Photobiomodulation on Oral Mucosal Lesions- A Systematic Review

Balakrishnan, Bhagya; Naik, Vathsala; Gaurav, .; Sodhi, Amandeep; Sangeetha, V.

doi:10.31080/asds.2022.06.1522

Cited by 1 publication

(2 citation statements)

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“… 15 Photobiomodulation (PBM) or previously known as low-level laser therapy (LLLT), also known as biomodulation or cold laser, is an alternative therapy for oral mucosal ulcers. 13 In addition, PBM is also considered effective in managing PHN cases. 7 PBM produces non-ionizing light of a single wavelength or dual-wavelength (the use of combinations of different radiation or different wavelengths to generate distinct effects on tissue compared to a single radiation), 16 through a non-thermal photochemical cell reaction known as a biostimulation reaction.…”

Section: Discussionmentioning

confidence: 99%

“…The VAS score was measured before PBM (VAS score was 7) ( Table 1 ). The laser setting was 0.8 W in continuous wave (CW) which was the aphthous ulcer mode, suggested by the manufacturer, also in the previous work for fluence rate used was 10 J/cm 2 , 12 , 13 spot size 0.01 cm 2 , exposure time 20 seconds two times with 10–20 seconds gap on each ulcer and in non-contact mode (2–3 mm away from the lesion, moving continuously from the periphery the lesion to the center). To evaluate the patient’s perception of pain, the VAS score was measured immediately (0 minute) after PBM (VAS score was 3) ( Table 1 ).…”

Section: Case Presentationmentioning

confidence: 99%

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Effectiveness of Photobiomodulation in Reducing Pain of Oral Mucosal Diseases: A Case Series

Santoso¹,

Sufiawati²

2023

IMCRJ

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Pain management becomes important in the treatment of oral mucosal diseases since it can impair the quality of life. Photobiomodulation (PBM) as an alternative therapy, has potency in reducing pain through several mechanisms targeting peripheral nerves in the target tissue. Purpose: To discuss the effectiveness of PBM in the management of four cases of oral mucosal diseases. Case: Four patients, two females and two males, with an age ranging from 24 to 63 years came to the Oral Medicine Department complaining of painful lesions in their oral cavity. Three cases showed ulceration of the oral mucosa and had been diagnosed with recurrent aphthous stomatitis, recalcitrant chronic ulcer, and non-specific chronic sialadenitis. One patient who complained of intense pain and swelling on the right side of the face was diagnosed with post-herpetic neuralgia (PHN). Case Management: PBM was administered in all four cases (976 nm diode laser, three cases with spot size 0.01 cm 2 , fluency 10 J/cm 2 , and one case with spot size 0.5 cm 2 ; fluency 3 J/cm 2 ). Visual analog scale (VAS) control was performed before and after the PBM at each visit. The recorded VAS results show a reduction in pain that started at the post-laser time, with VAS before PBM ranging from 5 to 7 and after PBM ranging from 0 to 4. Three patients were given triamcinolone acetonide 0.1%, chlorhexidine gluconate 0.2% mouthwash, petroleum jelly, and multivitamins. One patient was given mefenamic acid and multivitamins. Conclusion: PBM can be a useful adjunctive treatment to relieve the pain of oral mucosal diseases due to its ability to reduce pain intensity.

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