Evidence map›Paper›PMID 25877234›Full record

Trial reportClinical oral investigations2016

Caries removal in deciduous teeth using an Er:YAG laser: a randomized split-mouth clinical trial.

Rodrigo Alexandre Valério, Maria Cristina Borsatto, Monica Campos Serra, Silvana Aparecida Fernandes Polizeli, Mariana Alencar Nemezio, Rodrigo Galo, Carolina Patrícia Aires, Ana Carolina Dos Santos, Silmara Aparecida Milori Corona

Open access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Interventions for treating cavitated or dentine carious lesions.The Cochrane database of systematic reviews · 2021
    Pooled it
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  12. Efficacy of removal of cariogenic bacteria and carious dentin by ablation using different modes of Er:YAG lasers.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Rodrigo Alexandre ValérioClinical Pediatric Dentistry Department, Ribeirão Preto School of Dentistry/ São Paulo University, Café Avenue, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. roavalerio@hotmail.com.
Maria Cristina BorsattoClinical Pediatric Dentistry Department, Ribeirão Preto School of Dentistry/ São Paulo University, Café Avenue, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. borsatto@forp.usp.br.
Monica Campos SerraRestorative Dentistry Department, Ribeirão Preto School of Dentistry/ São Paulo University, Café Avenue, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. mcserra@forp.usp.br.
Silvana Aparecida Fernandes PolizeliClinical Pediatric Dentistry Department, Ribeirão Preto School of Dentistry/ São Paulo University, Café Avenue, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. silvanapolizeli@hotmail.com.
Mariana Alencar NemezioClinical Pediatric Dentistry Department, Ribeirão Preto School of Dentistry/ São Paulo University, Café Avenue, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. marianaalencar@usp.br.
Rodrigo GaloDepartment of Dental Materials and Prosthodontics, Araraquara Dental School, State Sao Paulo University, Humaitá, 1680 Street, Centro, Araraquara, SP, 14801-903, Brazil. rogallo@usp.br.
Carolina Patrícia AiresSchool of Pharmaceutical Sciences of Ribeirão Preto, São Paulo University, Café Avenue, s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. airescp@fcfrp.usp.br.
Ana Carolina Dos SantosSchool of Pharmaceutical Sciences of Ribeirão Preto, São Paulo University, Café Avenue, s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. carolinarenan@hotmail.com.
Silmara Aparecida Milori CoronaRestorative Dentistry Department, Ribeirão Preto School of Dentistry/ São Paulo University, Café Avenue, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil. silmaracorona@forp.usp.br.
Universidade de Ribeirão Preto · BRCentro Universitário de Araraquara · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of the present clinical randomized split-mouth study was to evaluate the effectiveness and efficiency of an Er:YAG laser for caries removal in primary molars, microbiological dentin analysis, and clinical restorations after 1 year in 29 children. MATERIALS AND

methodsThe children's teeth were randomized into two groups: (I) an Er:YAG laser group and (II) a bur preparation group. The efficiency of the treatments (the time necessary for the removal of carious tissue) was evaluated based on the time spent on caries removal in the deciduous molars. The effectiveness (caries removal capacity) of the caries removal was determined by means of a blind test in which the examiner performed a tactile and visual examination of the dentin. Microbiological analysis was performed by counting the Streptococcus mutans and Lactobacillus sp in the remaining dentin. Clinical analysis of restorations was performed using the USPHS method in combination with photographs of restored teeth, 7 days after the restorative procedure and again after 1 year. All cavities were restored with the Adper Single Bond 2/Filtek Z350 system. The obtained data were analyzed with a significance level of 5 %.

resultsThe Er:YAG laser was less effective and had the same efficacy as bur preparation during caries removal at the pulpal wall of deciduous molars. In the surrounding walls, bur preparation was the more effective method. Regardless of the method employed, the affected dentin in the pulpal wall had similar amounts of S. mutans and Lactobacillus sp. The restorations were clinically accepted by the USPHS method over a 1-year period.

conclusionIt can be concluded that caries removal with an Er:YAG laser has no influence on the clinical behavior of restorations. CLINICAL RELEVANCE: Irradiation with an Er:YAG laser is appropriate for caries removal in primary teeth.

Indexed as

Tooth, DeciduousChildComposite ResinsDental CariesDental Cavity PreparationDental CementsDental Restoration, PermanentFemaleHumansLasers, Solid-StateMaleTreatment OutcomeAdper single bond 2Composite ResinsDental Cementsfiltek Z350Deciduous toothDental cariesEffectivenessEfficiencyLasersMicrobiological

Identifiers

PMID25877234
OpenAlexW1984549347

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.