顎顔面部咀嚼筋痛患者への Low Level Laser Therapy  [in Japanese] Low Level Laser Therapy for Maxillofacial Pain Patients  [in Japanese]

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Author(s)

    • 石川 昌嗣 ISHIKAWA Masatsugu
    • 福岡歯科大学咬合修復学講座冠橋義歯学分野 Section of fixed Prothesis, Department of Oral Rehabilitation, Fukuoka Dental College
    • 右近 晋一 UKON Shinichi
    • 福岡歯科大学咬合修復学講座冠橋義歯学分野 Section of fixed Prothesis, Department of Oral Rehabilitation, Fukuoka Dental College
    • 岡本 佳三 OKAMOTO Yoshizou
    • 福岡歯科大学歯科医療工学講座生体工学分野 Section of Biomaterials, Department of Dental Engineering, Fukuoka Dental College
    • 松浦 尚志 MATSUURA Takashi
    • 福岡歯科大学咬合修復学講座冠橋義歯学分野 Section of fixed Prothesis, Department of Oral Rehabilitation, Fukuoka Dental College
    • 佐藤 博信 SATO Hironobu
    • 福岡歯科大学咬合修復学講座冠橋義歯学分野 Section of fixed Prothesis, Department of Oral Rehabilitation, Fukuoka Dental College

Abstract

今日の歯科臨床ではレーザーを用いた歯科治療が多くなされるようになってきた。近年では,Minimum Intervention(最小限の侵襲;以下MI)を考え,カリエスや歯周病のリスク診断,リスクコントロールに低反応レベル(Low-reactive Level Laser Therapy;以下LLLT)の有用性が注目され,疼痛抑制(炎症,外科的侵襲,口腔顔面痛),治癒促進,顎関節症を始めとした機能障害の改善等にその使用範囲は拡大されている。今回,我々は顎関節に異常を認めない顎顔面部咀嚼筋痛患者に対してLLLTを施行し,症状の改善を認めた5症例を経験し,若干の知見を得たので報告する。1)最初のレーザー照射直後から筋症状が緩和したと感じた患者は5名中3名。2)LLLTとナイトガードを併用した2名の患者は,ナイトガードを併用後に症状発現頻度の減少を示した。3)LLLTとレジンスプリントを併用した患者は,来院回数が増えるにつれ,緩やかに筋症状の緩和を示し,それに伴って症状発現頻度の減少を示した。

Laser surgery has become frequentry used in dental treatments these days. Recently, because of the concept of minimum intervention (MI), low-reactive level laser therapy (LLLT) is becoming available not only for the diagnosis and control of caries and periodontitis, but also for the control of pain and inflammation, the activation of healing after surgery, and the functional improvement of the temporomandibular disorders. In this study, we will report 5 clinical cases in which LLLT relieved the patients, from the maxillofacial pains, without abnormality of the temporomandibular joints and will discuss the viability of LLLT for the control of maxillofacial pains. 1) The first therapy relieved 3 among 5 patients from pain. 2) LLLT and the application of a night guard decreased the frequency of the pain in 2 patients. 3) LLLT and application of a resin splint relieved in 1 patient whose pain and the frequency thereof gradually decreased as treatment proceeded. 4) LLLT and application of a night guard and resin splint relived 1 patient, whose symptoms were the similar to 2). 5) There was only 1 LLLT patient who experienced the release of pain shortly after treatment, but thereafter the frequency decreased more slowly compared with the other cases. These observations suggests that LLLT may be useful for early prevention and control of maxillofacial pain and that this therapy combined with stretch therapy and night guard/splint application may enhance the effect of treatment.

Journal

  • The Journal of Fukuoka Dental College

    The Journal of Fukuoka Dental College 31(3), 113-119, 2005-09-25

    The Society of Fukuoka Dental College

References:  14

Cited by:  1

Codes

  • NII Article ID (NAID)
    110004015836
  • NII NACSIS-CAT ID (NCID)
    AN00216288
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03850064
  • Data Source
    CJP  CJPref  NII-ELS 
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