Dental and Medical Problems

Dent Med Probl
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Dental and Medical Problems

2018, vol. 55, nr 3, July-September, p. 321–332

doi: 10.17219/dmp/92636

Publication type: review

Language: English

License: Creative Commons Attribution 3.0 Unported (CC BY 3.0)

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Effectiveness of laser irradiation in preventing enamel demineralization during orthodontic treatment: A systematic review

Skuteczność promieniowania laserowego w zapobieganiu demineralizacji szkliwa podczas leczenia ortodontycznego – systematyczny przegląd piśmiennictwa

Tuqa Rashad Raghis1,A,B,C,D,F, Ghiath Mahmoud1,B,C,D,E,F, Omar Hamadah1,2,C,E,F

1 Department of Orthodontics, Faculty of Dental Medicine, University of Damascus, Syria

2 Higher Institute for Laser Research and Applications, University of Damascus, Syria

Abstract

The objective of this study was to investigate the in vivo effectiveness of laser in the prevention of enamel demineralization during orthodontic treatment. A search of electronic databases (PubMed, ScienceDirect, Google Scholar, Scopus, the Cochrane Central Register of Controlled Trials – CENTRAL, OpenGrey, and ProQuest Dissertations and Theses – PQDT Open from ProQuest) was carried out. In vivo studies, randomized and/or controlled clinical trials regarding the use of laser treatment to prevent enamel demineralization during orthodontic treatment were included. The risk of bias of the studies included was assessed independently by 2 authors according to Cochrane guidelines. Eight articles were identified, comprising a total of 183 patients. Significant differences were observed in enamel demineralization between laser-irradiated and control groups for all laser types: argon laser, CO2 laser, neodymium-doped yttrium aluminum garnet (Nd:YAG) laser, and Optodan® laser, except for argon laser application for curing bracket adhesives, where no statistically significant differences were noted. Laser irradiation may be effective in inhibiting demineralization during orthodontic treatment, but there is a need for further randomized, controlled clinical trials, utilizing different laser systems to determine real clinical efficacy of the technique.

Key words

prevention, laser, orthodontics, white spot lesions, demineralization

Słowa kluczowe

zapobieganie, laser, ortodoncja, białe plamy próchnicowe, demineralizacja

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