Lasers in Medical Science

, Volume 29, Issue 4, pp 1517–1529

Laser treatment of recurrent herpes labialis: a literature review

  • Carlos de Paula Eduardo
  • Ana Cecilia Corrêa Aranha
  • Alyne Simões
  • Marina Stella Bello-Silva
  • Karen Muller Ramalho
  • Marcella Esteves-Oliveira
  • Patrícia Moreira de Freitas
  • Juliana Marotti
  • Jan Tunér
Review Article

DOI: 10.1007/s10103-013-1311-8

Cite this article as:
de Paula Eduardo, C., Aranha, A.C.C., Simões, A. et al. Lasers Med Sci (2014) 29: 1517. doi:10.1007/s10103-013-1311-8

Abstract

Recurrent herpes labialis is a worldwide life-long oral health problem that remains unsolved. It affects approximately one third of the world population and causes frequent pain and discomfort episodes, as well as social restriction due to its compromise of esthetic features. In addition, the available antiviral drugs have not been successful in completely eliminating the virus and its recurrence. Currently, different kinds of laser treatment and different protocols have been proposed for the management of recurrent herpes labialis. Therefore, the aim of the present article was to review the literature regarding the effects of laser irradiation on recurrent herpes labialis and to identify the indications and most successful clinical protocols. The literature was searched with the aim of identifying the effects on healing time, pain relief, duration of viral shedding, viral inactivation, and interval of recurrence. According to the literature, none of the laser treatment modalities is able to completely eliminate the virus and its recurrence. However, laser phototherapy appears to strongly decrease pain and the interval of recurrences without causing any side effects. Photodynamic therapy can be helpful in reducing viral titer in the vesicle phase, and high-power lasers may be useful to drain vesicles. The main advantages of the laser treatment appear to be the absence of side effects and drug interactions, which are especially helpful for older and immunocompromised patients. Although these results indicate a potential beneficial use for lasers in the management of recurrent herpes labialis, they are based on limited published clinical trials and case reports. The literature still lacks double-blind controlled clinical trials verifying these effects and such trials should be the focus of future research.

Keywords

Herpes simplex virusHSV-1High-power laserLow-power laserLaser phototherapyPhotodynamic therapy

Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  • Carlos de Paula Eduardo
    • 1
  • Ana Cecilia Corrêa Aranha
    • 1
  • Alyne Simões
    • 2
  • Marina Stella Bello-Silva
    • 1
    • 3
  • Karen Muller Ramalho
    • 1
    • 4
  • Marcella Esteves-Oliveira
    • 1
    • 5
  • Patrícia Moreira de Freitas
    • 1
  • Juliana Marotti
    • 6
  • Jan Tunér
    • 7
  1. 1.Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative DentistrySchool of Dentistry of the University of São Paulo (USP)São PauloBrazil
  2. 2.Laboratory of Oral Biology, Department of Biomaterials and Oral BiologySchool of Dentistry of the University of São Paulo (USP)São PauloBrazil
  3. 3.School of DentistryNove de Julho UniversitySão PauloBrazil
  4. 4.Department of Stomatoloy, Discipline of Integrated Dental ClinicSchool of Dentistry of the University of São Paulo (USP)São PauloBrazil
  5. 5.Department of Operative Dentistry, Periodontology and Preventive DentistryRWTH Aachen UniversityAachenGermany
  6. 6.Department of Prosthodontics and Dental MaterialsMedical Faculty, RWTH Aachen UniversityAachenGermany
  7. 7.Private Dental ClinicGrangesbergSweden