Doshi 2014.
Study characteristics | ||
Methods |
Study type: RCT (double‐blinded, split‐mouth design) Duration of trial: 1 week Duration of follow‐up: 1 week |
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Participants |
Setting: Periodontology Department, MA Rangoonwala Dental College and Research Centre, Pune, India Inclusion criteria: having chronic periodontitis with a minimum of 2 sites in each quadrant with probing pocket depth ‡ 5 mm bilaterally, after 1 month following phase 1 therapy Exclusion criteria: smoking, debilitating diseases, being pregnant or lactating, having taken non‐steroidal anti‐inflammatory drugs (NSAIDS) or antibiotics in the past 3 months, having carious lesions, having had desensitizing therapy during the last 6 months, having cervical fillings, or gingival recession Total number: 30 participants with 60 teeth Age range: 23 to 56 years Sex (M/F): 14/16 |
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Interventions |
Group 1: (30 patients, n = 30 teeth): GaAlAs laser (25 mW, 11.36 mW/cm2, 660 nm, area: 2.2 cm2). Laser irradiation was performed for the first 3 days following periodontal flap surgery for a duration of 3 minutes Group 2: (30 patients, n = 30 teeth): on the control sites, the laser was used as a placebo. Although it was placed on the marginal gingiva and was used in the similar motion, it was not activated |
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Outcomes | Sensitivity to thermal (air) stimulus was recorded before and on days 1, 3, 5, and 7 after the treatment (VAS score and VRS) | |
Notes |
Baseline characteristics: thorough scaling and root planing were performed as part of phase 1 therapy, and patients were advised to use 0.2% chlorhexidine mouthrinses for 2 weeks. Patients were recalled after 4 weeks. Persistent pockets of ‡ 5 mm at minimum of 2 sites in each quadrant were scheduled for flap surgery. The surgical procedure was performed by an experienced examiner Sample size calculation: not mentioned in the study Source of funding: no competing financial interests reported Ethics approval: not mentioned in the study Informed consent: quote: "The purpose and design of the investigation were explained to patients and an informed consent form was signed" Adverse events: not mentioned in the study |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Quote: "Using a coin toss, 30 sites were randomly assigned for laser irradiation (test site) and the other 30 sites served as control sites" |
Allocation concealment (selection bias) | Unclear risk | Insufficient information provided |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "The study was double blinded such that the subjects and the calibrated examiner performing the measurements were blinded to avoid bias" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "The study was double blinded such that the subjects and the calibrated examiner performing the measurements were blinded to avoid bias" |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Quote: "All the patients attended the follow‐up sessions" |
Selective reporting (reporting bias) | Low risk | All intended outcomes were reported in the study |
Other bias | Low risk | No other sources of bias were identified Sample size calculation and source of funding were not mentioned in the study |