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. 2021 Jul 13;2021(7):CD009434. doi: 10.1002/14651858.CD009434.pub2

Lier 2002.

Study characteristics
Methods Study type: RCT (split‐mouth design, 2 groups)
Duration of trial: not mentioned in the study
Duration of follow‐up: 16 weeks
Participants Setting: The Institute of Clinical Dentistry, University of Oslo, Norway
Inclusion criteria: the subjects had to have 2 teeth that were hypersensitive to thermal/evaporative stimulation with a blast of air
Exclusion criteria: being under analgesic anti‐inflammatory, inhalation drugs or tricyclic antidepressive treatment regimens, having eating disorders, pregnancy, being under orthodontic therapy, having cognitive dysfunctions or general communication difficulties; teeth were excluded if they had been subjected to periodontal surgery within the past 3 months, had congenital enamel/dentine defects, were carious, were extensively restored or fractured, were abutments with no exposed tooth surface, were non‐vital or had symptoms of pulp damage, were under other antihypersensitive regimens within the last 30 days
Total number: 17 participants enrolled and completed
Age range: 26 to 66 years
Sex (M/F): 3/14
Interventions Group 1: (one side) Nd:YAG laser (wavelength: 400 μm; output: 4 W; duration: 2 minutes)
Details: a Genius Laser System (Mølsgaard Dental, Denmark) with a 400 micrometers laser tip was used. Laser was first applied without a cooling system for 30 s, then for 90 s, using water as a coolant, in accordance with the manufacturer's instruction. The potency of the laser used was 4 watts, and it was applied on the buccal surface of the tooth in a mesial‐distal direction
Group 2: (another side) placebo laser
Details: the difference between the test and control procedures was that the laser beam was switched off during the latter, but the coolant was functioning during both
Outcomes Responses to air blast stimuli (VAS) at baseline, and immediately after, 1 week, 4 weeks, 16 weeks after intervention
Notes Baseline characteristics:
1. hypersensitivity reaction was provoked by means of an air blast 1 cm from the tooth surface at the cervical third of the tooth after removing supragingival plaque with a low speed handpiece with pumice powder and without fluoride. The adjacent teeth were covered by cotton rolls. The stimulus was delivered until reaction, or up to a maximum duration of 10 s. The time before reaction was recorded. All stimuli were given by 1 operator at the same dental chair with the same equipment yielding similar air pressure and temperature each time;
2. after the stimulus, the patient was asked to mark the intensity of pain on a VAS, which was marked on the left end 'no pain' and on the right end 'extreme pain'
Sample size calculation: not mentioned in the study
Source of funding: DICO MED AS
Ethics approval: quote: "The study protocol was approved by the Regional Committee for Medical Research, Oslo, Norway"
Informed consent: quote: "After having received oral and written information about the intention and the design of the study, and having signed the informed consent form, the subjects were included in the study"
Adverse events: none
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information provided
Allocation concealment (selection bias) Unclear risk Insufficient information provided
Blinding of participants and personnel (performance bias)
All outcomes Low risk Due to use of placebo laser, the study might be free of performance bias
It was impossible to blind personnel in this study design, but the outcome is not likely to be influenced by lack of blinding
Blinding of outcome assessment (detection bias)
All outcomes Low risk Quote: "The laser treatment was performed by one operator and the pain was assessed by another person"
Incomplete outcome data (attrition bias)
All outcomes Low risk No loss to follow‐up
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 was not mentioned in the study