Evaluation of laser therapy and alpha-lipoic acid for the treatment of burning mouth syndrome: a randomized clinical trial.

Abstract:

:The aim of this study was to evaluate the efficacy of low-level laser therapy (LLLT) and alpha-lipoic acid (ALA) in the treatment of burning mouth syndrome (BMS) and secondary oral burning (SOB) by unstimulated sialometry, symptom assessment, and measurement of salivary TNF-α levels. Forty-four patients were randomized into four treatment groups: BMS/laser (n = 10), BMS/ALA (n = 5), SOB/laser (n = 15), and SOB/ALA (n = 14). The control group consisted of eight healthy female subjects. Unstimulated salivary flow was measured before and after treatment, and the collected saliva was stored at - 20 °C for the analysis of TNF-α. Symptoms were evaluated before and after treatment using a pain visual analog scale. Most patients were women (81.8%) during menopause (72.2%). LLLT and ALA were efficient in increasing salivary flow only in BMS but provided symptom relief in both conditions. TNF-α levels did not differ between patients with BMS and SOB or between those patients and the control group. No differences were observed in posttreatment TNF-α levels in either condition. The results of this study suggest that LLLT and ALA are efficient therapies in reducing burning mouth symptoms, with LLLT being more efficient than ALA.

journal_name

Lasers Med Sci

authors

Barbosa NG,Gonzaga AKG,de Sena Fernandes LL,da Fonseca AG,Queiroz SIML,Lemos TMAM,da Silveira ÉJD,de Medeiros AMC

doi

10.1007/s10103-018-2472-2

subject

Has Abstract

pub_date

2018-08-01 00:00:00

pages

1255-1262

issue

6

eissn

0268-8921

issn

1435-604X

pii

10.1007/s10103-018-2472-2

journal_volume

33

pub_type

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