Treatment of lingual nerve paresthesia through photobiomodulation therapy: a case report employing an approach integrating extraoral and intraoral modalities

Authors

  • Amanda de Farias Gabriel Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
  • Júlia Breda Soares Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
  • Laura Borges Kirschinick University of Campinas, Piracicaba, SP, Brazil
  • Tiago Fiorini Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil
  • Ana Cecília Aranha University of São Paulo, SP, Brazil
  • Marco Antonio Trevizani Martins Hospital de Clínicas de Porto Alegre (HCPA/UFRGS), Porto Alegre, Brazil
  • Dra. Manoela Martins Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

DOI:

https://doi.org/10.59306/jrd.v12e1202429-34

Keywords:

Paresthesia, Photobiomodulation, Oral Nerve Injuries

Abstract

Aims: Oral nerve injuries are the primary cause of paresthesia in the head and neck regions.

To report the managing of a combined protocol involving extraoral and intraoral photobiomodulation (PBM) therapy for lingual nerve paresthesia.

Case report: A 38-year-old female patient underwent 25 PBM sessions using laser with dual wavelength infrared (810nm + 980 nm). The extraoral application included 6 seconds and 6J per point.  per point, 1W, 4.91 cm², 1.2 J/cm. The intraoral protocol with 0.3W of power, a spot size of 0.38 cm², 15.78 J/cm² of energy density, 6J of energy per point, for 20 seconds.

Results: Assessment of neurosensitivity on the dorsum of the tongue was a 75% improvement. On the lateral tongue improved to 50%. In the floor of the mouth, PBM demonstrated a 25% improvement.

Conclusion: PBM is an important treatment option in the case of lingual nerve paresthesia. The use of PBM should be considered as a feasible, non-invasive treatment approach.

Author Biographies

  • Amanda de Farias Gabriel, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

    Department of Oral Pathology, School of Dentistry

  • Júlia Breda Soares, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

    Department of Oral Pathology, School of Dentistry

  • Laura Borges Kirschinick , University of Campinas, Piracicaba, SP, Brazil

    Oral Diagnosis Department, Piracicaba Dental School

  • Tiago Fiorini, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

    Department of Oral Periodontology, School of Dentistry

  • Ana Cecília Aranha, University of São Paulo, SP, Brazil

    Department of Restorative Dentistry, School of Dentistry

  • Marco Antonio Trevizani Martins, Hospital de Clínicas de Porto Alegre (HCPA/UFRGS), Porto Alegre, Brazil

    Department of Oral Pathology, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

    Department of Oral Medicine

  • Dra. Manoela Martins, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil

    Department of Oral Pathology, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

     

    Department of Oral Medicine, Hospital de Clínicas de Porto Alegre (HCPA/UFRGS), Porto Alegre, Brazil

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Published

2024-06-21 — Updated on 2024-07-03

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