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Nd:YAG photobiomodulation treatment in burning mouth syndrome: a pilot study

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Abstract

Objective

The aim of this study was to assess the effectiveness of Nd:YAG photobiomodulation (PBM) verse no power placebo with Nd:YAG in the treatment of patients with Burning mouth syndrome (BMS) in pain/burning, numbness, and altered taste.

Methods and materials

Forty-two patients with BMS were randomly equally assigned to PBM group and placebo group. The parameters of 1064-nm laser irradiation consisted of 100 mW power, 3 J/cm2, 30 s/region, and 10HZ. The placebo group used the same PBM instrument which was switched off. Each patient underwent one laser irradiation session per week for 4 weeks. Clinical assessments of subjective pain/burning, numbness, and altered taste were performed using a visual analogue score (VAS) before each irradiation session and 1 week after last treatment.

Results

All of the patients (21) in PBM group were showed significant decrease of VAS value of pain/burning (2% ~100%, mean 52%). The improvement on VAS value of numbness in PBM group (23% ~100%, mean 61%) was significant. Relief of altered taste was found neither in PBM group nor in placebo group. All patients completed this study and none of them reported adverse effects.

Conclusion

One thousand and sixty-four nanometers PBM was effective for reduction of pain/burning and numbness in patients with BMS.

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Data availability

The datasets used and analyzed during the current study are available from the corresponding author on reasonable request.

Abbreviations

BMS:

burning mouth syndrome

PBM:

photobiomodulation

RCT:

randomized controlled trial

VAS:

visual analogue scale

Sbaseline :

baseline session

S1:

1st session

S2:

2nd session

S3:

3rd session

S4:

4th session

Nd:YAG:

neodymium-doped yttrium aluminum garnet

IASP:

the International Association for the Study of Pain

gLMS:

generalized labeled magnitude scale

References

  1. The International Association for the Study of Pain (1994) Descriptions of chronic pain syndromes and definitions of pain terms. In: Merskey H, Bogduk N (eds) Classification of chronic pain, pp 74–75

    Google Scholar 

  2. Lopez-Jornet P, Molino-Pagan D, Parra-Perez P, Valenzuela S (2017) Neuropathic pain in patients with burning mouth syndrome evaluated using pain DETECT. Pain Med. 18:1528–1533

    PubMed  Google Scholar 

  3. Nagler RM, Hershkovich O (2004) Sialochemical and gustatory analysis in patients with oral sensory complaints. J Pain. 5:56–63

    Article  PubMed  Google Scholar 

  4. Lamey PJ (1996) Burning mouth syndrome. Dermatol Clin. 14:339–354

    Article  PubMed  Google Scholar 

  5. Lamey PJ, Lamb AB (1994) Lip component of burning mouth syndrome. Oral Surg Oral Med Oral Pathol. 78:590–593

    Article  PubMed  Google Scholar 

  6. Zakrzewska JM, Forssell H, Glenny AM (2005) Interventions for the treatment of Burning mouth syndrome. Cochrane database Syst Review. https://doi.org/10.1002/14651858.CD011259.pub2

  7. Meurman JH, Tarkkila L, Tiitinen A (2009) The menopause and oral health. Maturitas. 63(1):56–62

    Article  PubMed  Google Scholar 

  8. Vellappally S (2016) Burning mouth syndrome: a review of the etiopathologic factors and management. J Contemp Dent Pract. 17:171–176

    Article  PubMed  Google Scholar 

  9. Lauria G, Majorana A, Borgna M, Lombardi R, Penza P, Padovani A, Sapelli P (2005) Trigeminal small-fiber sensory neuropathy causes burning mouth syndrome. Pain. 115:332–337

    Article  PubMed  Google Scholar 

  10. Albuquerque RJ, de Leeuw R, Carlson CR, Okeson JP, Miller CS, Andersen AH (2006) Cerebral activation during thermal stimulation of patients who have burning mouth disorder: an fMRI study. Pain. 122:223–234

    Article  PubMed  Google Scholar 

  11. Hsieh JC, Belfrage M, Stone-Elander S, Hansson P, Ingvar M (1995) Central representation of chronic ongoing neuropathic pain studied by positron emission tomography. Pain. 63:225–236

    Article  PubMed  Google Scholar 

  12. Liu YF, Kim Y, Yoo T, Han P, Inman JC (2018) Burning mouth syndrome: a systematic review of treatments. Oral Dis. 24:325–334

    Article  PubMed  Google Scholar 

  13. Cui D, Zhang Y (2017) Efficacy of low-level laser therapy in the treatment of burning mouthsyndrome. Chinese Journal of Practical Stomatology. 10:158–162

    Google Scholar 

  14. Al-Maweri S, Javed F, Kalakonda B, AlAizari NA, Al-Soneidar W (2017) Al-AkwaA. Efficacy of low level laser therapy in the treatment of burning mouth syndrome: a systematic review. Photodiagnosis and photodynamic therapy. 17:188–193

    Article  PubMed  Google Scholar 

  15. Cammarata F, Wautelet M (1999) Medical lasers and laser-tissue interactions. Phys Educ. 34:156–161

    Article  Google Scholar 

  16. Bittencourt MA, Paranhos LR, Martins-Filho PR (2017) Low-level laser therapy for treatment of neurosensory disorders after orthognathic surgery: a systematic review of randomized clinical trials. Medicina oral, patologia oral cirugia bucal. 22:780–787

    Google Scholar 

  17. de Andrade AL, Bossini PS, Parizotto NA (2016) Use of low level laser therapy to control neuropathic pain: a systematic review. Journal of photochemistry and photobiology. 164:36–42

    Article  Google Scholar 

  18. Arbabi-Kalati F, Bakhshani N, Rasti M (2015) Evaluation of the efficacy of low-level laser in improving the symptoms of burning mouth syndrome. Journal of clinical and experimental dentistry. 7:e524–e527

    Article  PubMed  PubMed Central  Google Scholar 

  19. Arduino P, Cafaro A, Garrone M, Gambino A, Cabras M, Romagnoli E et al (2016) A randomized pilot study to assess the safety and the value of low-level laser therapy versus clonazepam in patients with burning mouth syndrome. Lasers in medical science. 31:811–816

    Article  PubMed  Google Scholar 

  20. Chan YH (2003) Biostatistics 104: correlational analysis. Singap Med J. 44(12):614–619

    Google Scholar 

  21. Carrasco TG, Guerisoli LD, Guerisoli DM, Mazzetto MO (2009) Evaluation of low intensity laser therapy in myofascial pain syndrome. Cranio. 27:243–247

    Article  PubMed  Google Scholar 

  22. Carvalho CM, de Lacerda JA, dos Santos Neto FP, Cangussu MC, Marques AM, Pinheiro AL (2010) Wavelength effect in temporomandibular joint pain: a clinical experience. Lasers Med Sci. 25:229–232

    Article  PubMed  Google Scholar 

  23. Ml L-R, Vílchez-Pérez MA, Gargallo-Albiol J, Arnabat-Domínguez J, Gay-Escoda C (2012) Efficacy of low-level laser therapy in the management of pain, facial swelling, and postoperative trismus after a lower third molar extraction. A preliminary study. Lasers Med Sci 27:559–566

    Article  Google Scholar 

  24. Demirkol N, Usumez A, Demirkol M, Sari F, Akcaboy C (2017) Efficacy of low-level laser therapy in subjective tinnitus patients with temporomandibular disorders. Photomed Laser Surg. 35:427–431

    Article  PubMed  Google Scholar 

  25. Headache Classification Committee of the International Headache Society (IHS) (2013) The international classification of headache disorders, 3rd edition (beta version). Cephalagia 33:629–808

    Article  Google Scholar 

  26. Santos-Lde F, de-Andrade S, Nogueira G, Leão JC, de Freitas PM (2015) Phototherapy on the treatment of burning mouth syndrome: a prospective analysis of 20 cases. Photochemistry and photobiology. 91:1231–1236

    Article  PubMed  Google Scholar 

  27. Barbosa NG, Gonzaga AKG, de Sena Fernandes LL, da Fonseca AG, Queiroz SIML, Lemos TMAM, da Silveira ÉJD, de Medeiros AMC (2018) Evaluation of laser therapy and alpha-lipoic acid for the treatment of burning mouth syndrome: a randomized clinical trial. Lasers Med Sci 33:1255–1262

    Article  PubMed  Google Scholar 

  28. Pezelj-Ribaric S, Kqiku L, Brumini G, Urek MM, Antonić R, Kuiš D et al (2013) Proinflammatory cytokine levels in saliva in patients with burning mouth syndrome before and after treatment with low-level laser therapy. Lasers Med Sci 28:297–301

    Article  PubMed  Google Scholar 

  29. Sugaya N, Silva E, Kato I, Prates R, Gallo CB, Pellegrini VD et al (2016) Low Intensity laser therapy in patients with burning mouth syndrome: a randomized, placebo-controlled study. Brazilian oral research. 30:e108

    Article  PubMed  Google Scholar 

  30. Valenzuela S, Lopez-Jornet P (2017) Effects of low-level laser therapy on burning mouth syndrome. Journal of oral rehabilitation. 44:125–132

    Article  PubMed  Google Scholar 

  31. Kato I, Pellegrini V, Prates R et al (2010) Low-level laser therapy in burning mouth syndrome patients: a pilot study. Photomed Laser Surg 28:835–839

    Article  PubMed  Google Scholar 

  32. Yang H, Huang Y (2011) Treatment of burning mouth syndrome with a low-level energy diode laser. Photomedicine and laser surgery. 29:123–125

    Article  PubMed  Google Scholar 

  33. Spanemberg J, Lopez-Lopez J, de-Figueiredo M et al (2015) Efficacy of low-level laser therapy for the treatment of burning mouth syndrome: a randomized, controlled trial. Journal of biomedical optics 20:098001

    Article  PubMed  Google Scholar 

  34. Romeo U, Del-Vecchio A, Capocci M et al (2010) The low level laser therapy in the management of neurological burning mouth syndrome. A pilot study. Ann Stomatol (Roma) 1:14–18

    Google Scholar 

  35. Sun C, Jiang WW (2019) Low-level laser treatment of burning mouth syndrome: a systematic review and meta-analysis. Front Oral Maxillofac Med 1:10

    Article  Google Scholar 

  36. Hansen HJ, Thorøe U (1990) Low power laser biostimulation of chronic oro-facial pain. A double-blind placebo controlled cross-over study in 40 patients. Pain. 43:169–179

    Article  PubMed  Google Scholar 

  37. Vukoja D, Alajbeg I, Boras V, Brailo V, Alajbeg IZ, Andabak RA (2011) Is effect of low-level laser therapy in patients with burning mouth syndrome result of a placebo? Photomedicine and laser surgery. 29:647–648

    Article  PubMed  Google Scholar 

  38. Kikut-Ligaj D, Trzcielińska-Lorych J (2015) How taste works: cells, receptors and gustatory perception. Cell Mol Biol Lett. 20:699–716

    Article  PubMed  Google Scholar 

  39. Reed RR, Lane AP (2013) Handbook of olfaction and gustation. Neurological Disease and Therapy. 57:1693–1694

    Google Scholar 

  40. Cruickshanks KJ, Schubert CR, Snyder DJ, Bartoshuk LM, Huang GH, Klein BEK, Klein R, Nieto FJ, Pankow JS, Tweed TS, Krantz EM, Moy GS (2009) Measuring taste impairment in epidemiologic studies: the Beaver Dam Offspring Study. Ann N Y Acad Sci. 1170:543–552

    Article  PubMed  PubMed Central  Google Scholar 

  41. Grushka M, Sessle BJ (1991) Burning mouth syndrome. Dent Clin North Am 35(1):171–184

    PubMed  Google Scholar 

  42. Suarez P, Clark GT (2006) Burning mouth syndrome: an update on diagnosis and treatment methods. J Calif Dent Assoc 34(8):611–622

    PubMed  Google Scholar 

  43. Khan J, Anwer M, Noboru N, Thomas D, Kalladka M (2019) Topical application in burning mouth syndrome. J Dent Sci. 14(4):352–357

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

The authors thank Dr Zhenyu Wu, Department of Biostatistics of Fudan University, for assistance in statistical analysis and thank the participating patients.

Funding

This work was supported by National Natural Science Foundation of China (No. 81671036).

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Corresponding author

Correspondence to Wei-Wen Jiang.

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Ethics approval and consent to participate

The study was approved by Committee of Medical Ethics of Shanghai Ninth People’s Hospital (SH9H-2018-T18-2). Written informed consent was obtained from all patients.

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Not applicable.

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The authors declare no competing interests.

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Sun, C., Xu, P., Zhang, QQ. et al. Nd:YAG photobiomodulation treatment in burning mouth syndrome: a pilot study. Laser Dent Sci 5, 53–60 (2021). https://doi.org/10.1007/s41547-021-00116-z

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