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

Naghsh 2020.

Study characteristics
Methods Study type: RCT (double‐blinded, 3 groups)
Duration of trial: not mentioned in the study
Duration of follow‐up: 2 months
Participants Setting: Faculty of Dentistry, Isfahan University of Medical Sciences, Iran
Inclusion criteria: patients who had cervical dentine hypersensitivity in at least 3 teeth in 3 separate quadrants. The selected teeth were free of calculus and plaque and if necessary, the subjects underwent a scaling procedure before the study
Exclusion criteria: patients with teeth showing evidence of irreversible pulpitis or necrosis, carious lesions, crown fractures, cracks, caries or restorations, facets of attrition, premature contact, active periodontal disease, use of analgesics during the 72‐hour period before laser application and individuals who had used anti‐sensitivity toothpaste during the previous 3‐month period. Pregnant women and smokers were excluded from the study
Total number: 7 patients with 96 teeth enrolled and completed
Age range: 25 to 45 years
Sex (M/F): 3/4
Interventions Sensitive teeth of 7 patients were divided into 3 groups with a randomized matching method
Group 1: 660 nm diode laser beams were applied to the hypersensitive teeth. The power of 30 mW, in contact with and perpendicular to the surface, continuous irradiation for 120 s with a forward and backward (sweeping) movement
Group 2: 810 nm diode laser beams were applied. The power of 100 mW, in contact with and perpendicular to the surface, continuous irradiation for 120 s with a forward and backward (sweeping) movement
Group 3: not laser‐irradiated and were only exposed to index radiation (control group). Treatment was rendered in 4 sessions with a 1‐week interval in a similar manner in all the 4 sessions
Outcomes Responses to applying dry ice sprayed on a small cotton pallet over the tooth surface recorded sing the VAS index (0 to 10). The VAS was evaluated before treatment and immediately after laser irradiation at the first, second, third, and fourth sessions (immediately after it and at 1‐week, 30‐day, and 60‐day postoperative intervals)
Notes Baseline characteristics: to register the severity of pain in the affected teeth the VAS was used. An attempt was made to carry out random assignment (randomized allocation) based on the baseline VAS scores of the teeth after they were recorded
Sample size calculation: not mentioned in the study
Source of funding: none. Quote: "The authors declare no conflict of interest"
Ethics approval: quote: "The present randomized clinical trial was approved by the Isfahan University Ethics Committee under the code 396228 and registered on the Iranian Registry of Clinical Trials website (identifier: IRCT2017062022699N4; https://www.irct.ir/)"
Informed consent: quote: "All the subjects signed informed consent forms in order to be included in the study"
Adverse events: not mentioned in the study
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information provided
Quote: "An attempt was made to carry out random assignment (randomized allocation based on the baseline VAS scores of the teeth after they were recorded"
Allocation concealment (selection bias) Unclear risk Insufficient information provided
Quote: "An attempt was made to carry out random assignment (randomized allocation based on the baseline VAS scores of the teeth after they were recorded"
Blinding of participants and personnel (performance bias)
All outcomes Low risk Quote: "The teeth in the control group were not laser‐irradiated and for the purpose of blinding, they were only exposed to index radiation"
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Insufficient information provided
Comment: although the authors stated that this is a double‐blinded study, the method of blinding the examiner was not described
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Insufficient information provided
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