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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2019, vol. 25, issue1
Subject Area: Dental Medicine
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DOI: 10.5272/jimab.2019251.2343
Published online: 30 January 2019
Case report
J of IMAB. 2019 Jan-Mar;25(1):2343-2348
PLACEBO-CONTROLLED SUBJECTIVE AND OBJECTIVE EVALUATION OF LASER ANALGESIA EFFICACY – A CASE REPORT
Elitsa Veneva
, Ani Belcheva,
Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University - Plovdiv, Bulgaria.
ABSTRACT:
BACKGROUND: Pre-emptive laser analgesia (LA) is considered as bio-photomodulation of pulpal reactivity aiming reduction of nociceptive impulse formation and thus presenting a current non-pharmacological mean for painless conservative treatment. The aim of this investigation is efficacy approbation of a modified protocol for LA with Er:YAG laser.
CASE DESCRIPTION: A 12 y.o. female patient underwent two single-visit treatments, receiving LA and placebo analgesia (PA) prior to laser ablation of similar carious lesions in two permanent maxillary first molars bilaterally. Efficacy of analgesic protocol was assessed by following outcomes: primary – self-reported pain felt during treatment on VAS; secondary: changes in pulpal sensibility to electrical and cold-stimuli via EPT and Cold-test; pain-related behavior on FLACC-scale; pulse frequency. Subjective and objective pain evaluation revealed no pain during caries ablation after LA and little pain after PA. Pulp sensibility towards electrical and thermal stimulation decreased more significantly after LA induction.
DISCUSSION: Results suggest that Er:YAG therapy under applied parameters may be effective in achieving pulpal analgesia. The aforementioned tests could be valuable means for investigating the occurrence of any pulpal analgesic effect obtained by dental lasers.
CONCLUSION: Assessment of results of this case report should facilitate development of a laser analgesia protocol. The clinical adequacy of proposed protocol is to be separately estimated as part of a currently conducted double-blind randomized clinical trial with split-mouth design.
Keywords: laser analgesia, er:yag laser, low level laser therapy, laser dentistry, photobiomodulation, photomodulation, pulp testing,
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Please cite this article as: Veneva E, Belcheva A. Placebo-controlled subjective and objective evaluation of laser analgesia efficacy – a case report. J of IMAB. 2019 Jan-Mar;25(1):2343-2348. DOI: 10.5272/jimab.2019251.2343
Correspondence to: Elitsa Veneva, Department of Pediatric Dentistry, Faculty of Dental Medicine, Medical University – Plovdiv; 3, Hristo Botev Blvd., Plovdiv, Bulgaria; E-mail: elitza.veneva@gmail.com
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Received: 10 September 2018
Published online: 30 January 2019