Effectiveness of photobiomodulation in reducing pain and producing dental analgesia: a systematic review.
Sachin Kulkarni, Roy George, Robert Love...
https://pubmed.ncbi.nlm.nih.gov/35699807/Actively Recruiting
Led by University of Maryland, Baltimore · Updated on 2026-08-12
200
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating photobiomodulation PBM using a non-invasive light device to reduce pain and discomfort during dental treatments in children aged 6 to 12 years. The study focuses on whether PBM can provide anesthesia and analgesia for teeth and soft tissues without the need for traditional needles, which often cause dental anxiety. This research involves a series of three clinical studies with 200 school-aged children undergoing routine dental procedures. The first study tests if PBM can numb teeth and gums by measuring responses to cold testing and gum probing. The second study examines if PBM applied before injections lessens the discomfort of local anesthesia infiltration. The third study evaluates whether PBM can replace numbing injections during simple dental fillings in baby teeth. PBM involves applying a burst of light for about 20 seconds with a near-infrared device that penetrates tooth and bone to block nerve signals. Some treatments involve multiple light bursts during longer procedures. Participants will undergo various dental procedures while researchers assess pain, anxiety, and cooperative behavior before, during, and after treatments using clinical observations and self-reports. Tests include cold pulp sensitivity and gingival probing. The study also measures how long pain relief lasts after PBM. This trial includes randomized groups comparing PBM to no PBM or standard topical benzocaine and local anesthesia. The total participation time varies with each dental procedure, and safety monitoring is included throughout the study.
CONDITIONS
Photobiomodulation and Tooth Analgesia
V
Vineet Dhar, BDS, MDS, PhD
K
Kue-Ling Hsu, DDS, MS
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University of Maryland, Baltimore
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | PBM laser device | Standard topical anesthetic/local anesthesia |
|---|---|---|
| What it is | An intra-oral near-infrared photobiomodulation (PBM) laser device designed to deliver minimal-invasive dental analgesia by emitting specific wavelengths of light through tooth and bone to block nerve conduction. | Use of topical benzocaine and/or local infiltration with anesthetic agent (with epinephrine) at the injection site, reflecting common dental analgesia protocols for children. |
| Role in trial | Investigational device being tested as a minimally invasive method for dental analgesia in 6- to 12-year-old children. | Comparator group following standard local anesthetic protocols as established dental pain management practice in children. |
| Primary use | To provide dental analgesia or anesthesia to facilitate routine dental procedures in children without the use of injectable drugs. | To achieve pain control and dental anesthesia for routine dental procedures in children via topical or infiltrative drug administration. |
| How it is given or performed | A device tip with photonic emitters is applied intra-orally for about 20 seconds to the designated dental area requiring analgesia. | A topical anesthetic gel (benzocaine) is applied to the injection site, followed by local anesthetic with epinephrine delivered via injection as per routine dental protocol. |
| Evidence status | Existing systematic reviews and small clinical trials suggest PBM can reduce dental pain and provide temporary analgesia, but evidence in pediatric populations is limited and further clinical validation is ongoing. | Topical benzocaine and local anesthetic injections are supported by extensive RCT and routine practice evidence to be effective for dental pain control in children. |
| Important limitations | PBM has shown only short-duration analgesia with most studies following participants for minutes to hours. There is insufficient large-scale pediatric data, and optimal dosing and repeatability remain under evaluation. | While widely effective, local anesthetic injections may cause discomfort or anxiety in children, and topical agents provide limited tissue penetration and duration. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Varies by procedure
Participants undergo dental procedures while receiving either photobiomodulation therapy or standard treatments such as topical benzocaine and local anesthesia. Researchers assess pain, anxiety, and cooperative behavior during these procedures.
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
OTHER
Number of Arms
6
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Lead Sponsor