Volume 22 Issue 2
Feb.  2024
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WANG Tingting, HUANG Yongsong, XU Li, TIAN Ruixue. Analysis of the effect of low level semiconductor laser on the pain of permanent tooth caries mechanical preparation of Class Ⅰ cavities[J]. Chinese Journal of General Practice, 2024, 22(2): 222-224. doi: 10.16766/j.cnki.issn.1674-4152.003370
Citation: WANG Tingting, HUANG Yongsong, XU Li, TIAN Ruixue. Analysis of the effect of low level semiconductor laser on the pain of permanent tooth caries mechanical preparation of Class Ⅰ cavities[J]. Chinese Journal of General Practice, 2024, 22(2): 222-224. doi: 10.16766/j.cnki.issn.1674-4152.003370

Analysis of the effect of low level semiconductor laser on the pain of permanent tooth caries mechanical preparation of Class Ⅰ cavities

doi: 10.16766/j.cnki.issn.1674-4152.003370
Funds:

 KJ2021A0790

 2022105

 2022byzd034

  • Received Date: 2023-06-19
    Available Online: 2024-03-27
  •   Objective  To evaluate the effectiveness of low-level laser therapy (LLLT) in the treatment of pain during mechanical cavity preparation of Class Ⅰ cavities in adult permanent teeth in adult patients with low pain tolerance.  Methods  This study selected adult patients with Class Ⅰ permanent tooth cavities (D2) who visited the Department of Stomatology at the First Affiliated Hospital of Bengbu Medical University from October 2022 to September 2023. Before the treatment, the preliminary test of pain threshold (PTPT) was initially tested by the mechanical removal method, and the pain score was evaluated by the visual analogue scale (VAS) score. Twenty patients with 7 points≤VAS < 10 points, 40 teeth were selected, laser group (20 teeth) and placebo group (20 teeth). The laser group was treated with LLLT before the cavity preparation, and the placebo group was treated with simulated laser irradiation at the same position but the laser was not in working mode. The VAS score was used to evaluate the pain intensity after the cavity preparation, and the VAS scores were compared between the two groups and before and after the treatment.  Results  The VAS score of all subjects in the laser group was lower than that in the placebo group [4.0 (4.0, 4.5) points vs. 6.0 (6.0, 6.8) points, P < 0.001]; Compared with the pain felt during PTPT, the laser group decreased by 42.9% [7.0 (7.0, 8.0) points vs. 4.0 (4.0, 4.5) points, P < 0.001] and the placebo group decreased by 14.3% [7.0 (7.0, 8.0) points vs. 6.0 (6.0, 6.8) points, P < 0.001].  Conclusion  The use of LLLT before cavity mechanical preparation can greatly reduce the pain intensity during permanent tooth treatment.

     

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  • [1]
    MOEINTAGHAVI A, AHRARI F, NASRABADI N, et al. Low level laser therapy, Er, Cr: YSGG laser and fluoride varnish for treatment of dentin hypersensitivity after periodontal surgery: a randomized clinical trial[J]. Lasers Med Sci, 2021, 36(9): 1949-1956. doi: 10.1007/s10103-021-03310-4
    [2]
    石慧清. 心理诱导缓解乳牙根管治疗患者焦虑和恐惧的临床疗效研究[J]. 内蒙古医科大学学报, 2019, 41(S1): 105-108. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYX2019S1034.htm

    SHI H Q. To study the clinical effect of psychological induction on anxiety and fear in patients with root canal treatment of primary teeth[J]. Journal of Inner Mongolia Medical University, 2019, 41(S1): 105-108. https://www.cnki.com.cn/Article/CJFDTOTAL-NMYX2019S1034.htm
    [3]
    AL-JEWAIR T, FARSAII A. Low-level laser therapy may reduce pain associated with orthodontic separator placement[J]. J Evid Based Dent Pract, 2022, 22(3): 101752. DOI: 10.1016/j.jebdp.2022.101752.
    [4]
    FEMIANO F, FEMIANO R, FEMIANO L, et al. Effectiveness of low-level diode laser therapy on pain during cavity preparation on permanent teeth[J]. Am J Dent, 2018, 31(5): 267-271.
    [5]
    MOHAMMADIAN F, SOUFI S, DIBAJI F, et al. Push-out bond strength of calcium-silicate cements following Er: YAG and diode laser irradiation of root dentin[J]. Lasers Med Sci, 2019, 34(1): 201-207. doi: 10.1007/s10103-018-02705-0
    [6]
    XUE V W, YIN I X, NIU J Y, et al. Combined effects of topical fluorides and semiconductor lasers on prevention of enamel caries: a systematic review and meta-analysis[J]. Photobiomodul Photomed Laser Surg, 2022, 40(6): 378-386.
    [7]
    陈济贤. 半导体激光联合牙周基础治疗对慢性牙周炎患者的临床疗效[J]. 医学信息, 2022, 35(20): 90-92. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXX202220023.htm

    CHEN J X. Clinical effect of semiconductor laser combined with periodontal basic treatment on patients with chronic periodontitis[J]. Journal of Medical Information, 2022, 35(20): 90-92. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXX202220023.htm
    [8]
    薛一卓, 宋静, 张文欣, 等. 化学机械去腐技术治疗龋病的Meta分析[J]. 中华全科医学, 2019, 17(7): 1225-1229. doi: 10.16766/j.cnki.issn.1674-4152.000907

    XUE Y Z, SONG J, ZHANG W X, et al. Meta-analysis of chemical-mechanical oral decontamination techniques for dental caries[J]. Chinese Journal of General Practice, 2019, 17(7): 1225-1229. doi: 10.16766/j.cnki.issn.1674-4152.000907
    [9]
    XIE Y H, LIAO M X, LAM F M H, et al. The effectiveness of high-intensity laser therapy in individuals with neck pain: a systematic review and meta-analysis[J]. Physiotherapy, 2023, 121: 23-36. doi: 10.1016/j.physio.2023.07.003
    [10]
    ALVES L V G L, CURYLOFO-ZOTTI F A, BORSATTO M C, et al. Influence of antimicrobial photodynamic therapy in carious lesion. Randomized split-mouth clinical trial in primary molars[J]. Photodiagnosis Photodyn Ther, 2019, 26: 124-130. doi: 10.1016/j.pdpdt.2019.02.018
    [11]
    GARZÓN J, BALDION P A, GRAJALES M, et al. Response of osteoblastic cells to low-level laser treatment: a systematic review[J]. Lasers Med Sci, 2022, 37(8): 3031-3049. doi: 10.1007/s10103-022-03587-z
    [12]
    KERMANSHAH H, CHINIFORUSH N, KOLAHDOUZ MOHAMMADI M, et al. Effect of photobiomodulation therapy with 915 nm diode laser on pain perception during local anesthesia of maxillary incisors: a randomized controlled trial[J]. Photochem Photobiol, 2022, 98(6): 1471-1475. doi: 10.1111/php.13644
    [13]
    SHAKYA V K, BHATTACHARJEE A, SINGH R K, et al. Shear bond strengths of bur or Er: YAG laser prepared dentine to composite resin with or without low-level laser conditioning: an in vitro study[J]. Lasers Med Sci, 2023, 38(1): 161. doi: 10.1007/s10103-023-03824-z
    [14]
    AMAROLI A, PASQUALE C, ZEKIY A, et al. Photobiomodulation and oxidative stress: 980 nm diode laser light regulates mitochondrial activity and reactive oxygen species production[J]. Oxid Med Cell Longev, 2021, 2021: 6626286. DOI: 10.1155/2021/6626286.
    [15]
    GUERREIRO M Y R, MONTEIRO L P B, DE CASTRO R F, et al. Effect of low-level laser therapy on postoperative endodontic pain: an updated systematic review[J]. Complement Ther Med, 2021, 57: 102638. DOI: 10.1016/j.ctim.2020.102638.
    [16]
    DE OLIVEIRA M F, JOHNSON D S, DEMCHAK T, et al. Low-intensity LASER and LED (photobiomodulation therapy) for pain control of the most common musculoskeletal conditions[J]. Eur J Phys Rehabil Med, 2022, 58(2): 282-289.
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