Yilmaz 2014.
Study characteristics | ||
Methods |
Study type: RCT (split‐mouth design, 3 groups) Duration of trial: not mentioned Duration of follow‐up: immediately after treatment |
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Participants |
Inclusion criteria: patients with 3 sensitive teeth with VAS score of at least 4, Miller Class III mobility and were indicated to extraction Exclusion criteria: patients with carious lesions in selected or neighboring teeth, defective restoration; patients who had undergone professional desensitizing therapy during the previous 6 months or using desensitizing toothpaste in last 3 months; patients being under analgesics/anti‐inflammatory drugs at time of study, pregnancy or smoking Total number: 20 participants with 60 teeth Age range: 18 to 60 years Sex (M/F): 8/12 |
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Interventions |
Group 1: Er,Cr:YSGG laser (025 W, 44 J/cm2) Group 2: Er,Cr:YSGG laser (05 W, 89 J/cm2) Details: 2780 nm wavelength Er,Cr:YSGG laser was applied 30 s to Groups 1 and 2 in the hard tissue mode with the MZ6 tip (600 mm diameter, 6 mm length) using non‐contact mode at repetition rate of 20 pulses s1 and pulse duration of 140 ms, 0% water and 10% air Group 3: same Er,Cr:YSGG laser without laser emission was used |
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Outcomes | Responses to evaporative stimuli (air blast) (VAS) was assessed immediately after treatment | |
Notes |
Baseline characteristics: each patient evaluated the perception of discomfort after the application of an air blast for 3 s at a distance of approximately 1 cm and at right angle to the buccal site of the assigned teeth. The adjacent teeth were isolated with cotton rolls to prevent false‐positive results; all stimuli were given by 1 operator in the same dental chair with the same equipment yielding similar air pressure (55 to 60 psi) and air temperature (21 to 22 °C) each time; after the stimulus, the patient was asked to record their overall sensitivity on a VAS Sample size calculation: the power analysis was conducted based on this minimum clinically significant difference in VAS scores, using alpha at level 005, at 80% power and a r of 07 Source of funding: this research was carried out without funding Ethics approval: quote: "Study protocol and related consent forms were approved by the Institutional Review Board and Ethics committee of Near East University" Informed consent: quote: "Following verbal information about the treatment plan, possible discomforts and potential risks, the subjects who signed the informed consent form were included in the study" Adverse events: none |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Lottery method was used Quote: "A unique number attended to the each treatment method and these numbers were put in a bowl, mixed" |
Allocation concealment (selection bias) | Low risk | Quote: "A unique number attended to the each treatment method and these numbers were put in a bowl, mixed and then, without looking, the researcher selected numbers for each tooth" |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "The patients did not know what kind of therapy each tooth was receiving" |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "The effectiveness of all treatments was assessed at immediately after treatment by one calibrated examiner who was not aware of the type of treatment applied" |
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 study |
Other bias | Low risk | No other sources of bias were identified Sample size calculation, source of funding and ethics approval were mentioned in the study |
CPP‐ACPF = casein phosphopeptide amorphous calcium phosphate; CSP = calcium sodium phosphosilicate; DH = dentinal hypersensitivity; Er,Cr:YSGG = erbium,chromium:yttrium‐scandium‐gallium‐garnet; GaAIAs = gallium‐aluminum‐arsenide; J = Joules; LLLT = low‐level laser therapy; M/F = male/female; mW = milliwatt; NaF = sodium fluoride; n‐CAP = nano‐carbonate apatite; Nd:YAG = neodymium‐doped:yttrium‐aluminum‐garnet; nHAP = nano‐hydroxyapatite; nm = nanometer; PBM = photobiomodulation; RCT = randomized controlled trial; s = second; SD = standard deviation; VAS = visual analogue scale; VRS = verbal rating score.