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): Need for anaesthesia

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
Need for anaesthesia

Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) led to lower need for anaesthesia compared with conventional mechanical caries removal (standard drill; handpiece…; GRADE not reported.

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 1 · 50%Very low 0 · 0%Low 1 · 50%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)
Need for anaesthesia · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · during treatment, overall (children and adults)
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) led to lower need for anaesthesia 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 0.37 [0.19, 0.72]4 studies · 320 participantsGRADE not reported
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Need for anaesthesia · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · during treatment, children/adolescents
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) may leads to lower need for anaesthesia compared with conventional mechanical caries removal (standard drill; handpiece… (low certainty).
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane All outcomes
RR 0.25 [0.10, 0.65]3 studies · 217 participantsLow

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.