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A randomized clinical trial of the effect of low-level laser therapy before composite placement on postoperative sensitivity in class V restorations
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  • 作者:Horieh Moosavi ; Fatemeh Maleknejad ; Mahsa Sharifi…
  • 关键词:Class V ; Restoration ; Laser ; Low ; level laser ; Low ; power laser ; Postoperative sensitivity ; Dentin sensitivity ; Resin composite ; Therapy
  • 刊名:Lasers in Medical Science
  • 出版年:2015
  • 出版时间:May 2015
  • 年:2015
  • 卷:30
  • 期:4
  • 页码:1245-1249
  • 全文大小:233 KB
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  • 作者单位:Horieh Moosavi (1)
    Fatemeh Maleknejad (2)
    Mahsa Sharifi (1)
    Farzaneh Ahrari (2)

    1. Dental Materials Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran
    2. Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Medicine/Public Health, general
    Dentistry
    Laser Technology and Physics and Photonics
    Quantum Optics, Quantum Electronics and Nonlinear Optics
    Applied Optics, Optoelectronics and Optical Devices
  • 出版者:Springer London
  • ISSN:1435-604X
文摘
This study aimed to investigate the efficacy of low-level laser irradiation when applied just before placement of resin composite on reducing postoperative sensitivity of class V lesions. In this randomized clinical trial, 31 patients with 62 class V cavities were included (two teeth in each participant). The teeth were randomly assigned into laser and placebo groups. After cavity preparation, the teeth in the experimental group were subjected to irradiation from a low-power red laser (630?nm, 28?mW, continuous wave, 60?s, 1.68?J), which was applied for 1?min on the axial wall of the cavity. In the control group, the same procedure was performed but with laser simulation. Then, a self-etch adhesive was applied and the cavities were restored with a microhybrid resin composite. Before treatment and on days 1, 14, and 30 after treatment, tooth sensitivity to a cold stimulus was recorded using a visual analogue scale. Data were analyzed by Friedman and Wilcoxon signed-rank tests (p-lt;-.05). Pain scores after restorative procedures were significantly lower in the laser group compared to the placebo application (p-lt;-.05). Although both groups experienced a significant improvement in pain and discomfort throughout the follow-up periods (p-lt;-.001), the changes in visual analogue scale (VAS) scores between baseline and each follow-up examination were significantly greater in the laser than the placebo group (p-lt;-.05). Low-level laser therapy (LLLT) before placement of resin composite could be suggested as a suitable approach to reduce postoperative sensitivity in class V restorations.

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