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Effect of 940 nm laser diode irradiation prior to bonding procedure on postoperative sensitivity following class II composite restorations: a split-mouth randomized clinical trial

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Abstract

The aim of this study was to evaluate the effect of 940 nm laser diode on class II composite cavities prior to bonding and restoration process on the postoperative sensitivity (POS). Thirty patients with two bilateral premolars with mesio or disto-occlusal carious lesions were evaluated. In each patient, the teeth were randomly divided into the control and laser groups. After cavity preparation and isolation and before the bonding process, the laser group was subjected to 940 nm irradiation (Epic 10, Biolase, USA) by 400 μ tip continuously at 100 mW with 398 J/cm2 energy density of tip, which was applied for 5 s at a distance of 2 mm on the axial wall of the cavity. In the control group, irradiation was performed by using the aiming beam. Access cavity was then restored with a composite resin. Cold sensitivity was measured using a cold spray application on the middle third of teeth buccal surface at baseline (before the intervention), 1, 14, and 30 days after the restoration by visual analog scale (VAS) criteria. The mean Friedman and Wilcoxon signed-rank tests were used for data analysis. It was shown that in both laser and control groups, the VAS was significantly decreased at all times compared to the baseline (p ≤ 0.05). There was no statistically significant difference between the mean VAS of two groups at baseline and first day (p ≤ 0.05), but at 14 and 30 days after the intervention, it was significantly lower in the laser group (p ≤ 0.05). The results of this study demonstrated that the cavity pretreatment with laser diode (940 nm) effectively reduces the postoperative sensitivity in class II composite restorations.

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Acknowledgments

We thank the Vice Chancellery for Research and Technology of Hamadan University of Medical Sciences for supporting this study.

Funding

This study was financially supported by a grant (9808216027) from the Research Deputy of Hamadan University of Medical Sciences.

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Authors and Affiliations

  1. Department of Restorative Dentistry, Dental Research Center, Hamadan University of Medical Sciences, Hamadan, Iran

    Loghman Rezaei-Soufi & Mojgan Taheri

  2. Radiation Science Research Center, Laser Research Center in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran

    Reza Fekrazadas

  3. Department of Periodontology, School of Dentistry-Laser Research Center in Medical Sciences, AJA University of Medical Sciences, Tehran, Iran

    Reza Fekrazadas

  4. International Network for Photo Medicine and Photo Dynamic Therapy (INPMPDT), Universal Scientific Education and Research Network (USERN), Tehran, Iran

    Reza Fekrazadas

  5. Department of Biostatistics, School of Public Health and Research Center for Health Sciences, Hamadan University of Medical Sciences, Hamadan, Iran

    Maryam Farhadian

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  1. Loghman Rezaei-Soufi
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Correspondence to Mojgan Taheri.

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Rezaei-Soufi, L., Taheri, M., Fekrazadas, R. et al. Effect of 940 nm laser diode irradiation prior to bonding procedure on postoperative sensitivity following class II composite restorations: a split-mouth randomized clinical trial. Lasers Med Sci 36, 1109–1116 (2021). https://doi.org/10.1007/s10103-020-03213-w

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  • DOI: https://doi.org/10.1007/s10103-020-03213-w

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