Comparison of the effect of photobiomodulation therapy and Ibuprofen on postoperative pain after endodontic treatment: randomized, controlled, clinical study

Nunes, Eduardo Costa; Herkrath, Fernando José; Suzuki, Eduardo Hideki; Júnior, Erivan Clementino Gualberto; Marques, André Augusto Franco; Júnior, Emílio Carlos Sponchiado

doi:10.1007/s10103-019-02929-8

Cited by 17 publications

(31 citation statements)

References 36 publications

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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%

“…Specifically, for each laser application category, the studies with positive results were allocated as: Three of four studies [ 28 , 30 , 31 ] in conventional laser endodontic treatment; Four of five studies [ 32 , 33 , 34 , 35 , 36 ] in aPDT in endodontics; Seven of eight studies [ 37 , 38 , 39 , 40 , 41 , 42 , 43 ] in PBM in endodontics. …”

Section: Resultsmentioning

confidence: 99%

“…Concerning the investigational objectives of the included studies, they were assigned as: Pain: [ 28 , 29 , 30 , 31 , 32 , 33 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ]; Microorganisms: [ 30 , 33 , 34 , 35 , 36 ]; Radiographic healing: [ 33 ]. …”

Section: Resultsmentioning

confidence: 99%

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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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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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

et al. 2020

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“…In a study by Coelho et al (37) about the effects of photodynamic therapy on post-operative pain in teeth with necrotic pulps, it was found that photodynamic therapy had a significant effect in decreasing post-operative pain at 24 and 72 hour intervals. Nunes et al (38) compared the effect of photobiomodulation therapy and Ibuprofen on postoperative pain and concluded that the use of lasers was effective in reducing pain within the first 24 hours when compared with the administration of 600 mg of Ibuprofen.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the incidence of post-operative pain after low-level laser therapy between single- and multi-visit root canal treatments for chronic apical periodontitis: A prospective randomized clinical trial

Özcan¹,

Haznedaroğlu²,

Gökyay³

2021

Int Dent Res

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Aim: The aim of this clinical study was to evaluate the effect of low-level laser therapy, used in conjunction with conventional canal disinfection techniques, on post-operative pain after single- and multi-visit root canal treatments for chronic apical periodontitis. Methodology: 100 volunteers were randomly divided into 4 groups. The main inclusion criteria were radiographic evidence of apical periodontitis (minimum size of 2.0 × 2.0 mm) and a diagnosis of pulpal necrosis confirmed by a negative response to vitality tests. All the root canals were prepared using a standard shaping technique and irrigation procedure. In Groups I and III, the root canals were obturated during the first visit following chemo-mechanical preparation. In Groups II and IV, the root canals were medicated with calcium hydroxide and obturated during a second visit, 1 week later. In Groups III and IV, after the chemo-mechanical preparation, the root canals were additionally irradiated by an 810-nm diode laser at 1.5 W output for 20 seconds. A modified visual analogue scale was used to measure pain at 4, 8, 12, 24, and 48 hours and 7 days after the treatment. Results: There was no statistically significant difference between the groups in terms of post-operative pain at any time during the observation period (p > .05). Post-operative pain occurred only at 8 and 12 hours and at 1, 2, and 3 days in all groups. There was no correlation between the results regarding age, gender, periapical index scores, or tooth type. Conclusion: The use of low-level laser therapy had no significant effect on the incidence of post-operative pain, and single-visit root canal treatment may be a strong alternative to multi-visit treatment. How to cite this article: Özkan Özcan H, Haznedaroğlu F, Gökyay S. Comparison of the incidence of post-operative pain after low-level laser therapy between single- and multi-visit root canal treatments for chronic apical periodontitis: A prospective randomized clinical trial. Int Dent Res 2021;11(1):30-7. https://doi.org/10.5577/intdentres.2021.vol11.no1.6 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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“…They found that laser irradiation was significantly more effective in the reduction of PEP compared to ibuprofen. 39 Collectively, it seems that irradiation on both buccal and lingual surfaces could reduce PEP levels. When irradiating on only the buccal surface, the periapical region close to the lingual surface may receive lower energies than the periapical region close to the buccal surface and vice versa.…”

Section: Discussionmentioning

confidence: 99%

Effect of Low-level Laser Therapy With Different Locations of Irradiation on Postoperative Endodontic Pain in Patients With Symptomatic Irreversible Pulpitis: A Double-Blind Randomized Controlled Trial

Naseri

Asnaashari

Moghaddas³

et al. 2019

J Lasers Med Sci

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Introduction: This double-blind, placebo-controlled, clinical trial aimed to investigate the analgesic efficacy of low-level laser therapy (LLLT) with two different locations, and their comparison, in postoperative endodontic pain (PEP) levels in molars diagnosed with symptomatic irreversible pulpitis. Methods: Seventy-five patients with a molar tooth, diagnosed with symptomatic irreversible pulpitis, were divided into three groups of placebo, buccal only irradiation (BI), and buccal and lingual irradiation (BLI), with 25 cases being in each group. The participants received similar singlevisit nonsurgical endodontic treatments. Then, a sham laser was used in the control group instead of LLLT. Individuals in BI and BLI groups received 80-second irradiation on the buccal surface and 80-second irradiation on each of the buccal and lingual surfaces respectively. A laser with an 808 nm wavelength, power of 100 mW, a fiber diameter of 600 μm, and a dose of 70 J/cm2 was used. PEP was assessed using a 0-100 mm VAS 4, 8, 24, and 48 hours after the treatment. Results: BLI showed a significantly higher reduction of PEP compared to placebo in all time intervals of this study. BLI was significantly more effective than BI 8 hours after the treatment. However, intragroup differences between BLI and BI groups at other time intervals and between BI and placebo groups in all time intervals were not significant. The number of taken analgesics in the BLI group was significantly lower than the placebo group and was on a statistical borderline compared to the BI group. Conclusion: LLLT with BLI was an effective measure as a supplement to oral analgesics in the reduction of PEP compared to the placebo.

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Comparison of the effect of photobiomodulation therapy and Ibuprofen on postoperative pain after endodontic treatment: randomized, controlled, clinical study

Cited by 17 publications

References 36 publications

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

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

Comparison of the incidence of post-operative pain after low-level laser therapy between single- and multi-visit root canal treatments for chronic apical periodontitis: A prospective randomized clinical trial

Effect of Low-level Laser Therapy With Different Locations of Irradiation on Postoperative Endodontic Pain in Patients With Symptomatic Irreversible Pulpitis: A Double-Blind Randomized Controlled Trial

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