Figure 3.
Profile of each study, as well as data referring to laser application
First author and year of publication | Points of application | Type of laser/manufacturer/λ | Energy Density (ED) | Power Density (PD) | Application time | Frequency and Nº of sessions | Assessments - follow up | Results |
1. Kulekciouglu, et al.20 (2003) | Joint and/or muscle | AsGa/Elettronica Pagani/904 nm | 3 J/cm2 | 17 mW | 15 sessions | To the end of treatment and after 30 days from the last application | Reduction of pain at end of treatment and for 1 month after end of treatment for both groups. | |
2. Venancio, et al.37 (2005) | Joint | AsGaAl/Twin laser/780 nm | 6.3 J/cm2 | 30 mW | 10 s | 6 sessions: 2x/week for 3 consecutive weeks | At 15, 30, and 60 days after the end of treatment | Reduction of pain in the 2 groups. There was no difference between them and between the periods observed. |
3. Çetiner, et al.9 (2006) | Joint and muscle | AsGaAl/Medictinedic/830 nm | 7 J/cm2 | ? | 162 s | 10 sessions: 5x/week for 2 weeks | To the end of treatment and after 30 days from the last application | Reduction of pain in the laser group in relation to the placebo. There was no significant difference between the values obtained after the last session and 1 month after. |
4. Fikácková, et al.16 (2007) | Joint and/or muscle | AsGaAl/BTL Beautyline Technology/830 nm | 10 J/cm2 and 15 J/cm2 | 400 mW | ? | 10 sessions in 1 month | Only to the end of treatment | Reduction of the pain in the laser group in relation to the placebo with both dosages. There was no signficant difference between the energy densities in the test group. |
5. León, et al.23 (2007) | Acupuncture points: gallbladder and stomach + TMJ | AsGaAl/?/? | 0.9 J/cm2 | ? | 300 s | Daily, for 10 days | 5th and 10th day of treatment | Laser group had greater remission of symptoms in relation to the drug group. 6 to 10 applications were necessary for pain relief. |
6. Mazzetto, et al.26 (2007) | Joint only/1 point | AsGaAl/Twin laser - MM Optics/780 nm | 89.7 J/cm2 | 70 mW | 10 s | 8 sessions: 2x/week for 4 weeks | After the 4th application, after the 8th application, and after 30 days from the last application | Reduction of pain in the laser group in relation to the placebo. Less sensitivity to palpation after the 8th application. |
7. Cunha, et al.11 (2008) | Joint and/or muscle | AsGaAl/Biolux laser - Bio Art/830 nm | 100 J/cm2 | 500 mW | 20 s | 4 sessions: 1x/week for 4 consecutive weeks | Only to the end of treatment | Reduction of pain in the 2 groups. There was no difference between the groups. |
8. Carrasco, et al.7 (2008) | Joint 1 point | AsGaAl/Twin laser - MM Optics/780 nm | 105 J/cm2 | 70 mW | 60 s | 8 sessions: 2x/week for 4 weeks | After the 8th application and after 30 days from the last application | Reduction of pain in the laser group. Less symptoms and greater mastigatory efficiency after the 8th laser session. |
9. Lassemi, et al.21 (2008) | Joint and/or muscle | AsGa/AZOR-2K/980 nm | 2 J: TMJ 1.5 J: musc. | ? | 60 s | 2 sessions in 1 week | After 2 days, after 4 days, at 6 months, and at 12 months | Reduction of pain on the 4th day after the treatment in the laser group. Results (s.s.) for both pain and clicking without recurrence for 2 years. |
10. Emshoff, et al.14 (2008) | Joint | HeNe/Helbo Medizintechnik/632.8 nm | 1.5 J/cm2 | 30 mw | 120 s | 20 sessions: 2 to 3x/week for 8 weeks | In the 2nd, in the 4th, and in the 8th weeks after the first application | In the 8th week both groups presented pain reduction in the TMJ during mandibular function. Differences between the 2 groups were not very evident. |
11. Shirani, et al.36 (2009) | Muscle | 6 sessions: 2x/week for 3 weeks | To the end of treatment, 1 week after, and on the day of complete relief from pain during the 3 weeks of treatment | Reduction of pain in both groups. The laser group was more effective. One month after end of treatment, 1 patient had recurrence of pain. | ||||
AsGa/AZOR-2K/890 nm | 1 J/cm2 | 9.8 mW | 600 s | |||||
12. Carvalho, et al.8 (2010) | Joint and/or muscle | ? /Biowave, Kondortech/660 nm + ? /Twin Flex, MM Optics/780 nm, 790 nm, or 830 nm | Indicated by the equip. according to ED and PD | 12 sessions: 2x/week for 6 weeks | Only to the end of treatment | After the treatment, 64% of the patients were asymptomatic or improved. In the asymptomatic patients, it was observed that the association of λ was statistically significant. | ||
14.2±6.8 J/cm2 | 40 to 50 mw | |||||||
13. Santos, et al.35 (2010) | Joint and/or muscle | AsGaAl/DMC/830 nm | 80 J/cm2 | 40 mW | 16 s | 1 session only | 1 week after the application | There was significant reduction of pain intensity in the patients of the laser group, and in the placebo there was no reduction. |
14. Venezian, et al.38 (2010) | Muscle | AsGaAl/Twin laser - MM Optics/780 nm | 8 sessions: 2x/week for 4 weeks | To the end of treatment and after 30 days from the last application | There was no difference in the electromyography between the groups before and after laser. Only the laser group showed reduction of pain for all muscle palpations. There was no difference between the laser and placebo groups. In the laser group 25 J/cm2, the reduction of pain lasted for 30 days after the end of treatment. In the group 60 J/cm2, the pain returned after 30 days. | |||
60 J/cm2 | 60 mW | 40 s |