Class IV laser therapy as treatment for chemotherapy-induced oral mucositis in onco-haematological paediatric patients: A prospective study

Maddalena Chermetz, Margherita Gobbo, Luca Ronfani, Giulia Ottaviani, Giulio A. Zanazzo, Federico Verzegnassi, Nathaniel S. Treister, Roberto Di Lenarda, Matteo Biasotto, Serena Zacchigna

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Oral mucositis is a debilitating side effect of chemotherapy. Laser therapy has recently demonstrated efficacy in the management of oral mucositis (OM). Aim: This prospective study was conducted to evaluate the efficacy of class IV laser therapy in patients affected by OM. Design: Eighteen onco-haematological paediatric patients receiving chemotherapy and/or haematopoietic stem cell transplantation, prior to total body irradiation, affected by OM, were enrolled in this study. Patients were treated with class IV laser therapy for four consecutive days; the assessment of OM was performed through WHO Oral Mucositis Grading Objective Scale, and pain was evaluated through visual analogue scale. Patients completed a validated questionnaire, and photographs of lesions were taken during each session. Patients were re-evaluated 11 days after the first day of laser therapy. Results: All patients demonstrated improvement in pain sensation, and all mucositis was fully resolved at the 11-day follow-up visit, with no apparent side effects. Laser therapy was well tolerated with remarkable reduction in pain associated with oral mucositis after 1-2 days of laser therapy. Conclusions: Given class IV laser therapy appears to be safe, non-invasive, and potentially effective, prospective, randomized, controlled trials are necessary to further assess efficacy and to determine optimal treatment parameters.

Original languageEnglish
Pages (from-to)441-449
Number of pages9
JournalInternational Journal of Paediatric Dentistry
Volume24
Issue number6
DOIs
Publication statusPublished - Nov 1 2014

ASJC Scopus subject areas

  • Dentistry(all)

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