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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

162 questions in 21 reviews · cluster CL0190

current versions
No studies 28 · 17.3%Ungraded 98 · 60.5%Very low 27 · 16.7%Low 9 · 5.6%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Intervention categories, outcome domains and clusters are a proposed key pending human validation. Clear all filters

QuestionEffectEvidenceStatus / GRADE
Photodynamic therapy plus mechanical debridement vs Mechanical debridement alone
Probing pocket depth (mm) · Adults treated for periodontitis and receiving supportive periodontal therapy (SPT) · 12 months
Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis (2018) · Cochrane
MD -0.09 [-1.41, 1.23]1 study · 10 participantsVery low
Low-level laser therapy (LLLT) vs Formocresol (FC)
Radiological failure · Children with extensive decay involving the dental pulp in primary teeth · 6 and 12 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 7.00 [0.39, 124.83]1 study · 30 participantsUngraded
Diode laser vs Electrosurgery
Radiological failure · Children with extensive decay involving the dental pulp in primary teeth · 6 months
Pulp treatment for extensive decay in primary teeth (2018) · Cochrane
RR 0.64 [0.19, 2.18]2 studies · 50 participantsLow
Electromagnetic radiation (low-level laser therapy) vs Placebo
Relief of burning/discomfort (symptom relief; pain intensity) · People with primary burning mouth syndrome (BMS), that is, oral mucosal pain with no dental or medical cause for such… · short-term (up to 3 months)
Interventions for treating burning mouth syndrome (2016) · Cochrane
MD -30.36 [-44.22, -16.50]1 study · 58 participantsVery low
Low‐level laser therapy (LLLT) vs Placebo (or no irradiation)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents and adults undergoing orthodontic treatment · 6 hours
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -10.63 [-22.33, 1.07]2 studies · 118 participantsUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Participant discomfort (vibration, smell, noise) · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · during treatment
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
Five studies reported participant discomfort (Belcheva 2014; Evans 2000; Hadley 2000; Keller 1998; Liu 2006). Keller 1998 (90 adults): discomfort significantly lower with laser (Analysis 1.6). Hadley 2000 (66 adults):…5 studiesUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Pulpal inflammation or necrosis · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 6 months follow-up
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 0.99 [0.10, 9.41]2 studies · 156 participantsVery low
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Pulpal inflammation or necrosis · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 1 week follow-up
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 1.51 [0.26, 8.75]3 studies · 317 participantsVery low
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Pulpal inflammation or necrosis · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · overall (1 week to 6 months)
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 1.29 [0.32, 5.14]4 studiesUngraded
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
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
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
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 0.50 [0.02, 14.60]1 studyUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Operator preference/fatigue in operator · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years)
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
One study (Evans 2000): 11 dental practitioners expressed a preference in 73 of 77 'dentist/patient encounters', significantly in favour of conventional drill rather than laser (P < 0.001); main difficulty with laser…1 studyUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Caries removal (clinical) · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · during treatment
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 1.00 [0.99, 1.01]2 studies · 190 participantsLow
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Duration of treatment · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years)
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
MD 0.90 [0.59, 1.21]4 studiesUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Other caries removal systems (chemo-mechanical, sono-abrasion, or air-abrasion)
Outcome NR · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years)
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
'Types of interventions' allowed comparison of laser with other caries-removal systems (chemo-mechanical, sono-abrasion, air-abrasion); no included study used such a comparator (all nine included trials compared laser…NRNo studies
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Recurrent (secondary) caries · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · 6 months to 2 years follow-up
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
Two trials reported data on prevalence of secondary caries (Hadley 2000 at 6 months; Yazici 2010 at 2 years). No occurrence of caries was reported in either study (no events; no estimable effect).2 studiesUngraded
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
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 1.40 [0.29, 6.78]2 studiesUngraded
Placebo (sham irradiation, laser inactive) vs Control (no laser device used)
Maximum pain (verbal rating scale, VRS) · People requiring retreatment of periapical lesions (failed root canal therapy) · first postoperative week
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 0.04 [0.00, 0.61]1 study · 48 participantsUngraded
Low energy level laser therapy (LLLT) vs Placebo (sham irradiation, laser inactive)
Maximum pain (verbal rating scale, VRS) · People requiring retreatment of periapical lesions (failed root canal therapy) · first postoperative week
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
Maximum pain (VRS): 0 per 1000 (placebo) vs 0 per 1000 (LLLT); effect not estimable; 52 participants. No high-pain events in either group.1 study · 52 participantsVery low
Low‐level laser therapy (LLLT) vs Placebo (or no irradiation)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents and adults undergoing orthodontic treatment · 7 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -6.39 [-8.65, -4.13]1 study · 58 participantsUngraded
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Participant preference · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years)
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
Three studies (Evans 2000; Liu 2006; Zhang 2013) reported participants' preference for future treatment. Zhang 2013: 37/53 children (72%) preferred laser, 10 (22%) drill. Liu 2006: 36/40 (90%) preferred laser, 4 (5%)…3 studiesUngraded
Low energy level laser therapy (LLLT) vs Control (no laser device used)
Maximum pain (verbal rating scale, VRS) · People requiring retreatment of periapical lesions (failed root canal therapy) · first postoperative week
Endodontic procedures for retreatment of periapical lesions (2016) · Cochrane
RR 0.04 [0.00, 0.71]1 study · 44 participantsVery low
Low‐level laser therapy (LLLT) vs Placebo (or no irradiation)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents and adults undergoing orthodontic treatment · 6 to 54 hours, Studies using bespoke pain scales
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
Two further studies (160 participants) used bespoke assessments. Harazaki 1997 (84 participants): slightly lower proportion reporting severe pain in the intervention group, no inferential statistics. Turhani 2006 (76…2 studies · 160 participantsUngraded
Surgical removal of the lesion (surgical excision, laser surgery, cryotherapy) vs Placebo or no treatment
Outcome NR · People with a diagnosis of oral leukoplakia
Interventions for treating oral leukoplakia to prevent oral cancer (2016) · Cochrane
'We did not identify any RCTs that compared surgical treatments with placebo or no treatment.' Three surgical RCTs were found (Chee 2013, Lopez-Jornet 2013, Schwarz 2005) but all excluded because they did not include a…NRNo studies
Laser (Er:YAG, Er,Cr:YSGG, or Nd:YAG) vs Conventional mechanical caries removal (standard drill; handpiece with a bur)
Episodes of pain (moderate or high pain; six-face rating scale) · Children, adolescents and adults with caries in deciduous and permanent teeth (age 3.5 to 84 years) · during treatment
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 0.40 [0.28, 0.57]2 studies · 143 participantsLow
Low‐level laser therapy (LLLT) vs Placebo (or no irradiation)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents and adults undergoing orthodontic treatment · 3 days
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -10.76 [-13.80, -7.73]2 studies · 118 participantsUngraded
Electromagnetic radiation (low-level laser therapy) vs Placebo
Change in feeling of dryness · People with primary burning mouth syndrome (BMS), that is, oral mucosal pain with no dental or medical cause for such… · short-term (up to 3 months)
Interventions for treating burning mouth syndrome (2016) · Cochrane
SoF6: No included study reported change in feeling of dryness.0 studiesNo studies
Low‐level laser therapy (LLLT) vs Placebo (or no irradiation)
Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · Adolescents and adults undergoing orthodontic treatment · 24 hours
Non‐pharmacological interventions for alleviating pain during orthodontic treatment (2016) · Cochrane
MD -20.27 [-24.50, -16.04]2 studies · 118 participantsLow
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)
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 0.37 [0.19, 0.72]4 studies · 320 participantsUngraded
Electromagnetic radiation (low-level laser therapy) vs Placebo
Change in taste · People with primary burning mouth syndrome (BMS), that is, oral mucosal pain with no dental or medical cause for such… · short-term (up to 3 months)
Interventions for treating burning mouth syndrome (2016) · Cochrane
SoF6: No included study reported change in taste.0 studiesNo studies
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
Lasers for caries removal in deciduous and permanent teeth (2016) · Cochrane
RR 0.25 [0.10, 0.65]3 studies · 217 participantsLow
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Patient-reported altered sensation (spontaneous or evoked: anaesthesia/paraesthesia/dysaesthesia/hyperalgesia/allodynia) · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual… · Lip
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
MD 21.79 [5.29, 38.29]1 study · 13 participantsVery low
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Somatosensory evoked potentials · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
Results: 'No studies reported on ... somatosensory evoked potentials ...'. Not reported by the included trials.0 studiesNo studies
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Difficulty speaking · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
SoF row 'Difficulty speaking': This outcome was not reported in the included studies.0 studiesNo studies
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Patient-reported altered sensation (spontaneous or evoked: anaesthesia/paraesthesia/dysaesthesia/hyperalgesia/allodynia) · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual… · Chin
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
MD 8.40 [3.67, 13.13]1 study · 13 participantsVery low
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Difficulty eating · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
SoF row 'Difficulty eating': This outcome was not reported in the included studies.0 studiesNo studies
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Mechanosensory perception (load in grams to elicit sensation; Semmes Weinstein monofilaments) · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
MD 1.07 [0.17, 1.97]2 studies · 26 participantsUngraded
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Pain · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
SoF row 'Pain': This outcome was not reported in the included studies.0 studiesNo studies
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Taste · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
SoF row 'Taste': This outcome was not reported in the included studies.0 studiesNo studies
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Thermosensory (thermal) perception · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
MD 1.79 [-2.04, 5.62]2 studies · 25 participantsUngraded
Low-level laser therapy (photon-plus GaAlAs diode laser; 70 mW output, continuous 820 nm) vs Placebo (sham) laser therapy
Patient satisfaction · Patients of any age in any setting requiring intervention for iatrogenic injury to the inferior alveolar or lingual…
Interventions for iatrogenic inferior alveolar and lingual nerve injury (2014) · Cochrane
Results: no included study reported quality of life or patient satisfaction. In PUB2 patient satisfaction is merged with quality of life as 'quality of life/patient satisfaction'.0 studiesNo studies
Erbium:YAG laser (implant exposure) vs Flap elevation at implant exposure
Postoperative pain · Patients undergoing implant exposure (second-stage surgery)
Interventions for replacing missing teeth: management of soft tissues for dental implants (2012) · Cochrane
RR 0.25 [0.07, 0.90]1 study · 20 participantsUngraded
Er:YAG laser debridement vs Manual debridement plus chlorhexidine irrigation/gel
Implant failure · People with at least one dental implant affected by peri-implantitis · 6 months
Interventions for replacing missing teeth: treatment of peri‐implantitis (2012) · Cochrane
No implant failures occurred in any of the groups (both trials).2 studies · 40 participantsUngraded
Er:YAG laser surface debridement before bone augmentation vs Plastic curettes plus saline solution before bone augmentation
Change in probing attachment level (PAL gain) · People with at least one dental implant affected by peri-implantitis · 6 months
Interventions for replacing missing teeth: treatment of peri‐implantitis (2012) · Cochrane
Six months after treatment there were no statistically significant differences for PAL gain.1 study · 30 participantsUngraded
Er:YAG laser debridement vs Manual debridement plus chlorhexidine irrigation/gel
Change in probing attachment level (PAL) · People with at least one dental implant affected by peri-implantitis · 6 months
Interventions for replacing missing teeth: treatment of peri‐implantitis (2012) · Cochrane
No statistically significant differences for change in PAL.1 study · 20 participantsUngraded
Laser therapy
Outcome NR · Adults (>18 years) with temporomandibular joint osteoarthritis (TMJ OA) diagnosed by RDC/TMD or compatible criteria
Interventions for managing temporomandibular joint osteoarthritis (2012) · Cochrane
The review noted the noticeable absence of evidence for laser therapy; no eligible RCT evaluated it (Discussion).0 studiesNo studies
Laser-welded titanium framework vs Cast gold framework
Framework survival (5 years) · Patients with implant-supported FDPs; split-mouth, 5-year · 5 years
Interventions for replacing missing teeth: partially absent dentition (2012) · Cochrane
95% (20/21) titanium and 100% cast gold frameworks surviving 5 years; could not calculate an estimate of relative risk from the data as presented; non-significant differences in maintenance visits and alveolar bone loss1 study · 21 participantsUngraded
Er:YAG laser vs Air-abrasive device (Perio-Flow)
Recurrence of peri-implantitis · People with at least one dental implant affected by peri-implantitis · 6 months
Interventions for replacing missing teeth: treatment of peri‐implantitis (2012) · Cochrane
After 6 months no statistically significant difference for peri-implantitis recurrence; 11% of implants (five air-abrasive, six laser) had pus on probing.1 study · 42 participantsUngraded
Er:YAG laser vs Air-abrasive device (Perio-Flow)
Change in probing pocket depth · People with at least one dental implant affected by peri-implantitis · 6 months
Interventions for replacing missing teeth: treatment of peri‐implantitis (2012) · Cochrane
After 6 months no statistically significant difference between Er:YAG laser and air-abrasive device for PPD.1 study · 42 participantsUngraded
Er:YAG laser vs Air-abrasive device (Perio-Flow)
Implant failure · People with at least one dental implant affected by peri-implantitis · 6 months
Interventions for replacing missing teeth: treatment of peri‐implantitis (2012) · Cochrane
After 6 months there were no drop-outs, implant failures or complications.1 study · 42 participantsUngraded