Question · asked by 1 review

Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur): Restoration survival

Population
Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years)
Intervention
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG)
Comparison
Conventional mechanical caries removal (standard drill; handpiece with a bur)
Outcome
Restoration survival

It is very uncertain whether laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) changes durability of restoration compared with conventional mechanical caries removal (standard drill; handpiece… (very low certainty).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 2 · 66.7%Very low 1 · 33.3%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Durability of restoration · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 6 months follow-up
It is very uncertain whether laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) changes durability of restoration compared with conventional mechanical caries removal (standard drill; handpiece… (very low certainty).
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane All outcomes
RR 2.40 [0.65, 8.77]4 studies · 236 participantsVery low
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Durability of restoration · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 2 years follow-up
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) showed no clear difference in durability of restoration compared with conventional mechanical caries removal (standard drill; handpiece…; GRADE not reported.
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane All outcomes
RR 0.50 [0.02, 14.60]1 studyGRADE not reported
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Durability of restoration · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 1 year follow-up
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) showed no clear difference in durability of restoration compared with conventional mechanical caries removal (standard drill; handpiece…; GRADE not reported.
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane All outcomes
RR 1.40 [0.29, 6.78]2 studiesGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Lasers for caries removal in deciduous and permanent teeth
2016 · Cochrane All outcomes
2016-06Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.