Evidence map›Paper›PMID 40106016›Full record

Trial reportClinical oral investigations2025

Effect of photobiomodulation and selective caries removal in deep cavities on postoperative sensitivity, pulp vitality and dentin neoformation: randomized clinical trial and tomographic evaluation.

Thais de Mendonça Petta, Adan Lucas Pantoja de Santana, Ana Karoline Oliveira Nunes, Rayka Nohara Furtado Gomes da Silva, Giovana Monteiro Teles, Helder Henrique Costa Pinheiro, Marcia Martins Marques, Roberta Souza D'Almeida-Couto

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Effects of Photobiomodulation Therapy in Lateral Luxation of Anterior Permanent Teeth: A Randomized, Double-Blind Clinical Trial.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Trial
  2. Article
  3. Review
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

8 authors.

Thais de Mendonça PettaSchool of Dentistry, Federal University of Pará, Augusto Correa Avenue, no 1, Guamá, Belém, PA, 66075-110, Brazil.
Adan Lucas Pantoja de SantanaSchool of Dentistry, Federal University of Pará, Augusto Correa Avenue, no 1, Guamá, Belém, PA, 66075-110, Brazil.
Ana Karoline Oliveira NunesSchool of Dentistry, Federal University of Pará, Augusto Correa Avenue, no 1, Guamá, Belém, PA, 66075-110, Brazil.
Rayka Nohara Furtado Gomes da SilvaSchool of Dentistry, Federal University of Pará, Augusto Correa Avenue, no 1, Guamá, Belém, PA, 66075-110, Brazil.
Giovana Monteiro TelesSchool of Dentistry, Federal University of Pará, Augusto Correa Avenue, no 1, Guamá, Belém, PA, 66075-110, Brazil.
Helder Henrique Costa PinheiroSchool of Dentistry, Federal University of Pará, Augusto Correa Avenue, no 1, Guamá, Belém, PA, 66075-110, Brazil.
Marcia Martins MarquesSchool of Dentistry, University of São Paulo, São Paulo, SP, Brazil.
Roberta Souza D'Almeida-CoutoSchool of Dentistry, Federal University of Pará, Augusto Correa Avenue, no 1, Guamá, Belém, PA, 66075-110, Brazil. rdalmeidacouto@gmail.com.

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior PDPG88887.751005/2022-00
6 · The paper itself

Abstract

objectivesThis randomized clinical trial aimed to evaluate the effect of selective caries removal in deep cavities of posterior teeth associated or not by photobiomodulation (PBM) on postoperative sensitivity, pulp vitality, and dentin neoformation. MATERIALS AND

methodsTwenty seven permanent molars with deep Class I cavities were allocated into three groups (n = 9): selective caries removal (Control), selective caries removal followed by infrared (IR; 810 nm) or red (R; 660 nm) laser irradiation. After the cavities were restored with a two-step self-etch adhesive and composite layers, the participants scored their tooth sensitivity perception on a visual analogue scale, as well as after 1, 3, and 6 months. Two teeth per group were randomly selected for cone beam computed tomography (CBCT) scanning upon restoration and after 6 months to evaluate the thickness, mineralization density, and area of neoformed dentin. The sensitivity scores among groups were statistically analyzed by the Friedman test (p < 0.05) while dentin neoformation aspects were descriptively compared.

resultsAll teeth remained vital, and the sensitivity mean scores were not significantly different among groups (p < 0.05). Most of the CBCT sections revealed dentin neoformation in all groups. The mineralization density of affected dentin and the remaining dentin area increased in all groups, albeit higher values were found in IR and R groups.

conclusionSelective removal of infected dentin followed by mild self-etch adhesive application and composite restoration was effective in maintaining pulp vitality, attenuating postoperative sensitivity, and dentin neoformation after 6 months. PBM therapy improved the mineralization density and area of neoformed dentin. CLINICAL RELEVANCE: Selective caries removal in deep cavities is a regenerative, effective, safe, and simplified treatment that can be combined with photobiomodulation therapy to optimize dentin neoformation.

Indexed as

Dental CariesDental Cavity PreparationDental PulpDentin, SecondaryDentin SensitivityLow-Level Light TherapyAdultCone-Beam Computed TomographyDental Restoration, PermanentDentinFemaleHumansMaleMolarTreatment OutcomeDeep carious lesionDentin neoformationLaserMinimally invasive dentistryPhotobiomodulation

Identifiers

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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.