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BMC Oral Health
Published in: BMC Oral Health 1/2019

Open Access 01-12-2019 | Erbium YAG Laser | Research article

The clinical effects of laser preparation of tooth surfaces for fissure sealants placement: a systematic review and meta-analysis

Authors: Yunhan Zhang, Yan Wang, Yandi Chen, Yang Chen, Qiong Zhang, Jing Zou

Published in: BMC Oral Health | Issue 1/2019

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Abstract

Background

This systematic review aimed to assess the clinical effects of laser preparation compared to other types of chemical or mechanical preparation of tooth surfaces used in fissure sealant placement.

Methods

A systematic literature search was conducted up to January 2019, through Pubmed, Scopus, Medline/EMBASE via OVID and the Cochrane library. Only randomized clinical trials were included.

Results

Five studies were included in the systematic review and three were included in the meta-analysis. All the studies used acid-etching as a comparator to lasers. All the included studies were rated as having an overall high risk of bias introduced by performance bias. Three studies assessed the clinical effects of fissure sealants placed by acid or laser etching, one compared acid etching versus laser combined with acid etching and one investigated the influence of lasers on the objective and subjective parameters of stress during sealant application in children. The meta-analysis showed no significant difference between laser preparation and conventional acid-etching preparation at 3- (P = 0.08), 6- (P = 0.49), and 12-month (P = 0.87) follow-ups. One study reported that laser preparation as an adjunct to acid-etching enhanced the retention rate. No significant difference in the incidence of caries was reported. And no significant differences were found in heart rates, oxygen saturation or degree of the patient dental anxiety between acid-etching and laser preparation.

Conclusion

The present limited evidence suggests that lasers could be an effective pretreatment method. The retention rate was similar to that of conventional acid etching. However, the included studies had an overall high risk of bias and more rigorously designed research is needed.
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Metadata
Title
The clinical effects of laser preparation of tooth surfaces for fissure sealants placement: a systematic review and meta-analysis
Authors
Yunhan Zhang
Yan Wang
Yandi Chen
Yang Chen
Qiong Zhang
Jing Zou
Publication date
01-12-2019
Publisher
BioMed Central
Published in
BMC Oral Health / Issue 1/2019
Electronic ISSN: 1472-6831
DOI
https://doi.org/10.1186/s12903-019-0892-4

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