Effect of Laser Photobiomodulation on Postoperative Pain in Endodontics: A Systematic Review

Kadam, Ashwini Suresh; Merwade, Seema; Kumar Neelakantappa, Kiran; Naik, Savitha B.; Brigit, Biji; Bhumralkar, Shriya Sunil; Naik, Bhargavi H.

doi:10.1089/photob.2023.0129

Cited by 1 publication

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The mechanism underpinning the alleviation of pain by PBMT is possibly highly complex. In spite of still not fully understanding the mechanism of its analgesic effect, the analgesic impact of PBM has been described in the literature and is employed in various clinical situations including the management of herpes [ 6 ], temporomandibular disorders [ 7 ], dentinal hypersensitivity [ 8 ], chronic facial myalgia [ 9 ], and postoperative pain following endodontic [ 10 ] or surgical procedures [ 11 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

The use of laser photobiomodulation as pre-anesthetic tissue management technique in reducing injection pain in children

Hamouda,

El-Habashy,

Khalil

2024

BMC Oral Health

View full text Add to dashboard Cite

Background One of the main goals for pediatric dentists is to offer a painless anesthesia experience. Laser photobiomodulation is among the suggested strategies to decrease injection pain. So, this study aimed to assess the impact of laser photobiomodulation on local anesthesia (LA) injection pain in children and its effect on the efficacy of LA during pulpotomy and SSC procedures. Methods The research was carried out as a randomized controlled clinical trial with two parallel group design. It involved 64 cooperative healthy children, age range from 5 to 7 years, each having at least one maxillary molar indicated for pulpotomy. Children were randomly allocated to one of the two groups based on the pre-anesthetic tissue management technique used: test group received laser photobiomodulation, while control group received topical anesthetic gel. Pain during injection, pulpotomy, and SSC procedures was assessed using physiological measures (Heart Rate (HR)), subjective evaluation (modified Face-Pain‐Scale (FPS), and objective analysis (Sound‐Eye‐Motor scale (SEM)). Results A total of 64 children with mean age 6.23 ± 0.78 participated in this research. The mean HR scores were significantly lower in the laser PBM group during buccal and palatal infiltration injections. The SEM mean scores were significantly lower in the laser PBM group during both injections. For the FPS scale, the number of children who recorded satisfaction during injection was significantly higher in laser PBM group. There was no statistically significant difference in mean HR as well as in SEM and FPS scores between the two groups during pulpotomy and SSC procedures. Comparisons between the two study groups were performed using independent samples t- and Mann-Whitney U tests. Significance was set at p value < 0.05. Conclusion Laser photobiomodulation is a promising non-pharmacological pre-anesthetic tissue management technique in children that offered less painful injection compared to topical anesthetic gel without compromising the effectiveness of LA. Trial Registration ClinicalTrials.gov Identifier: NCT05861154. Registered on 16/5/2023. Graphical Abstract

show abstract