The Efficacy of Low-Level Laser Therapy in the Treatment of Bell’s Palsy in Diabetic Patients

Introduction: The most common causes of the abrupt onset of unilateral facial weakness are stroke and Bell’s palsy. The drug regimen together with electrical stimulation was more effective in treating Bell’s palsy than conventional drug treatment alone. We aimed to evaluate more effective and safe therapies for the treatment of Bell’s palsy. Methods: This clinical interventional study was conducted on 30 diabetic patients with Bell’s palsy who referred to a pain clinic for 1 year and were treated by low-level laser (LLL). The system of House-Brackmann was used for assessing the severity of nerve damage and patients were evaluated by electromyography and nerve conduction study (NCS) before and after treatment with low-level laser. These patients had not consumed any other medication for facial nerve palsy. Results: In the present study, 30 cases with poorly controlled diabetes mellitus (18 females and 12 males) were studied. After 12 sessions of low-level laser therapy (LLLT), we could observe complete recovery in 18 patients and partial recovery in 6 patients after 3 months. Conclusion: The recovery rate showed that LLLT is a safe, reliable and proper alternative approach for the treatment of facial nerve palsy, especially in the presence of underlying conditions such as diabetes mellitus.

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Role of low-level laser therapy added to facial expression exercises in patients with idiopathic facial (Bell’s) palsy

Lasers in Medical Science ◽

10.1007/s10103-017-2195-9 ◽

2017 ◽

Vol 32 (4) ◽

pp. 931-936 ◽

Cited By ~ 14

Author(s):

Banu Ordahan ◽

Ali yavuz Karahan

Keyword(s):

Facial Expression ◽

Laser Therapy ◽

Bell’S Palsy ◽

Low Level Laser Therapy ◽

Bell's Palsy ◽

Low Level ◽

Low Level Laser ◽

Level Laser

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Low power laser efficacy in the therapy of inflamed gingive in diabetics with parodontopathy

Vojnosanitetski pregled ◽

10.2298/vsp1108684o ◽

2011 ◽

Vol 68 (8) ◽

pp. 684-689 ◽

Cited By ~ 4

Author(s):

Radmila Obradovic ◽

Ljiljana Kesic ◽

Goran Jovanovic ◽

Dragan Petrovic ◽

Goran Radicevic ◽

...

Keyword(s):

Diabetes Mellitus ◽

Periodontal Disease ◽

Laser Therapy ◽

Low Level Laser Therapy ◽

Diabetic Patients ◽

Gingival Index ◽

Gingival Inflammation ◽

Low Level ◽

Low Level Laser ◽

Level Laser

Background/Aim. There is clear evidence on direct relationship between periodontal disease and diabetes mellitus. Many investigations point out greater prevalence and severity of periodontal disease among diabetic patients. During last decade, low level laser therapy has been used in periodontal therapy. It has biostimulative effect, accelerates wound healing, minimizes pain and swelling, and there is almost no contraindication for its usage. The aim of the paper was to investigate the efficiency of low level laser therapy as adjuvant tool in reduction of gingival inflammation in diabetic patients. Methods. The study incuded 150 participants divided into three groups: group I (50 participants with diabetes mellitus type 1 and periodontal disease), group II (50 participants with diabetes mellitus type 2 and periodontal disease), group III (nondiabetic participants with periodontal disease). Gingival health evaluation was done using gingival index L?e-Silness. Soft and hard deposits were removed, periodontal pockets cleaned and GaAlAs low level laser therapy (5 mW) applied five consecutive days. In each patient, low level laser therapy was not applied on the left side of the jaw in order to compare the effects of the applied therapy. After the first, third and fifth therapy and one month after the last visit gingival index was evaluated. Before the first and after the fifth therapy exfoliative cytology of gingiva was done and nuclei areal was analyzed morphometrically. Results. After all investigated periods, gingival index and nuclei areal were significantly decreased comparing to values before the therapy, at both jaw sides (p < 0.001). After the 1st, 3rd and 5th therapy, the t-test showed a significantly decreased gingival index at the lased side of jaw comparing to non-lased side. Conclusion. Low level laser therapy is efficient in gingival inflammation elimination and can be proposed as an adjuvant tool in basic periodontal therapy of diabetic patients.

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