Skip to main content

Advertisement

SpringerLink
Log in

A randomized clinical trial of the effect of low-level laser therapy before composite placement on postoperative sensitivity in class V restorations

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

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 < 0.05). Pain scores after restorative procedures were significantly lower in the laser group compared to the placebo application (p < 0.05). Although both groups experienced a significant improvement in pain and discomfort throughout the follow-up periods (p < 0.001), 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 < 0.05). 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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig 1

Similar content being viewed by others

References

  1. Auschill TM, Koch CA, Wolkewitz M, Hellwig E, Arweiler NB (2009) Occurrence and causing stimuli of postoperative sensitivity in composite restorations. Oper Dent 34(1):3–10

    Article  PubMed  Google Scholar 

  2. Versluis A, Tantbirojn D (1999) Theoretical considerations of contraction stress. Compend Contin Educ Dent Suppl 25:S24–S32, quiz S73

    PubMed  Google Scholar 

  3. Moosavi H, Kimyai S, Forghani M, Khodadadi R (2013) The clinical effectiveness of various adhesive systems: an 18-month evaluation. Oper Dent 38(2):134–141

    Article  CAS  PubMed  Google Scholar 

  4. Braennstroem M, Astroem A (1964) A study on the mechanism of pain elicited from the dentin. J Dent Res 43:619–625

    Article  CAS  PubMed  Google Scholar 

  5. Corona SA, Nascimento TN, Catirse AB, Lizarelli RF, Dinelli W, Palma-Dibb RG (2003) Clinical evaluation of low-level laser therapy and fluoride varnish for treating cervical dentinal hypersensitivity. J Oral Rehabil 30(12):1183–1189

    Article  CAS  PubMed  Google Scholar 

  6. Flecha OD, Azevedo CG, Matos FR, Vieira-Barbosa NM, Ramos-Jorge ML, Goncalves PF, Koga Silva EM (2013) Cyanoacrylate versus laser in the treatment of dentin hypersensitivity: a controlled, randomized, double-masked and non-inferiority clinical trial. J Periodontol 84(3):287–294. doi:10.1902/jop.2012.120165

    Article  CAS  PubMed  Google Scholar 

  7. Orhan K, Aksoy U, Can-Karabulut DC, Kalender A (2011) Low-level laser therapy of dentin hypersensitivity: a short-term clinical trial. Lasers Med Sci 26(5):591–598. doi:10.1007/s10103-010-0794-9

    Article  PubMed  Google Scholar 

  8. Vieira AH, Passos VF, de Assis JS, Mendonca JS, Santiago SL (2009) Clinical evaluation of a 3 % potassium oxalate gel and a GaAlAs laser for the treatment of dentinal hypersensitivity. Photomed Laser Surg 27(5):807–812. doi:10.1089/pho.2008.2364

    Article  CAS  PubMed  Google Scholar 

  9. Dilsiz A, Aydin T, Emrem G (2010) Effects of the combined desensitizing dentifrice and diode laser therapy in the treatment of desensitization of teeth with gingival recession. Photomed Laser Surg 28(Suppl 2):S69–S74. doi:10.1089/pho.2009.2640

    CAS  PubMed  Google Scholar 

  10. Pesevska S, Nakova M, Ivanovski K, Angelov N, Kesic L, Obradovic R, Mindova S, Nares S (2010) Dentinal hypersensitivity following scaling and root planing: comparison of low-level laser and topical fluoride treatment. Lasers Med Sci 25(5):647–650. doi:10.1007/s10103-009-0685-0

    Article  PubMed  Google Scholar 

  11. Tengrungsun T, Sangkla W (2008) Comparative study in desensitizing efficacy using the GaAlAs laser and dentin bonding agent. J Dent 36(6):392–395. doi:10.1016/j.jdent.2008.02.012

    Article  CAS  PubMed  Google Scholar 

  12. Walsh LJ (1997) The current status of low level laser therapy in dentistry. Part 2. Hard tissue applications. Aust Dent J 42(5):302–306

    Article  CAS  PubMed  Google Scholar 

  13. Ferreira AN, Silveira L, Genovese WJ, de Araujo VC, Frigo L, de Mesquita RA, Guedes E (2006) Effect of GaAIAs laser on reactional dentinogenesis induction in human teeth. Photomed Laser Surg 24(3):358–365. doi:10.1089/pho.2006.24.358

    Article  PubMed  Google Scholar 

  14. Unemori M, Matsuya Y, Akashi A, Goto Y, Akamine A (2001) Composite resin restoration and postoperative sensitivity: clinical follow-up in an undergraduate program. J Dent 29(1):7–13

    Article  CAS  PubMed  Google Scholar 

  15. Al-Omari WM, Al-Omari QD, Omar R (2006) Effect of cavity disinfection on postoperative sensitivity associated with amalgam restorations. Oper Dent 31(2):165–170. doi:10.2341/05-8

    Article  PubMed  Google Scholar 

  16. Briso AL, Mestrener SR, Delicio G, Sundfeld RH, Bedran-Russo AK, de Alexandre RS, Ambrosano GM (2007) Clinical assessment of postoperative sensitivity in posterior composite restorations. Oper Dent 32(5):421–426. doi:10.2341/06-141

    Article  PubMed  Google Scholar 

  17. Gerschman JA, Ruben J, Gebart-Eaglemont J (1994) Low level laser therapy for dentinal tooth hypersensitivity. Aust Dent J 39(6):353–357

    Article  CAS  PubMed  Google Scholar 

  18. Ladalardo TC, Pinheiro A, Campos RA, Brugnera Junior A, Zanin F, Albernaz PL, Weckx LL (2004) Laser therapy in the treatment of dentine hypersensitivity. Braz Dent J 15(2):144–150

    Article  PubMed  Google Scholar 

  19. Ahrari F, Madani AS, Ghafouri ZS, Tuner J (2014) The efficacy of low-level laser therapy for the treatment of myogenous temporomandibular joint disorder. Lasers Med Sci 29(2):551–557. doi:10.1007/s10103-012-1253-6

  20. Madani AS, Ahrari F, Nasiri F, Abtahi M, Tunér J (2014) Low-level laser therapy for management of TMJ osteoarthritis. CRANIO® 32(1):38–44

    Article  Google Scholar 

  21. Sgolastra F, Petrucci A, Gatto R, Monaco A (2011) Effectiveness of laser in dentinal hypersensitivity treatment: a systematic review. J Endod 37(3):297–303. doi:10.1016/j.joen.2010.11.034

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank the vice-chancellor for research of Mashhad University of Medical Sciences for the financial support of this project (grant number 900853). The results presented in this paper have been taken from a post-graduate student thesis (thesis number 489).

Author information

Authors and Affiliations

  1. Dental Materials Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran

    Horieh Moosavi & Mahsa Sharifi

  2. Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Vakilabad Boulevard, Mashhad, Iran

    Fatemeh Maleknejad & Farzaneh Ahrari

Authors
  1. Horieh Moosavi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Fatemeh Maleknejad
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mahsa Sharifi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Farzaneh Ahrari
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Farzaneh Ahrari.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Moosavi, H., Maleknejad, F., Sharifi, M. et al. A randomized clinical trial of the effect of low-level laser therapy before composite placement on postoperative sensitivity in class V restorations. Lasers Med Sci 30, 1245–1249 (2015). https://doi.org/10.1007/s10103-014-1565-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-014-1565-9

Keywords

Search

Navigation