Efficacy of Low-Level Laser Therapy for the Therapeutic Management of Neuropathic Orofacial Pain: A Systematic Review
de Pedro M, López-Pintor RM, de la Hoz-Aizpurua JL, Casañas E, Hernández G
Journal of oral & facial pain and headache · 28 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Systematic review (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Funding not disclosed
Publication
- Published
- 2019-07-24 · J Oral Facial Pain Headache · vol. 34 · issue 1 · pp. 13–30
- Cited
- 56 citations · more than 92% of similar papers · 3.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 0 works
- Access
- Paywalled
- Research areas
- Laser Applications in Dentistry and Medicine · Salivary Gland Disorders and Functions · Trigeminal Neuralgia and Treatments
- Keywords
- Medicine, Trigeminal neuralgia, Orofacial pain, Neuropathic pain, Burning mouth syndrome, Cochrane Library, Neuralgia, MEDLINE, Placebo, Data extraction, Randomized controlled trial, Occipital neuralgia, Low level laser therapy, Physical therapy, Laser therapy, Anesthesia, Surgery, Internal medicine, Alternative medicine
- MeSH
- humans, facial pain, neuralgia, prospective studies, chronic pain, low-level light therapy
5 authors
- Miguel de Pedro
- Rosa María López‐Pintor
- José de la Hoz-Aizpurua
- Elisabeth Casañas
- Gonzalo Hernández
Abstract
Aims
To evaluate the efficacy of low-level laser therapy (LLLT) for the therapeutic management of neuropathic orofacial pain.
Methods
This systematic review was conducted according to PRISMA guidelines. A comprehensive search of the literature was conducted in the PubMed/MEDLINE, Scopus, and Cochrane Library databases up to March 8, 2018, using terms such as low-level laser therapy, neuropathic pain, orofacial pain, neuralgia, neuropathy, and all the entities described in section 13 of the International Classification of Headache Disorders, third edition. The primary outcome was measurement of pain intensity.
Results
A total of 997 studies were obtained with the initial search; 13 (8 randomized controlled trials, 2 prospective studies, and 3 case series) met the inclusion criteria and were analyzed for data extraction. Three provided data for the treatment of trigeminal neuralgia, 1 for occipital neuralgia, and 10 for burning mouth syndrome. All studies showed a reduction in pain intensity (most of them significant). The different studies analyzed LLLT alone and compared to placebo, to another treatment, or to different LLLT application protocols.
Conclusion
LLLT seems to be effective as a treatment option for different neuropathic orofacial pain entities such as trigeminal neuralgia, occipital neuralgia, and burning mouth syndrome as a single or combined treatment. However, more quality studies assessing all outcome measures of chronic pain are needed in the medium and long terms. Furthermore, due to the lack of standardization of the application technique, more well-designed studies are required to confirm the results of this systematic review.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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