Peimani Ali, Sardary Farimah
Assistant Professor, Department of Oral Surgery, Dental School of Rafsanjan University, Rafsanjan, Iran.
Assistant Professor, Department of Oral Medicine, Dental School of Rafsanjan University, Rafsanjan, Iran.
J Dent (Tehran). 2014 May;11(3):319-27. Epub 2014 May 31.
Temporomandibular disorders (TMD) are clinical conditions characterized by pain and sounds of the temporomandibular joint (TMJ). This study was designed to assess the effect of low-level laser therapy (LLLT) on healing of osteoarthritis in rats with TMD.
Thirty-two male Wistar rats (250-200 g) were housed in standard plastic cages. After injection of Complete Freund's adjuvant into the TMJ, rats were randomly divided into two groups of 16 (case and control) and anesthetized; then osteoarthritis was induced via intraarticular injection of 50 µl of Complete Freund's adjuvant; into the bilateral TMJs. In the case group, LLLT was done transcutaneously for 10 minutes daily, starting the day after the confirmation of osteoarthritis. Exposure was performed for 10 minutes at the right side of the TMJ with 880 nm low-level laser with 100 mW power and a probe diameter of 0.8 mm. Control rats were not treated with laser.
After three days of treatment the grade of cartilage defects, number of inflammatory cells, angiogenesis, number of cell layers and arthritis in rats in the case group were not significantly different compared with controls (P>0.05). After seven days, the grade of cartilage defects, number of inflammatory cells, number of cell layers, and arthritis in the case group improved compared to controls (P<0.05); angiogenesis in both groups was similar.
Treatment of TMD with LLLT after 7 days of irradiation with a wavelength of 880 nm was associated with a greater improvement compared to the control group.
颞下颌关节紊乱病(TMD)是以颞下颌关节(TMJ)疼痛和弹响为特征的临床病症。本研究旨在评估低强度激光疗法(LLLT)对TMD大鼠骨关节炎愈合的影响。
32只雄性Wistar大鼠(250 - 200克)饲养于标准塑料笼中。在TMJ注射完全弗氏佐剂后,将大鼠随机分为两组,每组16只(病例组和对照组)并进行麻醉;然后通过向双侧TMJ关节腔内注射50微升完全弗氏佐剂诱导骨关节炎。在病例组中,自骨关节炎确诊次日起,每天经皮进行10分钟的LLLT。使用功率为100毫瓦、探头直径为0.8毫米的880纳米低强度激光在TMJ右侧照射10分钟。对照组大鼠未接受激光治疗。
治疗三天后,病例组大鼠的软骨缺损程度、炎症细胞数量、血管生成、细胞层数和关节炎情况与对照组相比无显著差异(P>0.05)。七天后,病例组的软骨缺损程度、炎症细胞数量、细胞层数和关节炎情况与对照组相比有所改善(P<0.05);两组的血管生成情况相似。
与对照组相比,波长880纳米的LLLT照射7天后治疗TMD有更大改善。