Long-Term Benefits of Photobiomodulation Therapy on Health-Related Quality of Life in Burning Mouth Syndrome Patients: A Prospective Study

Author:

de Abreu João Mendes123ORCID,Nunes Tiago134,Almiro Pedro A.5,Figueiredo José123,Corte-Real Ana134ORCID

Affiliation:

1. Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal

2. Stomatology Service, Head, Neck & Skin Surgery Department, Coimbra Hospital and University Centre, 3004-561 Coimbra, Portugal

3. Clinical and Academic Centre of Coimbra, 3004-561 Coimbra, Portugal

4. Forensic Dentistry Laboratory, Faculty of Medicine, University of Coimbra, 3000-548 Coimbra, Portugal

5. Research Centre for Psychology, Autonomous University, 1169-023 Lisbon, Portugal

Abstract

Background/Objectives: Burning Mouth Syndrome (BMS) patients experience a reduction in health-related quality of life and an increased intake of medication. Photobiomodulation with low-level laser therapy has been demonstrated to be an efficacious treatment for BMS. However, its long-term benefits remain relatively unknown. This study aimed to evaluate the impact of prolonged Photobiomodulation with low-level laser therapy on BMS patients by examining the efficacy of an outpatient protocol in a real-world setting. Methods: A prospective study was designed to address the research question. Photobiomodulation was performed, irradiating the affected areas once every two weeks for 12 months. Health-related quality of life was assessed using the EQ-5D-5L questionnaire at the initial consultation and after 6 months and 12 months of treatment. Additionally, the patients’ pharmacological profile was also monitored. Nonparametric statistical analysis was performed (p < 0.05 was considered statistically significant). Results: The study was completed by 15 individuals, comprising 14 females and 1 male. The results indicated a statistically significant improvement (p < 0.001) in four of the five dimensions of the health-related quality of life questionnaire, namely self-care, usual activities, pain/discomfort, and anxiety/depression, along with the patients’ perceived health level. A total of 13 participants reported suspending or reducing their intake of medications for Burning Mouth Syndrome. Conclusions: Therefore, Photobiomodulation with low-level laser therapy has a positive effect on improving patients’ quality of life and reducing BMS symptoms, contributing to a subsequent reduction or suspension of previous medications. These findings support the efficacy of the applied protocol. Given the innovative methodology and promising results, further research is warranted.

Publisher

MDPI AG

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