Low-level laser therapy and anesthetic infiltration for orofacial pain in patients with fibromyalgia: a randomized clinical trial.

Med Oral Patol Oral Cir Bucal. 2017 Dec 23. pii: 21965. doi: 10.4317/medoral.21965. [Epub ahead of print]

Abstract

BACKGROUND:

To compare the analgesic effect of anesthetic infiltration of lidocaine 2% and low-level laser therapy (LLLT) by GaAlAs into tender points of patients with orofacial pain and fibromyalgia (FM).

MATERIAL AND METHODS:

A randomized clinical trial was performed with adults (N=66) that were allocated into two groups (1:1): Group A received LLLT irradiation by Diode Laser GaAlAs (780nm) with expositions twice a week during six weeks and Group B was treated with anesthetic infiltration of lidocaine 2% without vasoconstrictor once a week for four weeks. The pain assessment included the Visual Analogic Scale (VAS) and tenderness to palpation.

RESULTS:

No dropout and adverse effect was observed during the study. The pain decreased significantly in each group after the treatment (p=0.0001, β=1.0), even though no statistical difference was found between both treatments (p=0.46, β= 0.82). The presence of tender points decreased after both treatments, with responsively in some types of masticatory muscles (p<0 .05="" a="" and="" both="" did="" effective="" except="" few="" improve="" muscle.="" not="" p="" patients="" perception="" posterior="" reported="" showed="" temporalis="" that="" the="" treatment="" treatments="" welfare.="" were="">

CONCLUSIONS:

The LLLT by GaAlAs and anesthetic infiltration of lidocaine 2% were equally effective to control orofacial pain in FM individuals.

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