Can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trial
Abstract Aim To find the best method for applying the diode laser 810 nm to relieve post-endodontic pain on necrotic maxillary incisors with periapical lesions within a single-visit treatment. Methods Eighty patients with a necrotic incisor, diagnosed with asymptomatic apical periodontitis, received...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Publishing Group
2024-03-01
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| Series: | BDJ Open |
| Online Access: | https://doi.org/10.1038/s41405-024-00203-w |
| _version_ | 1797259065001246720 |
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| author | Mohammad Tamer Abbara Samar Akil Omar Hamadah Hassan Achour Ghina Mahayni Yasser Alsayed Tolibah |
| author_facet | Mohammad Tamer Abbara Samar Akil Omar Hamadah Hassan Achour Ghina Mahayni Yasser Alsayed Tolibah |
| author_sort | Mohammad Tamer Abbara |
| collection | DOAJ |
| description | Abstract Aim To find the best method for applying the diode laser 810 nm to relieve post-endodontic pain on necrotic maxillary incisors with periapical lesions within a single-visit treatment. Methods Eighty patients with a necrotic incisor, diagnosed with asymptomatic apical periodontitis, received standardized cleaning and shaping procedures, then divided randomly with a 1:1:1:1 allocation ratio into four groups: Group 1: control group with no laser application, Group 2: applying the diode laser as an irrigation activation system (IAS), Group 3: applying the diode laser from the buccal and palatal mucosa, Group 4: applying the diode laser as an IAS and from buccal and palatal mucosa. The postoperative pain was assessed using the visual analog scale (VAS) 1, 3, 7, and 14 days after the treatment. The mean values of the VAS score were statistically analyzed used Kruskal–Walis and Mann–Whitney U tests. The level of significance was set at a = 0.05. Results During 14 days after treatment, there was a statistically significant difference between mean values of VAS scores in the four groups (P value < 0.05); Group 1 scored the highest score, whereas Group 4 showed the lowest one. Moreover, Group 4 showed favorable outcomes compared with Group 2 and Group 3 during the first three days after treatment. Conclusion Diode laser reduced postoperative pain after necrotic teeth with large-sized apical lesion treatment, whereas using diode laser either as an IAS or LLLT reduced the postoperative pain compared with the control group. Moreover, the usage of a diode laser in both previous techniques represents the best protocol for postoperative pain relief during 14 days of treatment. Clinical relevance The clinical significance of this study is to investigate the best method to reduce postoperative pain using diode lasers 810 nm; where the results of this study indicated that the more diode laser exposer in LLLT and IAS, the less postoperative pain after endodontic procedures. |
| first_indexed | 2024-04-24T23:03:30Z |
| format | Article |
| id | doaj.art-34ce7dc3752b4f86b9bd3d3afa1a0af0 |
| institution | Directory Open Access Journal |
| issn | 2056-807X |
| language | English |
| last_indexed | 2024-04-24T23:03:30Z |
| publishDate | 2024-03-01 |
| publisher | Nature Publishing Group |
| record_format | Article |
| series | BDJ Open |
| spelling | doaj.art-34ce7dc3752b4f86b9bd3d3afa1a0af02024-03-17T12:35:55ZengNature Publishing GroupBDJ Open2056-807X2024-03-0110111010.1038/s41405-024-00203-wCan diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trialMohammad Tamer Abbara0Samar Akil1Omar Hamadah2Hassan Achour3Ghina Mahayni4Yasser Alsayed Tolibah5DDs, MSc,Ph.D student at the department of Endodontics, Faculty of Dentistry, Damascus UniversityDDS,MSc,Ph.D Associate Professor at the department of Endodontics, Faculty of Dentistry, Damascus UniversityDDS,MSc,Ph.D Associate Professor at the department of Oral Medicine, Faculty of Dentistry, Damascus UniversityDDS,MSc,Ph.D Associate Professor at the department of Endodontics, Faculty of Dentistry, Damascus UniversityDDs, Faculty of Dentistry, Al-Sham Private UniversityDDs, MSc,Ph.D student at the department of Pediatric Dentistry, Faculty of Dentistry, Damascus, UniversityAbstract Aim To find the best method for applying the diode laser 810 nm to relieve post-endodontic pain on necrotic maxillary incisors with periapical lesions within a single-visit treatment. Methods Eighty patients with a necrotic incisor, diagnosed with asymptomatic apical periodontitis, received standardized cleaning and shaping procedures, then divided randomly with a 1:1:1:1 allocation ratio into four groups: Group 1: control group with no laser application, Group 2: applying the diode laser as an irrigation activation system (IAS), Group 3: applying the diode laser from the buccal and palatal mucosa, Group 4: applying the diode laser as an IAS and from buccal and palatal mucosa. The postoperative pain was assessed using the visual analog scale (VAS) 1, 3, 7, and 14 days after the treatment. The mean values of the VAS score were statistically analyzed used Kruskal–Walis and Mann–Whitney U tests. The level of significance was set at a = 0.05. Results During 14 days after treatment, there was a statistically significant difference between mean values of VAS scores in the four groups (P value < 0.05); Group 1 scored the highest score, whereas Group 4 showed the lowest one. Moreover, Group 4 showed favorable outcomes compared with Group 2 and Group 3 during the first three days after treatment. Conclusion Diode laser reduced postoperative pain after necrotic teeth with large-sized apical lesion treatment, whereas using diode laser either as an IAS or LLLT reduced the postoperative pain compared with the control group. Moreover, the usage of a diode laser in both previous techniques represents the best protocol for postoperative pain relief during 14 days of treatment. Clinical relevance The clinical significance of this study is to investigate the best method to reduce postoperative pain using diode lasers 810 nm; where the results of this study indicated that the more diode laser exposer in LLLT and IAS, the less postoperative pain after endodontic procedures.https://doi.org/10.1038/s41405-024-00203-w |
| spellingShingle | Mohammad Tamer Abbara Samar Akil Omar Hamadah Hassan Achour Ghina Mahayni Yasser Alsayed Tolibah Can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trial BDJ Open |
| title | Can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trial |
| title_full | Can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trial |
| title_fullStr | Can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trial |
| title_full_unstemmed | Can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trial |
| title_short | Can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors? A four-arm randomized controlled trial |
| title_sort | can diode laser 810 nm decrease post endodontic pain in patients with asymptomatic necrotic maxillary incisors a four arm randomized controlled trial |
| url | https://doi.org/10.1038/s41405-024-00203-w |
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