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Background: Temporomandibular Joint Disorders (TMDs) are considered the most commonchronic orofacial pain conditions. It is characterized by pain in the Temporomandibular Joint (TMJ)area, masticatory muscles and associated musculoskeletal structures with the affection of mouthopening. Conventional physiotherapy and Low-Level LASER Therapy (LLLT ) are safe and noninvasivemodalities that each therapist focuses on to relieve pain and increase the quality of life.Aim: The aim of this study was to investigate the effect of low-level LASER therapy combinedwith conventional physiotherapy on pain and quality of life in patients with Myofascial paindysfunction syndrome (MPDS).Methods: 60 patients (45 females and 15 males) with MFDS of TMJ were divided randomlyinto study and control groups. The study group received conventional physiotherapy consisting ofactive and stretching exercises for mandibular muscles with ultrasound and LLLT application onTMJ area. Control group received conventional physiotherapy only. Pressure pain threshold wasevaluated using hand-held pressure algometer and quality of life was evaluated using the WorldHealth Organization Quality of Life (WHOQOL-BREF) assessment instrument at baseline and 4weeks after the treatment.Results: There was a significant increase (p<0.05) in the quality of life, with a significantincrease (p<0.05) in pressure pain threshold for TMJ, masseter and anterior temporalis muscles atboth sides in the study group compared with control group.Conclusion: The combination of conventional therapy with LLLT was more effective in painrelief and improvement of the quality of life than the conventional therapy alone for patients withMPDS.

egyptian dental journal /egyptian dental journal

Effect of low-level LASER therapy combined with conventional physiotherapy on pain and quality of life in patients with Myofascial pain dysfunction syndrome