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Photobiomodulation In Treatment Of Xerostomia In Type Ii Diabetic Patients

Not Applicable
Completed
Conditions
Xerostomia
Diabetes Mellitus
Registration Number
NCT06703372
Lead Sponsor
Hams Hamed Abdelrahman
Brief Summary

Xerostomia is a major oral health problem that if not recognized and treated can have a significant effect on a patient's quality of life. It leads to difficulties with speech, swallowing and taste alteration. Pathological causes of xerostomia are divided into local and systemic factors. Local factors include smoking, salivary gland diseases and head and neck radiation therapy. Systemic factors include autoimmune diseases as Sjögren syndrome and hormonal disorders as Diabetes Mellitus. Photobiomodulation (PBM) previously known as Low Level Laser Therapy (LLLT) is the application of red and near infra-red light over injuries or lesions to improve wound and soft tissue healing, reduce inflammation and give relief for both acute and chronic pain. It also has grabbed the attention over the last few years as an effective treatment for xerostomia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients with type 2 diabetes mellitus suffering from xerostomia and on oral hypoglycemic drugs.
  • Glycated hemoglobin less than 7%.
  • Duration of diabetes mellitus not less than 4 years and not more than 8 years
Exclusion Criteria
  • Patients receiving any drugs that cause hyposalivation.
  • Patients with any systemic disease reported to produce hyposalivation (sjogren's syndrome, hepatitis c, rheumatoid arthritis and lupus erythematosus).
  • Patients receiving chemotherapy and radiotherapy.
  • Individuals with skin lesions in the treatment zone to avoid any complications occurring in this area by laser exposure

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in severity of xerostomiabaseline, 2 weeks, 4 weeks, 6 weeks and 12 weeks

Summated Xerostomia Inventory-Dutch Version questionnaire (SXI-D) version will be used to assess the severity of xerostomia.

Questions:

* My mouth feels dry when eating a meal.

* My mouth feels dry.

* I have difficulty in eating dry foods.

* I have difficulties swallowing certain foods.

* My lips feel dry

Scores:

* Never scoring 1

* Occasionally scoring 2

* Ever scoring 3

Change in unstimulated salivary flow ratebaseline, 2 weeks, 4 weeks, 6 weeks and 12 weeks

Hypo-salivation will be determined if the unstimulated salivary flow rate is 0.1- 0.2 ml/min or less

Change in stimulated salivary flow ratebaseline, 2 weeks, 4 weeks, 6 weeks and 12 weeks

Whole-mouth SFR measurement will be conducted at every follow-up time point.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Outpatient Clinic of Oral medicine Department, Faculty of Dentistry, Alexandria University, Egypt

🇪🇬

Alexandria, Egypt

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