Laser and remineralising agents in dental erosion: a systematic review and meta-analysis

Authors

  • A Pardo Dentistry and Maxillofacial Surgery Section, Department of Surgery, Dentistry, Pediatrics and Gy-necology, University of Verona, Verona
  • A Butera Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pe-diatric Sciences, University of Pavia, 27100, Pavia
  • A Signoriello Dentistry and Maxillofacial Surgery Section, Department of Surgery, Dentistry, Pediatrics and Gy-necology, University of Verona, Verona
  • M Marchiori Dentistry and Maxillofacial Surgery Section, Department of Surgery, Dentistry, Pediatrics and Gy-necology, University of Verona, Verona
  • V Fiorini Dentistry and Maxillofacial Surgery Section, Department of Surgery, Dentistry, Pediatrics and Gy-necology, University of Verona, Verona
  • N Branz Dentistry and Maxillofacial Surgery Section, Department of Surgery, Dentistry, Pediatrics and Gy-necology, University of Verona, Verona
  • A Scribante Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pe-diatric Sciences, University of Pavia, 27100, Pavia
  • G Lombardo Dentistry and Maxillofacial Surgery Section, Department of Surgery, Dentistry, Pediatrics and Gy-necology, University of Verona, Verona

DOI:

https://doi.org/10.23804/ejpd.2024.2158

Keywords:

dental erosion, tooth erosion and laser, fluoride and laser, dental enamel, fluoride agent and prevention

Abstract

AIM: This systematic review aimed to evaluate, by means of statistical comparison between selected studies, the effectiveness of laser irradiation on dental erosion applied alone or in combination with anti-erosive agents (fluoride, Acidulated phosphate fluoride APF and CPP-amorphous calcium fluoride phosphate CPP-ACFP), through optical profilometry and microhardness measurement. METHODS: The searching strategy was conducted according to the International PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, to answer research ques-tions regarding the effectiveness of lasers used in the context of dental erosion (such as Nd:YAG, CO2, Er:YAG, Er,Cr:YSGG, Diode, and Argon Ion lasers). A comprehensive and unrestricted sys-tematic searching was performed using the electronic databases of PubMed and Cochrane Library, for all articles published up to the end of January 2023. The review record was registered by the International prospective register of systematic reviews (PROSPERO) under the identification number CRD408639. CONCLUSION: Change in microhardness for the lasers group, irrespective of the type of laser used in the sample, was significantly greater compared with the one in the control group. Regards microhardness, the combination of Laser and APF gel showed promising results compared to APF gel agent.