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Does photobiomodulation on the root surface decrease the occurrence of root resorption in reimplanted teeth? A

Theodoro Weissheimer1, Karolina Frick Bischoff2, Carolina Horn Troian Michel1

  • 1Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

Restorative Dentistry & Endodontics
|September 7, 2023
PubMed
Summary
This summary is machine-generated.

Photobiomodulation treatment of the root surface may reduce root resorption in reimplanted teeth. This finding is based on a review of limited studies, indicating a need for further clinical research on this dental trauma treatment.

Keywords:
AvulsionLaser therapyPhotobiomodulationRoot resorptionTooth replantation

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Area of Science:

  • Dentistry
  • Regenerative Medicine
  • Biophotonics

Background:

  • Root resorption is a common complication following tooth replantation.
  • Effective preventive strategies are crucial for improving outcomes in dental trauma.
  • Photobiomodulation (PBM) is a light therapy with potential regenerative properties.

Purpose of the Study:

  • To systematically review the evidence on whether photobiomodulation treatment of the root surface reduces root resorption in reimplanted teeth.
  • To assess the certainty of evidence regarding PBM's efficacy in preventing post-replantation root resorption.

Main Methods:

  • Comprehensive electronic searches across multiple databases (MEDLINE/PubMed, Cochrane Library, Scopus, Web of Science, Embase, Grey Literature).
  • Risk of bias assessment using the SYRCLE tool.
  • Certainty of evidence evaluation using the GRADE framework.
  • Inclusion of 6 relevant studies.

Main Results:

  • Five out of six studies indicated a reduced occurrence of root resorption after PBM treatment of the root surface prior to replantation.
  • One study reported conflicting results.
  • Significant variability in PBM parameters was observed across the included studies.
  • The overall certainty of evidence was assessed as low.

Conclusions:

  • Photobiomodulation treatment applied to the root surface before tooth replantation appears to decrease the incidence of root resorption.
  • The current evidence, though promising, is of low certainty.
  • Further high-quality clinical studies are necessary to confirm these findings and establish optimal PBM protocols for reimplanted teeth.