Can laser therapy used in endodontic treatment improve apical periodontitis repair? A systematic review

被引：0
作者：
Jacob V.P. [1 ]
Silva L.S. [2 ]
Martins C.M. [1 ,2 ]
de Souza Batista V.E. [1 ,2 ]
Mori G.G. [1 ,2 ]
机构：
[1] Graduate Program in Dentistry, University of Western São Paulo (UNOESTE), José Bongiovani St 700, SP, Presidente Prudente
[2] Dental School of Presidente Prudente, University of Western Sao Paulo, SP, Presidente Prudente
来源：
Lasers in Dental Science | 2021年 / 5卷 / 2期
关键词：
Endodontics; Laser; Periapical periodontitis; Root canal therapy;
D O I：
10.1007/s41547-021-00130-1
中图分类号：
学科分类号：
摘要：
Purpose: The aim of this systematic review was to determine whether combining laser therapy with conventional endodontic treatment would improve apical periodontitis (AP) repair. Methods: This study was developed according to the Cochrane criteria for the creation of systematic reviews and meta-analyses and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The PubMed/MedLine, SCOPUS, and Cochrane Library databases were searched for articles published up to September 2020 to answer the PICO question: Could lasers used in conjunction with endodontic treatment (ET) improve AP repair, compared with conventional ET, in permanent teeth with necrotic pulp and AP? The outcome evaluated was reduction of AP. Results: The literature search retrieved a total of 1719 articles, and, after applying the eligibility criteria, 5 were included in the present study. All studies compared the use of laser to ET of teeth with AP. Radiographic analysis was performed between 0 and 12 months, and the data revealed a reduction in the size of AP for both treatments. Conclusion: The results of this systematic review evidenced scarcity of randomized clinical trials, few studies analyzing AP repair, short time of clinical control, methodological differences and high risk of bias among researches, and absence of evidence-based clinical protocols; thus, these aspects do not permit to conclude whether combining laser therapy with conventional ET would improve AP repair and indicate the necessity of more studies. © 2021, The Author(s), under exclusive licence to Springer Nature Switzerland AG.
引用
收藏
页码：91 / 97
页数：6
相关论文
共 56 条
[1]  
Siqueira Jr J.F., Rocas I.N., Lopes H.P., Patterns of microbial colonization in primary root canal infections, Oral Surg Oral Med Oral Pathol Oral Radiol, 93, pp. 174-178, (2002)
[2]  
Kushwaha V., Yadav R.K., Tikku A.P., Chandra A., Verma P., Gupta P., Shakya V.K., Comparative evaluation of antibacterial effect of nanoparticles and lasers against endodontic microbiota: an in vitro study, J Clin Exp Dent, 10, pp. e1155-e1160, (2018)
[3]  
Garcez A.S., Nunez S.C., Hamblin M.R., Ribeiro M.S., Antimicrobial effects of photodynamic therapy on patients with necrotic pulps and periapical lesion, J Endod, 34, pp. 138-142, (2008)
[4]  
Garcez A.S., Neto J.G., Sellera D.P., Fregnani E.R., Effects of antimicrobial photodynamic therapy and surgical endodontic treatment on the bacterial load reduction and periapical lesion healing. Three years follow up, Photodiagn Photodyn Ther, 12, pp. 575-580, (2015)
[5]  
Doganay Yildiz E., Arslan H., Effect of low-level laser therapy on postoperative pain in molars with symptomatic apical periodontitis: a randomized placebo-controlled clinical trial, J Endod, 44, pp. 1610-1615, (2018)
[6]  
Granevik Lindstrom M., Wolf E., Fransson H., The antibacterial effect of Nd:YAG laser treatment of teeth with apical periodontitis: a randomized controlled trial, J Endod, 43, pp. 857-863, (2017)
[7]  
Vera J., Siqueira Jr J.F., Ricucci D., Loghin S., Fernandez N., Flores B., Cruz A.G., One- versus two-visit endodontic treatment of teeth with apical periodontitis: a histobacteriologic study, J Endod, 38, pp. 1040-1052, (2012)
[8]  
Siqueira J.F., Rocas I.N., Ricucci D., Biofilms in endodontic infection, Endod Topics, 22, pp. 33-49, (2010)
[9]  
Ricucci D., Siqueira J.F., Bate A.L., Ford T.R.P., Histologic investigation of root canal–treated teeth with apical periodontitis: a retrospective study from twenty-four patients, J Endod, 35, pp. 493-502, (2009)
[10]  
Gomes-Filho J.E., Sivieri-Araujo G., Sipert C.R., da Silva Santos L.M., de Azevedo Queiroz I.O., Men Martins C., do Carmo Maia N.K., Cintra L.T.A., Dezan-Junior E., Bagnato V.S., Chaves-Neto A.H., de Oliveira S.H.P., Evaluation of photodynamic therapy on fibroblast viability and cytokine production, Photodiagn Photodyn Ther, 13, pp. 97-100, (2016)
123456