Influence of Er:YAG Laser on Objective and Subjective Parameters of Stress during Sealant Application in Children

Shindova, Maria; Belcheva, Ani; Маteva, Nonka

doi:10.1515/folmed-2017-0086

Cited by 2 publications

(14 citation statements)

References 18 publications

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“…The participants’ ages ranged from six to 38 years old. Follow-up duration ranged from 12 to 36 months, except for one study without a follow-up [26]. Two studies reported drop-out rates according to the follow-up periods [23, 25].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies reported drop-out rates according to the follow-up periods [23, 25]. One reported a 17.65% drop-out rate [22] and two reported 0% [24, 26]. Three studies assessed the clinical performance of fissure sealants placed by acid or laser etching and one compared acid etching versus laser combined with acid etching.…”

Section: Resultsmentioning

confidence: 99%

“…Four of the studies assessed retention rates [22–25], two reported the incidence of caries [22, 24] and one evaluated patient acceptance [23]. The study by Shindova et al evaluated heart rate, oxygen saturation and the subject’s degree of dental anxiety before and after the dental visit [26].…”

Section: Resultsmentioning

confidence: 99%

“…The study by Shindova et al evaluated heart rate, oxygen saturation and the subject’s degree of dental anxiety before and after the dental visit [26].…”

Section: Resultsmentioning

confidence: 99%

“…Out of the five studies, two used erbium, chromium: yttrium-scandium-galium-garnet (Er, Cr: YSGG) lasers alone in the intervention group [23, 24], one used carbon dioxide laser [25] and two studies used Er: YAG laser combined with acid etching [22]. Four studies isolated teeth from the oral environment with cotton rolls [22, 24–26] and the remaining one used a rubber dam [23]. Two studies performed pit-and-fissure sealants on the first permanent molars [22, 23], two were performed on the permanent premolars and molars [24, 25] and one was performed on any intact teeth without caries on the occlusal surface [26].…”

Section: Resultsmentioning

confidence: 99%

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The clinical effects of laser preparation of tooth surfaces for fissure sealants placement: a systematic review and meta-analysis

et al. 2019

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Background This systematic review aimed to assess the clinical effects of laser preparation compared to other types of chemical or mechanical preparation of tooth surfaces used in fissure sealant placement. Methods A systematic literature search was conducted up to January 2019, through Pubmed, Scopus, Medline/EMBASE via OVID and the Cochrane library. Only randomized clinical trials were included. Results Five studies were included in the systematic review and three were included in the meta-analysis. All the studies used acid-etching as a comparator to lasers. All the included studies were rated as having an overall high risk of bias introduced by performance bias. Three studies assessed the clinical effects of fissure sealants placed by acid or laser etching, one compared acid etching versus laser combined with acid etching and one investigated the influence of lasers on the objective and subjective parameters of stress during sealant application in children. The meta-analysis showed no significant difference between laser preparation and conventional acid-etching preparation at 3- ( P = 0.08), 6- ( P = 0.49), and 12-month ( P = 0.87) follow-ups. One study reported that laser preparation as an adjunct to acid-etching enhanced the retention rate. No significant difference in the incidence of caries was reported. And no significant differences were found in heart rates, oxygen saturation or degree of the patient dental anxiety between acid-etching and laser preparation. Conclusion The present limited evidence suggests that lasers could be an effective pretreatment method. The retention rate was similar to that of conventional acid etching. However, the included studies had an overall high risk of bias and more rigorously designed research is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…The study by Shindova et al evaluated heart rate, oxygen saturation and the subject’s degree of dental anxiety before and after the dental visit [26].…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The clinical effects of laser preparation of tooth surfaces for fissure sealants placement: a systematic review and meta-analysis

et al. 2019

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The Impact of Rubber Dam Association With Physiological Stress Parameters on Children of 7-10 Years Undergoing Pit and Fissure Sealant Treatment: An In-Vivo Study

Sharma,

Choudhari,

Vanza

et al. 2024

Cureus

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Introduction Anxiety is an emotion representing apprehension towards an unknown stimulus or situation. Rubber dam application during dental procedures in children makes the treatment more comfortable and acceptable as it gives them a psychological feeling that treatment is being carried out outside the oral cavity. The prime objective of this study was to evaluate and compare physiological parameters, which include pulse rate, arterial oxygen saturation level, blood pressure, and respiratory rate before and after rubber dam isolation. Material and methods The study consisted of 30 children patients of 7-10 years, comprised of 14 females and 16 males with a mean age of 8.15 ± 0.93 years. The study was a ‘split mouth’ clinical design study, where 60 sites in 30 patients (two sites in each patient) were used. The selected sites were divided into two groups by a convenience sampling method and were categorized as Group-I (control group - 30 sites were treated with pit and fissure sealants under cotton roll and saliva ejectors on mandibular right permanent first molar) and Group-II (study group - 30 sites were treated with pit and fissure sealants underrubber dam isolation on mandibular left permanent first molar). Results Rubber dam application reduced different physiological parameters of stress such as pulse rate, systolic and diastolic blood pressure, and respiratory rate at different intervals from the baseline values. Rubber dam and cotton roll applications have no significant effects on oxygen saturation levels at different intervals in healthy individuals. From statistical analysis, it was evident that a statistically significant difference was evident between the control and experimental groups (P value < 0.005). Conclusion It is confirmed in this study that rubber dam reduces different physiologic parameters of stress. After the application of the rubber dam, children's pulse rate, systolic and diastolic blood pressure, and respiratory rate were reduced. Clinical significance The study highlights the imperative role of rubber dam isolation in improving dental and medical effectiveness. In addendum to this, our research promotes the clinical use of rubber dams in pediatric dentistry.

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Influence of Er:YAG Laser on Objective and Subjective Parameters of Stress during Sealant Application in Children

Abstract: Citation: Shindova MP, Bеlcheva AB, Mateva NG. Influence of Er:YAG laser on objective and subjective parameters of stress during sealant application in children. Folia Med (Plovdiv) 2018;60(2):275-82.

Cited by 2 publications

References 18 publications

The clinical effects of laser preparation of tooth surfaces for fissure sealants placement: a systematic review and meta-analysis

The clinical effects of laser preparation of tooth surfaces for fissure sealants placement: a systematic review and meta-analysis

The Impact of Rubber Dam Association With Physiological Stress Parameters on Children of 7-10 Years Undergoing Pit and Fissure Sealant Treatment: An In-Vivo Study

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