Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular Disorders

Background and Aim: Myofascial pain dysfunction syndrome (MPDS) is one of the most important facial muscle disorders comprising signs and symptoms including pain during function, tenderness in the muscles of mastication and restricted jaw movement. The purpose of this study was to assess and compare...

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Main Authors: Jigna S. Shah, Manish K. Poojary
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-01-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:https://journals.lww.com/10.4103/ijdr.ijdr_1008_23
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author Jigna S. Shah
Manish K. Poojary
author_facet Jigna S. Shah
Manish K. Poojary
author_sort Jigna S. Shah
collection DOAJ
description Background and Aim: Myofascial pain dysfunction syndrome (MPDS) is one of the most important facial muscle disorders comprising signs and symptoms including pain during function, tenderness in the muscles of mastication and restricted jaw movement. The purpose of this study was to assess and compare the effectiveness of low-level laser therapy (LLLT) and combination therapy of LLLT and pharmacotherapy in the treatment of myofascial pain with or without other TMD (temporomandibular disorders). Materials and Methods: Forty patients with MPDS were randomly divided into two groups. Group 1 received LLLT (Biolase™; GA-Al-As; 940 nm) in 12 sessions. Group 2 received a combination of LLLT with the drug Aceclofenac 200 mg till the end of the 12th session. Following each session and after two months, the pain intensity, maximum mouth opening, clicking sound and jaw deviation were evaluated in both groups. Data were collected and analysed using the independent t test, Mann–Whitney U test and Friedman test (a = 0.05). Results: Both group 1 and group 2 showed a significant reduction in pain and a significant increase in mouth opening, which was faster in group 2 compared to group 1. Conclusion: Both LLLT and a combination of LLLT and drug therapy are effective in the management of myofascial pain. LLLT + pharmacotherapy combination is more efficient at improving pain and mouth opening.
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spelling doaj-art-ddc851a930c74bfb80a55e5d3cadb3d92025-08-20T02:34:39ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032025-01-01361374110.4103/ijdr.ijdr_1008_23Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular DisordersJigna S. ShahManish K. PoojaryBackground and Aim: Myofascial pain dysfunction syndrome (MPDS) is one of the most important facial muscle disorders comprising signs and symptoms including pain during function, tenderness in the muscles of mastication and restricted jaw movement. The purpose of this study was to assess and compare the effectiveness of low-level laser therapy (LLLT) and combination therapy of LLLT and pharmacotherapy in the treatment of myofascial pain with or without other TMD (temporomandibular disorders). Materials and Methods: Forty patients with MPDS were randomly divided into two groups. Group 1 received LLLT (Biolase™; GA-Al-As; 940 nm) in 12 sessions. Group 2 received a combination of LLLT with the drug Aceclofenac 200 mg till the end of the 12th session. Following each session and after two months, the pain intensity, maximum mouth opening, clicking sound and jaw deviation were evaluated in both groups. Data were collected and analysed using the independent t test, Mann–Whitney U test and Friedman test (a = 0.05). Results: Both group 1 and group 2 showed a significant reduction in pain and a significant increase in mouth opening, which was faster in group 2 compared to group 1. Conclusion: Both LLLT and a combination of LLLT and drug therapy are effective in the management of myofascial pain. LLLT + pharmacotherapy combination is more efficient at improving pain and mouth opening.https://journals.lww.com/10.4103/ijdr.ijdr_1008_23diode lasermusclepainpharmacotherapy
spellingShingle Jigna S. Shah
Manish K. Poojary
Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular Disorders
Indian Journal of Dental Research
diode laser
muscle
pain
pharmacotherapy
title Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular Disorders
title_full Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular Disorders
title_fullStr Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular Disorders
title_full_unstemmed Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular Disorders
title_short Low-Level Laser Therapy with Pharmacotherapy in the Management of Myofascial Pain Dysfunction Syndrome with or without Other Temporomandibular Disorders
title_sort low level laser therapy with pharmacotherapy in the management of myofascial pain dysfunction syndrome with or without other temporomandibular disorders
topic diode laser
muscle
pain
pharmacotherapy
url https://journals.lww.com/10.4103/ijdr.ijdr_1008_23
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AT manishkpoojary lowlevellasertherapywithpharmacotherapyinthemanagementofmyofascialpaindysfunctionsyndromewithorwithoutothertemporomandibulardisorders