Using lasers to treat dentine hypersensitivity suggests slight benefit

iStock_000001604217XSmall dental laser

This systematic review looks at whether laser therapy is more effective than desensitising agents for treating dentine hypersensitivity (DH).   DH is a common problem characterised by a short sharp pain which cannot be ascribed to any or dental problem.  It has increased in prevalence over the last few decades with prevalence being reported as high as 74% in some reports.

The authors searched Medline, Embase, the Cochrane Central database as well as the Cochrane Oral Health Group’s Trials Register and the National Research Register for randomised controlled trials. Only English language papers were selected. Eight trails were included, meta-analysis was not performed owing to heterogeneity.

Half of the included studies compared GaALAS laser with topical desensitising agents, but the findings were conflicting. The remaining studies involved Nd:YAG laser, Er:YAG laser and CO2 laser and all showed that the three types of lasers were superior to topical desensitising agents.  However this superiority was slight.

The authors concluded:

  • Most of the retrieved studies are moderate quality, and further trials with higher quality designs are needed.
  • The results obtained from the eight retrieved studies were conflicting. A major part of them showed the positive outcomes. The systematic review of the literature indicates a trend toward a slight clinical advantage following laser treatment of dentinal hypersensitivity compared to application of topical medicaments.
  • Based on the limited available evidence, the application of laser may not lead to adverse effects followed adequately controlled parameters in treating dentine hypersensitivity.
  • As both of the quantity and quality of the literature are limited, the above conclusions need to be verified by rigorously designed, randomised, controlled clinical trials that involve a significant number of subjects.

He S, Wang Y, Li X, Hu D. Effectiveness of laser therapy and topical desensitising agents in treating dentine hypersensitivity: a systematic review. J Oral Rehabil. 2011 May;38(5):348-358.

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Derek Richards

Derek Richards is a specialist in dental public health, Director of the Centre for Evidence-Based Dentistry and Specialist Advisor to the Scottish Dental Clinical Effectiveness Programme (SDCEP) Development Team. He is a former editor of the Evidence-Based Dentistry Journal, the chief blogger for the Dental Elf website and a past president of the British Association for the Study of Community Dentistry. He has been involved with a wide range of evidence-based initiatives both nationally and internationally since 1994. Retired from the NHS he is currently a part-time senior lecturer at Dundee Dental School.

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