
Comparative Study about the Efficacy of Low Level Laser Therapy and Curcumin Antimicrobial Photodynamic therapy as a Coadjuvant Treatment of Oral Mucositis in Oncologic Patients: Antimicrobial, Analgesic and Degree Aalteration Effect
The conventional treatments currently available for mucositis are not considerably effective, there is a need to implement an adjuvant protocol for the treatment of oral mucositis in patients undergoing radiotherapy and chemotherapy. The objective this study was valuate the effect of Low Level Laser Therapy and Antimicrobial Photodynamic Therapy mediated by curcumin and blue LED as an adjunct treatment of oral mucositis for oncology patients using chemotherapy and or radiotherapy. The patients were divided into 3 groups: Control group (treated with nystatin), LLLT group (treated with Low Level Laser Therapy), and the aPDT group (treated with 450 nm blue LED and curcumin photosensitizer). The results showed that the two experimental treatments promoted yeast reduction of the genus Candida in the last two evaluations (21 days and 30 days), but not in the first two evaluations (7 days and 14 days). Was observed that the Control and aPDT group showed a significant difference in the degree of mucositis over the four evaluations performed, with the results pointing out that the mucositis worsened in the control group from the 14th day, while reduced in the aPDT group from the 21st day of treatment. A reduction in the degree of mucositis and pain score was observed in the LLLT and aPDT groups, with the aPDT group standing out when presenting early clinical improvement in relation to others groups. Regarding the antimicrobial effect, aPDT showed a greater reduction of yeasts of the genus Candida in the tested parameters.
ita de Cássia Dias Viana Andrade¹, Francine Cristina da Silva², Luciano Pereira Rosa²*, Gabriel Pinto de Oliveira Santos², and Walter João Genovese¹#