Evidence map›Paper›PMID 40186639›Full record

Trial reportLasers in medical science2025

Comparative evaluation of the effectiveness of transcutaneous electric nerve stimulation and photobiostimulation using diode laser prior to local anesthesia administration in children undergoing bilateral orthodontic extraction- a randomized controlled clinical trial.

Bhawna Saxena, Mousumi Goswami, Sanjay Singh, Aditya Saxena

Abstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Lasers in medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Bhawna SaxenaITS Dental College Hospital and Research Centre, Greater Noida, India. dr.bhawnasaxena@gmail.com.
Mousumi GoswamiITS Dental College Hospital and Research Centre, Greater Noida, India.
Sanjay SinghFaculty of Dentistry Jamia Millia Islamia, New Delhi, India.
Aditya SaxenaITS Dental College Hospital and Research Centre, Greater Noida, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to evaluate and compare the effectiveness of transcutaneous electric nerve stimulation (TENS) and photobiostimulation using diode LASER, prior to local anaesthesia administration in children undergoing bilateral orthodontic extractions. A split-mouth, parallel arm, Double blinded, randomized clinical trial was conducted on children (12 - 16 yrs) undergoing bilateral orthodontic extractions. Patients were randomly assigned to receive either TENS or PBST. Subjective and Objective parameters for anxiety and pain were assessed, and evaluated for statistical significance (p < 0.05). In this study with 104 patients (mean age 13.59), the TENS group showed significantly lower mean pain scores (WBPRS) for needle insertion (2.30 ± 2.7) versus PBST (5.03 ± 3.1, p < 0.01), LA administration (2.11 ± 2.8 vs. 4.84 ± 2.7, p < 0.01), and extraction (1.92 ± 2.6 vs. 3.23 ± 5.1, p < 0.01). TENS also led to a faster onset of local anesthesia (96.15 s ± 13.9) compared to PBST (155.38 s ± 91, p < 0.05), indicating enhanced efficacy for pain reduction and anesthesia speed. Physiological parameters like pulse rate and salivary pH also showed significant improvements with TENS. Hence TENS and PBST both came out as effective alternatives for topical anesthesia. Both TENS and PBST proved to be effective alternatives to topical anesthesia, TENS therapy with the Synapse Dental Pain Eraser (DPE) demonstrated greater effectiveness in reducing pain and anxiety, reflecting it as a promising option for pediatric patients. However further research is needed to refine and optimize pain management strategies using these alternatives in pediatric dentistry. CTRI Number- CTRI/2022/09/045460 [Registered on: 13/09/2022] Trial Registered Prospectively.

Indexed as

Anesthesia, DentalAnesthesia, LocalLasers, SemiconductorTooth ExtractionTranscutaneous Electric Nerve StimulationAdolescentChildDouble-Blind MethodFemaleHumansMalePain MeasurementDental anxiety and fearNeedle phobiaPediatric dentistryPhotobiostimulationTENS

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.