Effect of Root Canal Disinfection with a Diode Laser on Postoperative Pain After Endodontic Retreatment

Şen, Özgür Genç; Kaya, Melih

doi:10.1089/photob.2018.4539

Cited by 35 publications

(46 citation statements)

References 46 publications

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“…39 PP after endodontic procedures generally occurs during the rst 2-3 days and decreases over time. 25,40 Likewise, present study results showed that both after the rst and second visits in both groups, PP was the most at 24 h while patients declared no pain at 7 days. According to this study, PP in the LD group is signi cantly less than the control group at 24 h after the rst visit.…”

Section: Discussionsupporting

confidence: 66%

“…Arslan et al 30 reported laser use for intracanal disinfection reduces PP after the rst visit with the application of Ca(OH) 2 , similar to ndings of this study. Furthermore, some other studies 25,27 also reported signi cantly less PP levels in the LD group in single visit RCT. Since the root canal obturation procedure can be a risk factor for PP, the results are in line with PP level results of present study after root canal obturation.…”

Section: Discussionmentioning

confidence: 86%

“…In similar studies, single-rooted teeth with vital or necrotic pulp, or failed endodontic treatment were also selected, excluding medically disordered patients. [25][26][27] Some PP studies 25,27,29 nished RCT in a single visit both in retreatment or necrotic cases. Contrarily, two visit applications were also performed similar to this study but evaluating PP levels only after the rst visit.…”

Section: Discussionmentioning

confidence: 99%

“…34,35 The effect of laser therapy on PP in endodontics has been a popular subject of many previous studies. 25,27,30 In the present study, a diode laser device was used for root canal disinfection in necrotic teeth both in rst and second appointments. Diode lasers present antimicrobial effect mostly by thermal action.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Root Canal Disinfection with 980 µm Diode Laser on Post-operative Pain after Endodontic Treatment in Teeth with Apical Periodontitis: A Randomized Clinical Trial

Kaplan

Sezgin

Kaplan

2020

Preprint

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Background: This study aims to assess the effect of root canal disinfection with a 980 µm diode laser following chemomechanical root canal preparation on the severity of pain after root canal treatment (RCT).Methods: In present study, asymptomatic, single-rooted teeth with periapical index (PAI) score 3 or 4 were included. All patients were treated with two visits of root canal treatment including dressing with calcium hydroxide. Patients were randomly divided into two groups (n: 28). ‘Control (no laser)’: The final irrigation was performed using 5ml 2.5% NaOCI, followed by 5 ml 17% EDTA and 5 ml distilled water. ‘Laser Disinfection (LD)’: Root canals were irradiated with 980 µm diode laser after final irrigation at both visits. The pain levels were evaluated using visual analog scale (VAS) after 8, 24, 48 hours and 7 days. In addition, analgesic intake and time intervals were recorded by patients. The collected data were statistically analyzed with the Chi-square and Mann-Whitney U test (p<0.05).Results: The average pain level in the control group after 24 hours was significantly higher than that in the laser group after the first appointment (p<0.05). The average pain level after the second appointment was statistically higher at 24 h and 48 h in the control group (p<0.05). PP levels at 24-hs after the first appointment were higher than the second appointment only in the control group (p<0.05). After first appointment, analgesic use in the control group at 8 h (40%) and 24 h (23%) were significantly higher than LD group (p<0.05).Conclusions: Root canal disinfection with diode laser may reduce PP in single-rooted teeth with PAI score 3 or 4.Trial registration: Effect of the Diode Laser on Post-operative Pain After Endodontic Treatment in Teeth with Apical Periodontitis: NCT04486196. Registered 24 July 2020 - Retrospectively registered, http://clinicaltrials.gov/ct2/show/NCT04486196Clinical Trials ID: NCT04486196

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of Root Canal Disinfection with 980 µm Diode Laser on Post-operative Pain after Endodontic Treatment in Teeth with Apical Periodontitis: A Randomized Clinical Trial

Kaplan

Sezgin

Kaplan

2020

Preprint

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“…In total, 12/17 articles (70.5%) showed a low risk of bias, with one article [ 37 ] scoring 10/10, five [ 28 , 32 , 33 , 38 , 43 ] scoring 9/10, and six [ 30 , 31 , 34 , 35 , 40 , 42 ] scoring 8/10.…”

Section: Resultsmentioning

confidence: 99%

Systematic Review on the Role of Lasers in Endodontic Therapy: Valuable Adjunct Treatment?

et al. 2020

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(1) Background: Adjunctive instruments, such as lasers have been investigated to address the risk of failure of endodontic therapy due to the complexity of the root canal system. Lasers have been used therapeutically, in direct irradiation of the root canals or adjunct to irrigants placed into the canals, in combination with a photosensitizer (antimicrobial photodynamic therapy) and in pain management (photobiomodulation). The purpose of this systematic review was to evaluate the evidence in clinical use within these three areas of therapy. (2) Methods: PubMed, Cochrane and Scopus search engines were used to identify human clinical trials regarding the use of lasers in endodontic therapy. (3) Results: After applying the keywords and additional filters, inclusion and exclusion criteria, the initial number of 1486 articles was reduced to 17. It was revealed that almost all studies (14/17) presented a statistically significant improved outcome in laser-assisted endodontic therapy, with the remaining three not showing any adverse effects. (4) Conclusions: The use of laser photonic energy of appropriate delivered parameters can be proposed as useful adjunctive when considering optimal treatment modalities in orthograde endodontics. Additionally, a tendency of research towards pain modulation in this field is developing.

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Postoperative pain in endodontic retreatment of one visit versus multiple visits: a systematic review and meta-analysis of randomized controlled trials

et al. 2021

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Effect of Root Canal Disinfection with a Diode Laser on Postoperative Pain After Endodontic Retreatment

Cited by 35 publications

References 46 publications

Effect of Root Canal Disinfection with 980 µm Diode Laser on Post-operative Pain after Endodontic Treatment in Teeth with Apical Periodontitis: A Randomized Clinical Trial

Effect of Root Canal Disinfection with 980 µm Diode Laser on Post-operative Pain after Endodontic Treatment in Teeth with Apical Periodontitis: A Randomized Clinical Trial

Systematic Review on the Role of Lasers in Endodontic Therapy: Valuable Adjunct Treatment?

Postoperative pain in endodontic retreatment of one visit versus multiple visits: a systematic review and meta-analysis of randomized controlled trials

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