Next Article in Journal
Uprighting Impacted Mandibular Second Molar Using a Skeletal Anchorage: A Case Report
Next Article in Special Issue
A Spectrophotometric Study on Light Attenuation Properties of Dental Bleaching Gels: Potential Relevance to Irradiation Parameters
Previous Article in Journal
The Anchorage of Bone Cells onto an Yttria-Stabilized Zirconia Surface with Mild Nano-Micro Curved Profiles
Previous Article in Special Issue
Photobiomodulation Dose Parameters in Dentistry: A Systematic Review and Meta-Analysis
Review

Laser Analgesia Associated with Restorative Dental Care: A Systematic Review of the Rationale, Techniques, and Energy Dose Considerations

1
Leicester School of Pharmacy, De Montfort University, Gateway House, Leicester LE1 9BH, UK
2
School of Dental Medicine, University of Nevada Las Vegas, Las Vegas, NV 89154, USA
*
Author to whom correspondence should be addressed.
Dent. J. 2020, 8(4), 128; https://doi.org/10.3390/dj8040128
Received: 4 September 2020 / Revised: 30 October 2020 / Accepted: 10 November 2020 / Published: 12 November 2020
(This article belongs to the Special Issue Lasers in Dentistry: Hard and Soft Tissues)
It is a common experience amongst laser dentists and patients that mid-IR wavelength application in cavity preparation may be achieved without causing any associated pain. The erbium family of lasers (Er,Cr:YSGG 2780 nm and Er:YAG 2940 nm) are frequently used without employing injectable local anesthesia as an adjunct: the phenomenon arising from the application of these devices is known as laser analgesia. This review seeks to apply a systematic approach to the examination of appropriate published studies but also to highlight the need for much more structured clinical investigations that consolidate photonic dose and methodology. A search of published data using PRISMA criteria was carried out to examine clinical trials into laser analgesia in conjunction with restorative dentistry, applying inclusion and exclusion criteria. From this, 10 published articles were selected for analysis. Suitability assessment was carried out, using a modified Cochrane risk of bias methodology. In 8/10 of the included studies, laser-induced analgesia is claimed to be better and effective, while in 2/10 of the studies, no difference was exhibited compared to the control group. Statistical analysis of three split mouth studies concluded that only one of these investigations reviewed demonstrated a significant analgesic effect for laser treatment while the other two did not support this observation. From this data, it is inconclusive to assess the predictability of laser analgesia in cavity preparation. A possible rationale and laser operating parametry has been discussed. Successful implementation of this treatment modality remains technique sensitive and subject to further investigation. View Full-Text
Keywords: dentistry; laser; analgesia; restorative; pain dentistry; laser; analgesia; restorative; pain
Show Figures

Figure 1

MDPI and ACS Style

Poli, R.; Parker, S.; Anagnostaki, E.; Mylona, V.; Lynch, E.; Grootveld, M. Laser Analgesia Associated with Restorative Dental Care: A Systematic Review of the Rationale, Techniques, and Energy Dose Considerations. Dent. J. 2020, 8, 128. https://doi.org/10.3390/dj8040128

AMA Style

Poli R, Parker S, Anagnostaki E, Mylona V, Lynch E, Grootveld M. Laser Analgesia Associated with Restorative Dental Care: A Systematic Review of the Rationale, Techniques, and Energy Dose Considerations. Dentistry Journal. 2020; 8(4):128. https://doi.org/10.3390/dj8040128

Chicago/Turabian Style

Poli, Riccardo, Steven Parker, Eugenia Anagnostaki, Valina Mylona, Edward Lynch, and Martin Grootveld. 2020. "Laser Analgesia Associated with Restorative Dental Care: A Systematic Review of the Rationale, Techniques, and Energy Dose Considerations" Dentistry Journal 8, no. 4: 128. https://doi.org/10.3390/dj8040128

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop