.2020.1727667
  • Journal Name: CRANIO-THE JOURNAL OF CRANIOMANDIBULAR & SLEEP PRACTICE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.189-198
  • Keywords: Ozone, lasers, temporomandibular joint disorders, LEVEL LASER THERAPY, CHRONIC OROFACIAL PAIN, DOUBLE-BLIND, RISK-FACTORS, JOINT PAIN, SYMPTOMS, EFFICACY, MUSCLE, OZONE, TMD
  • Istanbul University Affiliated: Yes

Abstract

Objective: To investigate the effect of ozone and low-level laser (LLL) therapies on pain and function in patients with disc displacement with reduction. Methods: Eighty temporomandibular joints were divided into four groups, namely ozone and laser treatment groups, and two placebo groups. Ozone and LLL therapies were applied over six sessions. Results: Pain on palpation scores demonstrated a statistically significant decrease over time in the treatment groups. Sham laser therapy only reduced the pain on palpation in temporomandibular joints; whereas, sham ozone only affected masseter muscle pain. The ozone treatment group demonstrated significantly better pressure pain threshold scores and mandibular movements than the other groups; however, pressure pain threshold scores of the masseter inferior were significantly higher in the laser group. Discussion: This study supports the use of ozone for pain reduction as an alternative treatment modality and LLL as a supportive therapy for temporomandibular disorders.