Comparative Evaluation of the Effects of Nd:YAG Laser and a Desensitizer Agent on the Treatment of Dentin Hypersensitivity: A Clinical Study

被引:46
作者
Lopes, Anely Oliveira [1 ]
Correa Aranha, Ana Cecilia [1 ]
机构
[1] Univ Sao Paulo, Dept Restorat Dent, Special Lab Lasers LELO, Sch Dent, BR-05508900 Sao Paulo, Brazil
基金
巴西圣保罗研究基金会;
关键词
ALUMINUM-GARNET LASER; ND-YAG; ER-YAG; IRRADIATION; TUBULES; PERMEABILITY; ER; CR/YSGG; NEODYMIUM; EROSION; WEAR;
D O I
10.1089/pho.2012.3386
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective: The aim of this randomized longitudinal clinical study was to assess different treatment protocols for dentin hypersensitivity with high-power laser, desensitizing agent, and its association between high-power laser and desensitizing agent, for a period of 6 months. Background data: The literature shows a lack of treatment for dentin hypersensitivity, and lasers are contemporary alternatives. Methods: After inclusion and exclusion analysis, volunteers were selected. The lesions were divided into three groups (n = 10): G1, Gluma Desensitizer (Heraeus Kulzer); G2, Nd:YAG Laser (Power Laser (TM) ST6, Lares Research (R)) contact mode, laser protocol of 1.5 W, 10 Hz, and 100 mJ, approximate to 85 J/cm(2), four irradiations performed, each for 15 sec, in mesiodistal and occluso-apical directions, totaling 60 sec of irradiation with intervals of 10 sec between them; G3, Nd:YAG Laser + Gluma Desensitizer. The level of sensitivity to pain of each volunteer was analyzed by visual analog scale (VAS) using cold air stimuli and exploratory probe 5 min, 1 week, and 1, 3, and 6 months after treatment. Data were collected and subjected to statistical analysis that detected statistically significant differences between the various studied time intervals of treatments (p > 0.05). Results: For the air stimulus, no significant differences were found for each time interval. For the long-term evaluation, all groups showed statistical differences (p > 0.05), indicating that for G2 and G3, this difference was statistically significant from the first time of evaluation (post 1), whereas in G1, the difference was significant from the post 2 evaluation (1 week). Comparison among groups using the probe stimulation showed significant differences in pain (p < 0.001). Only in G1 and G3 did this difference become significant from post 01. Conclusions: All protocols were effective in reducing dentinal hypersensitivity after 6 months of treatment; however, the association of Nd: YAG and Gluma Desensitizer is an effective treatment strategy that has immediate and long-lasting effects.
引用
收藏
页码:132 / 138
页数:7
相关论文
共 42 条
[41]   Morphological characterization of tube-like structures in hypersensitive human radicular dentine [J].
Yoshiyama, M ;
Suge, T ;
Kawasaki, A ;
Ebisu, S .
JOURNAL OF DENTISTRY, 1996, 24 (1-2) :57-63
[42]   Suitable conditions for sealing of open dentinal tubules using a pulsed Nd:YAG laser [J].
Zapletalova, Zdenka ;
Perina, Jan ;
Novotny, Radko ;
Chmelickova, Hana .
PHOTOMEDICINE AND LASER SURGERY, 2007, 25 (06) :495-499