Aim: As an alternative to conservative and surgical treatments different methods of electrostimulation, laser and vibratory treatment are currently used for the management of pain related to temporomandibular disorders. The purpose of this study is to evaluate the effectiveness and efficiency of Local Vibration Therapy for the treatment of facial pain in subjects affected by temporomandibular disorders, and to assess the results of its appliance prior to conservative treatment. Methods: Twenty eight patients were included in the study, all with at least a depth of 3 out of 10 on the Numeric Rating Scale (NRS) for muscular pain. The study sample was composed by 28 patients, 6 of which were men (21,5%) and 22 women(78,5%), with an average age of 39,29 years (range between 16-57). 26 of these (92,9%) showed an articular pain and 16 (57%) a cefalic pain. The sample was randomly divided into active vibratory (20) and placebo groups (8) and both were evaluated during the first examination (T0) and after 7 days at the end of vibratory treatment (T1). The vibratory device used (Novafon Pro Sk2) was applied at pre-established points once a day for 15 minutes for a week, with frequencies of 100 and 50Hz. At the end of the 7-day treatment, 16 patients (88,88%) among the starting 28 were given an occlusal splint chosen based on individual needs and characteristics of the temporomandibular disorder: these 16 were then re-evaluated and compared to a similar sample of 16 patients treated with occlusal splint with no previous local vibratory treatment. Data analysis were performed with the Statistical Package for Social Science Software(SPSS). Comparisons between groups were conducted using the student’s t-test. Results: The level of muscular, cephalic and articular pain were measured in patients treated with a local vibration device at the start of therapy and after one week. Data analysis showed that there was a significant decrease in articular pain scores (t = 2.455; p = .021), muscle pain (t = 3.605; p = .004) and cephalic pain ( t = 3.074; p = .007) in these patients, unlike placebo group in which there were no significant decreases in the average pain scores. The results obtained between the sample treated with local vibration and occlusal splint and the sample treated with occlusal splint only highlighted significant differences between the two groups with reference to muscle pain (t = -5.042; p = .000): specifically, the analysis of the average scores allowed to establish that patients who used local vibration therapy prior to occlusal splint reported lower scores in muscle pain. Conclusion: In this preliminary study Local Vibration seems to be an effective therapy to forego conservative treatments for the management of pain related to temporomandibular disorders. Despite the promising data collected so far, the sample of patients examined is still too limited to obtain scientifically reliable and significant results. The goal for the future is to broaden the study by including more patients, and evaluate them over a longer period of time beyond the end of therapy

Local vibration therapy for the treatment of facial pain / Scialanca, Giordano; Serritella, Emanuela; Di Giacomo, Paola; Vompi, Chiara; Di Paolo, Carlo. - In: JOURNAL OF OSSEOINTEGRATION. - ISSN 2036-4121. - 11:2(2019), pp. 222-223. ((Intervento presentato al convegno XXVI congresso nazionale collegio dei docenti universitari di discipline odontostomatologiche tenutosi a Naples, Italy.

Local vibration therapy for the treatment of facial pain

Emanuela Serritella
Secondo
;
Paola Di Giacomo;Carlo Di Paolo
Ultimo
2019

Abstract

Aim: As an alternative to conservative and surgical treatments different methods of electrostimulation, laser and vibratory treatment are currently used for the management of pain related to temporomandibular disorders. The purpose of this study is to evaluate the effectiveness and efficiency of Local Vibration Therapy for the treatment of facial pain in subjects affected by temporomandibular disorders, and to assess the results of its appliance prior to conservative treatment. Methods: Twenty eight patients were included in the study, all with at least a depth of 3 out of 10 on the Numeric Rating Scale (NRS) for muscular pain. The study sample was composed by 28 patients, 6 of which were men (21,5%) and 22 women(78,5%), with an average age of 39,29 years (range between 16-57). 26 of these (92,9%) showed an articular pain and 16 (57%) a cefalic pain. The sample was randomly divided into active vibratory (20) and placebo groups (8) and both were evaluated during the first examination (T0) and after 7 days at the end of vibratory treatment (T1). The vibratory device used (Novafon Pro Sk2) was applied at pre-established points once a day for 15 minutes for a week, with frequencies of 100 and 50Hz. At the end of the 7-day treatment, 16 patients (88,88%) among the starting 28 were given an occlusal splint chosen based on individual needs and characteristics of the temporomandibular disorder: these 16 were then re-evaluated and compared to a similar sample of 16 patients treated with occlusal splint with no previous local vibratory treatment. Data analysis were performed with the Statistical Package for Social Science Software(SPSS). Comparisons between groups were conducted using the student’s t-test. Results: The level of muscular, cephalic and articular pain were measured in patients treated with a local vibration device at the start of therapy and after one week. Data analysis showed that there was a significant decrease in articular pain scores (t = 2.455; p = .021), muscle pain (t = 3.605; p = .004) and cephalic pain ( t = 3.074; p = .007) in these patients, unlike placebo group in which there were no significant decreases in the average pain scores. The results obtained between the sample treated with local vibration and occlusal splint and the sample treated with occlusal splint only highlighted significant differences between the two groups with reference to muscle pain (t = -5.042; p = .000): specifically, the analysis of the average scores allowed to establish that patients who used local vibration therapy prior to occlusal splint reported lower scores in muscle pain. Conclusion: In this preliminary study Local Vibration seems to be an effective therapy to forego conservative treatments for the management of pain related to temporomandibular disorders. Despite the promising data collected so far, the sample of patients examined is still too limited to obtain scientifically reliable and significant results. The goal for the future is to broaden the study by including more patients, and evaluate them over a longer period of time beyond the end of therapy
File allegati a questo prodotto
File Dimensione Formato  
Scialanca_Local_2019.pdf

accesso aperto

Note: https://www.journalofosseointegration.eu/index.php/jo/article/view/300
Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 3.9 MB
Formato Adobe PDF
3.9 MB Adobe PDF Visualizza/Apri PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11573/1346143
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus ND
  • ???jsp.display-item.citation.isi??? ND
social impact