2021 Volume 9 Issue 3
Creative Commons License

LASERS RELATED KNOWLEDGE AND PRACTICES OF DENTISTS IN RIYADH CITY: A SURVEY-BASED STUDY

Meshari Abdulaziz AlHumaidi1*, Sultan Lafi AlJahdali1, Mohammed Khalid Mohammed AlGab1, Abdullah Ali Alrizqi1, Abdullah Nawaf AlShammeri1, Abdulaziz Abdullah AlQarni1

1 Internship Training Department, Faculty of Dentistry, Riyadh Elm University, Riyadh, Saudi Arabia. [email protected]


ABSTRACT

Use of lasers in health profession is not new as it dates back more than 100 years when this technology was first tested by Planck in 1900. Since then, there is no looking back, with these advancements being used in various sectors of health. The present study is a cross-sectional one, that utilized a close-ended questionnaire. The target of this study is the dental professionals of Riyadh city; hence, all dentists with the tendency to participate were required to complete the questionnaire.

After comparison of the responses based on designation, it was indicated that 47% of general practitioners were unsatisfied with their level of knowledge (p-value: 0.023), use of lasers increased with designations (p-value: 0.008), and 55% of consultants believed that not using anesthesia is one of the important reasons to use lasers (p-value: 0.007). Rest of the questions did not result in any significant comparison. Overall knowledge of dental practitioners on laser use was found to be on the lower side.

Key words: Knowledge, Dental professionals, Lasers, Dentistry, Practices.


Introduction

Use of lasers in health profession is not new as it dates back more than 100 years when this technology was first tested by Planck in 1900. Since then, there is no looking back, with these advancements being used in various sectors of health. These include removal of kidney stones in 1960s, tumor ablation, and for the treatment of benign prostate hyperplasia [1, 2].

Dentistry is evolving with the increased incorporation of lasers in this field, with dental specialties such as restorative, endodontics implantology, periodontics and pediatrics being benefited mainly [3]. Several investigations in different parts of the world have been conducted in order to acquire the level of awareness and perception of dentists as far as the application of lasers is concerned. Adequate amount of knowledge was observed among the Indian dental professionals when inquired about the use of various types of lasers and they supported its use in several dental procedures. However, there was a significant difference in the knowledge level among low and high experienced dentists and an overall need of improved training was demanded by some of these study participants [4, 5]. On the other hand, the attitude of Iranian dentists was found to be mixed, as they were more inclined towards the traditional procedures as compared to laser technology [6].

A few other studies have been done to assess the knowledge of dental professionals regarding specific dental procedures. It was noted in one of these studies that the dental professionals although being highly aware of laser use, showed lower level of attitude towards the use in endodontics. It is now a documented fact that the use of lasers in disinfecting root canals using laser photodynamic therapy is found to be affective [7, 8]. Finally, Brazilian dentists have also supported the efficiency of dental lasers used in detecting caries. Although the use of these measures is restricted to trained dental professionals only, the readiness of these dentists seem to be on the positive side [9].

Study hypotheses

Dentists in Riyadh have a limited exposure to dental lasers and their knowledge is inadequate as well.

Aims of the study

  • To determine the current practice of Riyadh dentists towards the use of dental lasers
  • To determine the knowledge of dentists in Riyadh about the different applications and types of dental lasers
  • To compare the findings on the basis of work experience and professional designation
  • To assess the factors associated with lack of laser use in dentistry

 

Materials and Methods

Study design

The present study is a cross-sectional one, that applied a close-ended questionnaire.

Questionnaire design

The researchers constructed the questionnaire online by Google forms. The questionnaire started with questions about demographics, such as gender, educational level, professional designation etc. Moreover, about knowledge level of dental lasers questions were asked, that included various kinds of lasers and their clinical uses, factors influencing using or not using lasers in dental procedures etc.

Research sample

The target of this study is the dental professionals of Riyadh city; hence, all dentists with the tendency to participate were required to complete the questionnaire. Totally, 500 Riyadh dentists were aimed to be involved in the present research. The survey was mainly sent by online communication such as social media. 

Validity and reliability of questionnaire

The experts in research, that included a few faculty members of REU received the questionnaire to confirm its validity. Considering the reliability, a pilot study was performed using 20 online questionnaires completed haphazardly by university students. Cronbach’s coefficient alpha in the Statistical Package for Social Sciences (SPSS) version 19 was used to test the reliability.

Statistical analysis

After collection, the data was transferred to SPSS version 19 from Google sheets, where inferential as well as descriptive statistics were carried out. With the significance value kept under 0.05, comparisons were made between the groups .

Results and Discussion

A total of 344 participants filled up the online survey. Grouping of the participants was done based on their gender, which indicated that 62% (n=214) were males and 38% (n=130) were females (Figure 1). The participants were also grouped on the basis of their designation, which demonstrated that 68% (n=233) are general practitioners, 29% (n=100) are specialists and 3% (n=10) are consultants (Figure 2). Grouping of the participants was also performed based on their experience, which showed that 78% (n=266) have 1-3 years of experience, 16% (n=54) have 4-6 years of experience, 5% (n=16) have 7-10 years of experience and 2% (n=13) have more than 10 years of experience (Figure 3). Table 1 shows the comparison on the basis of gender, Table 2 compares the specialties and Table 3 the work experience.

Validity and reliability of the questionnaire

According to the experts in REU, we made minor changes to our questionnaire before we distributed it to the study participants. As far as the reliability is concerned, we performed Cronbach’s coefficient alpha in SPSS and the value retrieved was 0.80, which is acceptable to carry out the data collection after pilot study.

Figure 1. Distribution of Study Participants on the Basis of Gender

 

Figure 2. Distribution of Study Participants on the Basis of Designation

 

Figure 3. Distribution of Study Participants on the Basis of Work Experience

 

 

Table 1. Comparing the Research Participants Based on Gender

Item

Male

Female

P- Value

How do you rate your overall knowledge about dental lasers?

Highly Unsatisfactory

17%

 

Unsatisfactory

41%

 

Neutral

32%

 

Satisfactory

7%

 

Highly Satisfactory

3%

Highly Unsatisfactory

11%

 

Unsatisfactory

76%

 

Neutral

27%

 

Satisfactory

7%

 

Highly Satisfactory

2%

0.217

Have you been using dental lasers in your practice?

Never Used

80%

 

Occasionally Used

14%

 

Very Commonly Used

6%

Never Used

82%

 

Occasionally Used

15%

 

Very Commonly Used

3%

0.337

Have you received proper training to use dental lasers?

Yes

15%

Yes

5%

0.009

Are you aware of the functions of different types of lasers?

Highly Unaware

15%

 

Unaware

43%

 

Neutral

30%

 

Aware

11%

 

Highly Aware

1%

Highly Unaware

11%

 

Unaware

54%

 

Neutral

26%

 

Aware

7%

 

Highly Aware

2%

0.200

Which laser can be used for soft tissues?

GAALAS (Diode)

40%

 

Excimer

17%

 

Ruby

16%

 

Argon

17%

 

HO: YAG

10%

GAALAS (Diode)

45%

 

Excimer

7%

 

Ruby

16%

 

Argon

15%

 

HO: YAG

16%

0.048

Which laser can be used for hard tissues?

GAALAS (Diode)

34%

 

Excimer

18%

 

Erbium

6%

 

Argon

20%

 

Nd: YAG

22%

GAALAS (Diode)

29%

 

Excimer

19%

 

Erbium

6%

 

Argon

26%

 

Nd: YAG

20%

0.764

Lasers can remove caries better and conservatively than hand piece.

Strongly Disagree

10%

 

Disagree

12%

 

Neutral

20%

 

Agree

53%

 

Strongly Agree

5%

Strongly Disagree

3%

 

Disagree

12%

 

Neutral

18%

 

Agree

64%

 

Strongly Agree

3%

0.104

Lasers can be used as endodontic irrigation better than conventional methods.

Strongly Disagree

12%

 

Disagree

60%

 

Neutral

15%

 

Agree

11%

 

Strongly Agree

2%

Strongly Disagree

4%

 

Disagree

65%

 

Neutral

21%

 

Agree

9%

 

Strongly Agree

1%

0.061

Which of the following is a BEST REASON TO USE laser in dentistry?

Minimally Invasive

56%

 

Not Harmful for Surrounding Tissues

23%

 

No anesthesia Needed

21%

Minimally Invasive

46%

 

Not Harmful for Surrounding Tissues

21%

 

No anesthesia Needed

33%

0.053

Which of the following is the REASON NOT TO USE laser in dentistry?

Not Enough Information

29%

 

Procedure is Time Consuming

9%

 

Expensive

62%

Not Enough Information

16%

 

Procedure is Time Consuming

8%

 

Expensive

76%

0.020

Are you interested in receiving proper training of dental lasers?

Definitely, Yes

47%

 

May Be

51%

 

Definitely, No

2%

Definitely, Yes

49%

 

May Be

49%

 

Definitely, No

2%

0.893

 

Table 2. Comparing the Research Participants based on Specialty

Item

General Practitioner

Specialist

Consultant

P- Value

How do you rate your overall knowledge about dental lasers?

Highly Unsatisfactory

15%

 

Unsatisfactory

47%

 

Neutral

30%

 

Satisfactory

6%

 

Highly Satisfactory

2%

Highly Unsatisfactory

17%

 

Unsatisfactory

42%

 

Neutral

29%

 

Satisfactory

9%

 

Highly Satisfactory

3%

Highly Unsatisfactory

0%

 

Unsatisfactory

30%

 

Neutral

50%

 

Satisfactory

0%

 

Highly Satisfactory

2%

0.023

Have you been using dental lasers in your practice?

Never Used

86%

 

Occasionally Used

10%

 

Very Commonly Used

4%

Never Used

70%

 

Occasionally Used

25%

 

Very Commonly Used

5%

Never Used

80%

 

Occasionally Used

20%

 

Very Commonly Used

0%

0.008

Have you received proper training to use dental lasers?

Yes

9%

Yes

18%

Yes

10%

0.068

Are you aware of the functions of different types of lasers?

Highly Unaware

14%

 

Unaware

49%

 

Neutral

28%

 

Aware

8%

 

Highly Aware

1%

Highly Unaware

13%

 

Unaware

43%

 

Neutral

27%

 

Aware

13%

 

Highly Aware

4%

Highly Unaware

10%

 

Unaware

30%

 

Neutral

50%

 

Aware

10%

 

Highly Aware

0%

0.520

Which laser can be used for soft tissues?

GAALAS (Diode)

45%

 

Excimer

13%

 

Ruby

15%

 

Argon

15%

 

HO: YAG

14%

GAALAS (Diode)

35%

 

Excimer

15%

 

Ruby

20%

 

Argon

19%

 

HO: YAG

11%

GAALAS (Diode)

60%

 

Excimer

0%

 

Ruby

10%

 

Argon

30%

 

HO: YAG

0%

0.372

Which laser can be used for hard tissues?

GAALAS (Diode)

34%

 

Excimer

15%

 

Erbium

6%

 

Argon

21%

 

Nd: YAG

24%

GAALAS (Diode)

28%

 

Excimer

25%

 

Erbium

7%

 

Argon

24%

 

Nd: YAG

16%

GAALAS (Diode)

30%

 

Excimer

20%

 

Erbium

0%

 

Argon

50%

 

Nd: YAG

0%

0.104

Lasers can remove caries better and conservatively than hand piece.

Strongly Disagree

8%

 

Disagree

11%

 

Neutral

18%

 

Agree

59%

 

Strongly Agree

4%

Strongly Disagree

7%

 

Disagree

14%

 

Neutral

25%

 

Agree

49%

 

Strongly Agree

5%

Strongly Disagree

0%

 

Disagree

10%

 

Neutral

0%

 

Agree

90%

 

Strongly Agree

0%

0.351

Lasers can be used as endodontic irrigation better than conventional methods.

Strongly Disagree

10%

 

Disagree

63%

 

Neutral

18%

 

Agree

9%

 

Strongly Agree

1%

Strongly Disagree

8%

 

Disagree

61%

 

Neutral

17%

 

Agree

11%

 

Strongly Agree

3%

Strongly Disagree

10%

 

Disagree

40%

 

Neutral

20%

 

Agree

30%

 

Strongly Agree

0%

0.474

Which of the following is a BEST REASON TO USE laser in dentistry?

Minimally Invasive

53%

 

Not Harmful for Surrounding Tissues

20%

 

No anesthesia Needed

27%

Minimally Invasive

55%

 

Not Harmful for Surrounding Tissues

27%

 

No anesthesia Needed

18%

Minimally Invasive

0%

 

Not Harmful for Surrounding Tissues

45%

 

No anesthesia Needed

55%

0.007

Which of the following is the REASON NOT TO USE laser in dentistry?

Not Enough Information

23%

 

Procedure is Time Consuming

7%

 

Expensive

70%

Not Enough Information

27%

 

Procedure is Time Consuming

12%

 

Expensive

61%

Not Enough Information

10%

 

Procedure is Time Consuming

10%

 

Expensive

80%

0.322

Are you interested in receiving proper training of dental lasers?

Definitely, Yes

52%

 

May Be

47%

 

Definitely, No

1%

Definitely, Yes

40%

 

May Be

58%

 

Definitely, No

2%

Definitely, Yes

40%

 

May Be

50%

 

Definitely, No

10%

0.135

 

Table 3. Comparing the Research Participants based on Years of Experience

Item

1-3 Years

4-6 Years

7-10 Years

10+ Years

P- Value

How do you rate your overall knowledge about dental lasers?

Highly Unsatisfactory

18%

 

Unsatisfactory

49%

 

Neutral

26%

 

Satisfactory

5%

 

Highly Satisfactory

2%

Highly Unsatisfactory

4%

 

Unsatisfactory

39%

 

Neutral

46%

 

Satisfactory

9%

 

Highly Satisfactory

2%

Highly Unsatisfactory

13%

 

Unsatisfactory

19%

 

Neutral

26%

 

Satisfactory

31%

 

Highly Satisfactory

13%

Highly Unsatisfactory

0%

 

Unsatisfactory

0%

 

Neutral

56%

 

Satisfactory

14%

 

Highly Satisfactory

30%

0.000

Have you been using dental lasers in your practice?

Never Used

88%

 

Occasionally Used

9%

 

Very Commonly Used

3%

Never Used

60%

 

Occasionally Used

34%

 

Very Commonly Used

6%

Never Used

56%

 

Occasionally Used

25%

 

Very Commonly Used

19%

Never Used

30%

 

Occasionally Used

70%

 

Very Commonly Used

0%

0.000

Have you received proper training to use dental lasers?

Yes

8%

Yes

19%

Yes

38%

Yes

33%

0.000

Are you aware of the functions of different types of lasers?

Highly Unaware

15%

 

Unaware

52%

 

Neutral

25%

 

Aware

7%

 

Highly Aware

1%

Highly Unaware

8%

 

Unaware

38%

 

Neutral

40%

 

Aware

12%

 

Highly Aware

4%

Highly Unaware

6%

 

Unaware

18%

 

Neutral

36%

 

Aware

30%

 

Highly Aware

6%

Highly Unaware

0%

 

Unaware

0%

 

Neutral

43%

 

Aware

43%

 

Highly Aware

14%

0.000

Which laser can be used for soft tissues?

GAALAS (Diode)

45%

 

Excimer

13%

 

Ruby

15%

 

Argon

17%

 

HO: YAG

13%

GAALAS (Diode)

33%

 

Excimer

21%

 

Ruby

23%

 

Argon

15%

 

HO: YAG

8%

GAALAS (Diode)

36%

 

Excimer

0%

 

Ruby

21%

 

Argon

7%

 

HO: YAG

36%

GAALAS (Diode)

29%

 

Excimer

0%

 

Ruby

4%

 

Argon

58%

 

HO: YAG

14%

0.014

Which laser can be used for hard tissues?

GAALAS (Diode)

36%

 

Excimer

16%

 

Erbium

5%

 

Argon

21%

 

Nd: YAG

23%

GAALAS (Diode)

25%

 

Excimer

25%

 

Erbium

6%

 

Argon

28%

 

Nd: YAG

16%

GAALAS (Diode)

0%

 

Excimer

29%

 

Erbium

21%

 

Argon

43%

 

Nd: YAG

7%

GAALAS (Diode)

0%

 

Excimer

33%

 

Erbium

33%

 

Argon

17%

 

Nd: YAG

17%

0.003

Lasers can remove caries better and conservatively than hand piece.

Strongly Disagree

8%

 

Disagree

11%

 

Neutral

18%

 

Agree

59%

 

Strongly Agree

4%

Strongly Disagree

7%

 

Disagree

19%

 

Neutral

22%

 

Agree

48%

 

Strongly Agree

4%

Strongly Disagree

6%

 

Disagree

12%

 

Neutral

31%

 

Agree

44%

 

Strongly Agree

6%

Strongly Disagree

0%

 

Disagree

0%

 

Neutral

15%

 

Agree

70%

 

Strongly Agree

15%

 

0.712

Lasers can be used as endodontic irrigation better than conventional methods.

Strongly Disagree

8%

 

Disagree

67%

 

Neutral

16%

 

Agree

7%

 

Strongly Agree

1%

Strongly Disagree

9%

 

Disagree

52%

 

Neutral

20%

 

Agree

19%

 

Strongly Agree

0%

Strongly Disagree

25%

 

Disagree

25%

 

Neutral

25%

 

Agree

13%

 

Strongly Agree

12%

Strongly Disagree

0%

 

Disagree

17%

 

Neutral

17%

 

Agree

66%

 

Strongly Agree

0%

0.000

Which of the following is a BEST REASON TO USE laser in dentistry?

Minimally Invasive

52%

 

Not Harmful for Surrounding Tissues

21%

 

No anesthesia Needed

27%

Minimally Invasive

56%

 

Not Harmful for Surrounding Tissues

26%

 

No anesthesia Needed

18%

Minimally Invasive

40%

 

Not Harmful for Surrounding Tissues

33%

 

No anesthesia Needed

27%

Minimally Invasive

43%

 

Not Harmful for Surrounding Tissues

29%

 

No anesthesia Needed

29%

0.723

Which of the following is the REASON NOT TO USE laser in dentistry?

Not Enough Information

23%

 

Procedure is Time Consuming

5%

 

Expensive

72%

Not Enough Information

26%

 

Procedure is Time Consuming

22%

 

Expensive

52%

Not Enough Information

31%

 

Procedure is Time Consuming

13%

 

Expensive

56%

Not Enough Information

14%

 

Procedure is Time Consuming

29%

 

Expensive

57%

0.001

Are you interested in receiving proper training of dental lasers?

Definitely, Yes

49%

 

May Be

50%

 

Definitely, No

1%

Definitely, Yes

41%

 

May Be

56%

 

Definitely, No

3%

Definitely, Yes

63%

 

May Be

32%

 

Definitely, No

5%

Definitely, Yes

33%

 

May Be

67%

 

Definitely, No

0%

0.426

 

The present research targeted to determine the knowledge and use of laser technology among dentists in Riyadh city. We divided the study population on the basis of gender, designation and work experience. As far as gender comparison was concerned, statistically significant differences were found when inquired about receiving proper training to use dental lasers (p-value: 0.009), type of laser used for soft tissues (p-value: 0.048) and reason for not using lasers in dentistry (p-value: 0.020). All other responses were not statistically significant; therefore, overall no association of gender with laser use and knowledge can be determined. Similar findings were reported by Al-Jobair (2014) who observed no statistically significant relationship between gender and laser-related knowledge [10].

Furthermore, 12% of the study participants reported that they received training for the use of dental lasers. A study conducted by Yadav et al. (2018) revealed that 21% of Indian dental practitioners had received laser treatment training [11]. Another investigation in Iran reported a small percentage of 3% dentists receiving training to use dental lasers [12].

After comparison of the responses based on designation, it was indicated that 47% of general practitioners were unsatisfied with their level of knowledge (p-value: 0.023), use of lasers increased with designations (p-value: 0.008) and 55% of consultants believed that not using anesthesia is one of the important reasons to use lasers (p-value: 0.007). Rest of the questions did not result in any significant comparison.

Finally, the work experience showed some significant differences when inquired about rating their own level of knowledge (p-value: 0.000), current usage of dental lasers (p-value: 0.000), receiving proper training (p-value: 0.000), being aware of different lasers (p-value: 0.000), lasers for soft tissues (p-value: 0.014), lasers for hard tissues (p-value: 0.003), lasers being used for endodontic treatment (p-value: 0.000) and reason for not using (p-value: 0.001). Varying responses were noted from dentists having less and high work experience.

There is a need to increase the sample size of this study, which is the limitation as well.

Conclusion

  • Overall knowledge of dental practitioners on laser use was found to be on the lower side.
  • Gender of the dentists was not associated with the level of knowledge.
  • Work designation was also not associated with the level of knowledge.
  • Dentists with moderate work experience showed better knowledge levels of laser use.

 

Acknowledgments: Authors of this study would like to acknowledge the support and cooperation of the research center of Riyadh Elm University.

Conflict of interest: None

Financial support: None

Ethics statement: None

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