Karic Vesna, Penny Clement
Department of Prosthodontic, Laser Therapy in Dentistry Clinic, School of Oral Sciences, Faculty of Health Sciences, WITS University, South Africa.
Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, WITS University, South Africa.
Lasers Med Sci. 2025 Jan 31;40(1):56. doi: 10.1007/s10103-025-04324-y.
The photobiomodulation therapy (PBMT) is promising additional therapy in the treatment of temporomandibular disorder (TMD). In this regard, the purpose of this narrative review is to give a wide-ranging, objective, and judicious view of the current knowledge on PBMT as an additional TMD treatment modality, with summarised updated information. Although the results of most research studies report improvement of pain in TMD patients, some state that sustainability of absence of pain after PBMT of TMD is of concern. There has been a recent surge in research around the application of lasers for the management of TMD. Nonetheless, the scarcity of scientific clinical studies with structured laser parameters makes it difficult to draw a more concrete conclusion whether lasers in the treatment of TMD are more effective than traditional TMD treatments. In conclusion, since PBMT is becoming an additional treatment of choice for the management of TMD there is a need for more research especially involving clinical studies with better structured laser parameters.
光生物调节疗法(PBMT)是治疗颞下颌关节紊乱病(TMD)的一种很有前景的辅助疗法。在这方面,本叙述性综述的目的是对PBMT作为TMD辅助治疗方式的现有知识进行广泛、客观且审慎的审视,并总结最新信息。尽管大多数研究结果报告称TMD患者的疼痛有所改善,但也有一些研究指出,PBMT治疗TMD后疼痛缓解的可持续性令人担忧。最近,围绕激光在TMD治疗中的应用的研究激增。然而,缺乏具有结构化激光参数的科学临床研究,使得难以得出关于激光治疗TMD是否比传统TMD治疗更有效的更具体结论。总之,由于PBMT正成为TMD治疗的一种额外选择,因此需要更多研究,特别是涉及具有更好结构化激光参数的临床研究。