Trial Outcomes & Findings for Efficacy of Photobiomodulation Therapy Using 980nm Versus 635nm Diode Lasers for Treatment of Myofascial Pain (NCT NCT07069764)

NCT ID: NCT07069764

Last Updated: 2025-10-23

Results Overview

"Pain intensity was assessed in patients with myofascial pain syndrome of the temporomandibular joint using the Visual Analog Scale (VAS), a 10-point scale ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity. Measurements were recorded at baseline, after 10 sessions of low-level laser therapy (5 weeks), and at 1-month follow-up. Data are reported in the tables below. Lower scores reflect reduced pain intensity

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

30 participants

Primary outcome timeframe

At baseline, after 10 treatment sessions (5 weeks), and at 1-month follow-up (approximately 2 months in total from baseline).

Results posted on

2025-10-23

Participant Flow

Participant milestones

Participant milestones
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
Participants will receive low-level laser therapy using a diode laser with 635 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 635nm For Arm 1: Participants will receive low-level laser therapy using a diode laser with a wavelength of 635 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Low-Level Laser Therapy at 980 nm for Arm 2
Participants will receive low-level laser therapy using a diode laser with 980 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 980 nm For Arm2: Participants will receive low-level laser therapy using a diode laser with a wavelength of 980 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Overall Study
STARTED
15
15
Overall Study
COMPLETED
15
15
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Efficacy of Photobiomodulation Therapy Using 980nm Versus 635nm Diode Lasers for Treatment of Myofascial Pain

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 Participants
Participants received low-level laser therapy using a diode laser with a 635 nm wavelength. Treatment was applied twice weekly for five weeks to the masticatory muscles affected by myofascial pain syndrome in the temporomandibular joint region, aiming to reduce pain and improve muscle function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 Participants
Participants received low-level laser therapy using a diode laser with 980 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 980 nm For Arm2: Participants will receive low-level laser therapy using a diode laser with a wavelength of 980 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Total
n=30 Participants
Total of all reporting groups
Age, Continuous
29.6 years
STANDARD_DEVIATION 6.5 • n=5 Participants
30.1 years
STANDARD_DEVIATION 7 • n=7 Participants
29.9 years
STANDARD_DEVIATION 6.7 • n=5 Participants
Sex/Gender, Customized
male
7 Participants
n=5 Participants
8 Participants
n=7 Participants
15 Participants
n=5 Participants
Sex/Gender, Customized
female
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=5 Participants
15 Participants
n=7 Participants
30 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: At baseline, after 10 treatment sessions (5 weeks), and at 1-month follow-up (approximately 2 months in total from baseline).

Population: "All randomized participants in each arm (15 participants per group) were included in the analysis population. Analyses were conducted according to the intention-to-treat principle, including all participants who received at least one session of low-level laser therapy and had at least one post-baseline assessment."

"Pain intensity was assessed in patients with myofascial pain syndrome of the temporomandibular joint using the Visual Analog Scale (VAS), a 10-point scale ranging from 0 (no pain) to 10 (worst imaginable pain). Higher scores indicate greater pain intensity. Measurements were recorded at baseline, after 10 sessions of low-level laser therapy (5 weeks), and at 1-month follow-up. Data are reported in the tables below. Lower scores reflect reduced pain intensity

Outcome measures

Outcome measures
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 635 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 635nm For Arm 1: Participants will receive low-level laser therapy using a diode laser with a wavelength of 635 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 980 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 980 nm For Arm2: Participants will receive low-level laser therapy using a diode laser with a wavelength of 980 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Pain Intensity Reduction
Baseline
7.6 "units on scale
Standard Deviation 1.2
7.8 "units on scale
Standard Deviation 1.1
Pain Intensity Reduction
Post-treatment(after 10 sessions)
3.2 "units on scale
Standard Deviation 1.1
2.5 "units on scale
Standard Deviation 1.0
Pain Intensity Reduction
AFTER one month
2.9 "units on scale
Standard Deviation 1.3
2.1 "units on scale
Standard Deviation 0.9

SECONDARY outcome

Timeframe: At baseline, after 10 treatment sessions (5 weeks), and at 1-month follow-up (approximately 2 months in total from baseline).

Population: "All randomized participants in each arm (15 participants per group) were included in the analysis population. Analyses were conducted according to the intention-to-treat principle, including all participants who received at least one session of low-level laser therapy and had at least one post-baseline assessment."

"Maximum Mouth Opening (MMO) was assessed in millimeters at three time points: baseline, after 10 sessions of low-level laser therapy (5 weeks), and at 1-month follow-up. Data are reported as mean ± standard deviation in the tables below. No conclusions or comparisons are included in this description."

Outcome measures

Outcome measures
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 635 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 635nm For Arm 1: Participants will receive low-level laser therapy using a diode laser with a wavelength of 635 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 980 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 980 nm For Arm2: Participants will receive low-level laser therapy using a diode laser with a wavelength of 980 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Maximum Mouth Opening (MMO)
baseline
34.5 millimeters
Standard Deviation 4.2
34 millimeters
Standard Deviation 3.9
Maximum Mouth Opening (MMO)
after 10 sessions
41.3 millimeters
Standard Deviation 3.5
43.5 millimeters
Standard Deviation 3.2
Maximum Mouth Opening (MMO)
follow up after 1 month
42.1 millimeters
Standard Deviation 3.2
44.2 millimeters
Standard Deviation 2.9

SECONDARY outcome

Timeframe: At baseline, after 10 treatment sessions (5 weeks), and at 1-month follow-up (approximately 2 months in total from baseline).

Population: All randomized participants completed the study and were included in the analysis for this outcome measure.

Lateral jaw movements (side-to-side excursion) were measured in millimeters to assess changes in temporomandibular joint function. Measurements were recorded at baseline, after 10 sessions of low-level laser therapy (5 weeks), and at 1-month follow-up. Higher values indicate a greater range of mandibular motion.

Outcome measures

Outcome measures
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 635 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 635nm For Arm 1: Participants will receive low-level laser therapy using a diode laser with a wavelength of 635 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 980 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 980 nm For Arm2: Participants will receive low-level laser therapy using a diode laser with a wavelength of 980 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Lateral Jaw Movements
baseline
6.2 millimeters
Standard Deviation 0.9
6.0 millimeters
Standard Deviation 0.8
Lateral Jaw Movements
after 10 sessions
8.3 millimeters
Standard Deviation 1.0
8.7 millimeters
Standard Deviation 1.1
Lateral Jaw Movements
follow up after one month
8.5 millimeters
Standard Deviation 0.8
8.8 millimeters
Standard Deviation 1

SECONDARY outcome

Timeframe: At baseline and after 10 treatment sessions (5 weeks)

Population: sEMG analysis includes participants with valid baseline and post-treatment data. Differences in numbers are due to technical issues, poor signal quality, or withdrawals. Variations in sample size reflect missing data for some muscles or time points

Surface electromyography (sEMG) was used to assess the electrical activity of the masseter and anterior temporalis muscles during maximum voluntary clenching. Recordings were obtained at baseline and after 10 sessions of low-level laser therapy (5 weeks). Results are expressed as mean amplitude values in microvolts (µV). Lower values indicate reduced muscle activity, which reflects clinical improvement.

Outcome measures

Outcome measures
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 635 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 635nm For Arm 1: Participants will receive low-level laser therapy using a diode laser with a wavelength of 635 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 980 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 980 nm For Arm2: Participants will receive low-level laser therapy using a diode laser with a wavelength of 980 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Left temporalis M after 10 sessions
9.2 microvolts
Standard Deviation 2.4
10.1 microvolts
Standard Deviation 2.8
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Right masster M before treatment
16.8 microvolts
Standard Deviation 2.9
16.5 microvolts
Standard Deviation 3.1
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Right temporalis M before treatment
15.8 microvolts
Standard Deviation 2.9
15.5 microvolts
Standard Deviation 3.1
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Right temporalis M after 10 sessions
8.9 microvolts
Standard Deviation 2.3
9.9 microvolts
Standard Deviation 2.9
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Left temporalis M before treatment
16.1 microvolts
Standard Deviation 3.0
15.9 microvolts
Standard Deviation 3
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Right masseter M after 10 sessions
8.9 microvolts
Standard Deviation 2.3
9.9 microvolts
Standard Deviation 2.9
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Left masseter M before treatment
17.2 microvolts
Standard Deviation 3.3
16.8 microvolts
Standard Deviation 3.2
Changes in Muscle Activity Measured by Surface Electromyography (sEMG)
Left masseter M after 10 sessions
8.5 microvolts
Standard Deviation 2.2
10.2 microvolts
Standard Deviation 2.7

SECONDARY outcome

Timeframe: At baseline, after 10 treatment sessions (5 weeks), and at 1-month follow-up (approximately 2 months in total from baseline).

Population: randomized participants who completed the study protocol were included in the analysis. No participants were excluded from the outcome measure analysis."

Protrusive mandibular movements were measured in millimeters to evaluate the functional improvement of the temporomandibular joint. Measurements were taken at baseline, after 5 weeks of low-level laser therapy, and at 1-month follow-up. Higher values indicate greater range of mandibular protrusive motion.

Outcome measures

Outcome measures
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 635 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 635nm For Arm 1: Participants will receive low-level laser therapy using a diode laser with a wavelength of 635 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 Participants
Participants will receive low-level laser therapy using a diode laser with 980 nm wavelength, applied 2 times per week for 5 weeks to treat myofascial pain syndrome in the temporomandibular joint. Doctor smile 980 nm For Arm2: Participants will receive low-level laser therapy using a diode laser with a wavelength of 980 nanometers. The treatment will be applied twice weekly for five weeks to the affected temporomandibular joint muscles to reduce myofascial pain and improve muscle function.
Protrusive Movements
baseline
5.8 millimeters
Standard Deviation 0.7
5.9 millimeters
Standard Deviation 0.6
Protrusive Movements
after 10 sessions
7.4 millimeters
Standard Deviation 0.8
7.8 millimeters
Standard Deviation 0.7
Protrusive Movements
follow up after one month
7.5 millimeters
Standard Deviation 0.7
8.0 millimeters
Standard Deviation 0.6

Adverse Events

Low-Level Laser Therapy at 635 nm for Arm 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Low-Level Laser Therapy at 980 nm for Arm 2

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 participants at risk
Participants received photobiomodulation therapy using a diode laser at a wavelength of 635 nm. Treatment was applied twice per week for 5 weeks to the masseter and temporalis muscles associated with temporomandibular disorder. The goal was to reduce myofascial pain and improve mandibular function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 participants at risk
Participants received photobiomodulation therapy using a diode laser at a wavelength of 980 nm. Treatment was applied twice per week for 5 weeks to the masseter and temporalis muscles associated with temporomandibular disorder. The goal was to reduce myofascial pain and improve mandibular function.
Eye disorders
No adverse events reported
0.00%
0/15 • "Adverse event data were collected from baseline, throughout the 5-week treatment period, and at the 1-month follow-up visit."
"The standard definitions of adverse events and serious adverse events, as provided by ClinicalTrials.gov, were used. Data were collected systematically through patient self-reports and clinical observations during treatment sessions and at the follow-up visit."
0.00%
0/15 • "Adverse event data were collected from baseline, throughout the 5-week treatment period, and at the 1-month follow-up visit."
"The standard definitions of adverse events and serious adverse events, as provided by ClinicalTrials.gov, were used. Data were collected systematically through patient self-reports and clinical observations during treatment sessions and at the follow-up visit."

Other adverse events

Other adverse events
Measure
Low-Level Laser Therapy at 635 nm for Arm 1
n=15 participants at risk
Participants received photobiomodulation therapy using a diode laser at a wavelength of 635 nm. Treatment was applied twice per week for 5 weeks to the masseter and temporalis muscles associated with temporomandibular disorder. The goal was to reduce myofascial pain and improve mandibular function.
Low-Level Laser Therapy at 980 nm for Arm 2
n=15 participants at risk
Participants received photobiomodulation therapy using a diode laser at a wavelength of 980 nm. Treatment was applied twice per week for 5 weeks to the masseter and temporalis muscles associated with temporomandibular disorder. The goal was to reduce myofascial pain and improve mandibular function.
General disorders
None reported
0.00%
0/15 • "Adverse event data were collected from baseline, throughout the 5-week treatment period, and at the 1-month follow-up visit."
"The standard definitions of adverse events and serious adverse events, as provided by ClinicalTrials.gov, were used. Data were collected systematically through patient self-reports and clinical observations during treatment sessions and at the follow-up visit."
0.00%
0/15 • "Adverse event data were collected from baseline, throughout the 5-week treatment period, and at the 1-month follow-up visit."
"The standard definitions of adverse events and serious adverse events, as provided by ClinicalTrials.gov, were used. Data were collected systematically through patient self-reports and clinical observations during treatment sessions and at the follow-up visit."

Additional Information

DR.hala shaaban attiyah

National Institute of Laser Enhanced Sciences (NILES), Cairo University

Phone: 01012894478

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place