Análise comparativa do tratamento do ardor bucal com terapia a laser de baixa intensidade e estimulação elétrica nervosa transcutânea: um ensaio clínico randomizado
Introduction: The management of patients with burning mouth is a challenge in the clinical routine of dentistry. Objective: To compare the effect of Low Intensity Laser Therapy (LLLT) and Transcutaneous Electrical Nerve Stimulation (TENS) in the treatment of burning mouth. Methodology: Randomized...
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| Formato: | doctoralThesis |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/49463 |
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| Resumo: | Introduction: The management of patients with burning mouth is a challenge in the clinical
routine of dentistry. Objective: To compare the effect of Low Intensity Laser Therapy
(LLLT) and Transcutaneous Electrical Nerve Stimulation (TENS) in the treatment of
burning mouth. Methodology: Randomized clinical trial consisting of 25 patients with
burning mouth who were treated with TENS (n=12) and LLLT (n=13). Treatment protocols
were applied weekly for 8 weeks. The two-way analysis of variance (ANOVA) test was used
to verify whether there was a significant difference between the times T0 (before starting
treatment), T1 (after the 4th treatment session), T2 (after the 8th treatment session) and T3
(30 days after the end of treatment) in relation to symptoms, analyzed using the Visual
Analogue Scale (VAS), unstimulated salivary flow, xerostomia and dysgeusia with TENS
and LLLT interventions. Results: Most patients were female in the postmenopausal period,
with a mean age of 59.25 years in the TENS group and 62.08 in the LLLT group.
Hypertension and dyslipidemia were the most frequent systemic alterations. Anxiety and
depression were the only psychiatric disorders reported. Most patients used drugs such as
antihypertensives and antidepressants. Significant variations were not observed with regard
to xerostomia and dysgeusia in the two groups analyzed. TENS and LLLT were effective in
reducing the symptoms reported by patients (p˂0.001), however, it was observed between
times T2 and T3 that the LLLT group showed a better response when compared to TENS
(p=0.003). Patients in the TENS group showed an increase in salivary flow between times
T1 and T2, while the LLLT group showed a decrease (p=0.052). Conclusion: TENS and
LLLT were effective in reducing the symptoms of burning mouth during treatment and 30
days after the end of treatment, and the LLLT group showed a better response in the posttreatment follow-up session when compared to the TENS group. |
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