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Alghauli MA, Alqutaibi AY, Borzangy S. Clinical benefits of immediate dentin sealing: A systematic review and meta-analysis. J Prosthet Dent 2024:S0022-3913(24)00206-3. [PMID: 38570282 DOI: 10.1016/j.prosdent.2024.03.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Revised: 03/05/2024] [Accepted: 03/08/2024] [Indexed: 04/05/2024]
Abstract
STATEMENT OF PROBLEM The clinical complications, success, and survival rates of indirect restorations delivered with the immediate dentin sealing protocol are unclear. PURPOSE The purpose of this systematic review and meta-analysis was to find and collect evidence on the clinical complication, success, and survival rates of indirect restorations delivered with immediate dentin sealing. MATERIAL AND METHODS Electronic databases were searched for clinical studies on immediate dentin sealing up to December 2023, without language or time limitations. The records were included if they were clinical trials evaluating the clinical complication and survival rates of indirect restorations bonded to tooth substrate sealed immediately after preparation with suitable resin bonding. The extracted data were analyzed via Review Manager 5.4 for meta-analysis (α=.05). RESULTS A total of 11 studies were included in this review. The clinical complication rate was lower for immediately sealed dentin than for protocols without dentin sealing. The survival rate of restorations luted with the immediate dentin sealing protocol was higher (96.4% to 100%) than that of immediate dentin sealing (81.8% to 96.7%), negatively correlated with the observation time. The intensity and incidence of postoperative sensitivity were statistically significantly lower for restorations with immediate dentin sealing than for those without dentin sealing or conventionally cemented (P<.05). CONCLUSIONS Immediate dentin-sealed indirect restorations had fewer clinical complications and higher success and survival rates than those delivered without dentin sealing. To avoid postoperative sensitivity or reduce its intensity, dentin surfaces should be sealed immediately after preparation. More long-term randomized clinical trials are recommended to confirm these evidence-based conclusions.
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Affiliation(s)
- Mohammed Ahmed Alghauli
- Assistant Professor, Department of Prosthodontics, Faculty of Dentistry, Ibb University, Ibb, Yemen.
| | - Ahmed Yaseen Alqutaibi
- Associate Professor of Prosthodontics, Substitutive Dental Science Department, College of Dentistry, Taibah University, Al-Madinah, Saudi Arabia; and Associate Professor, Department of Prosthodontics, Faculty of Dentistry, Ibb University, Ibb, Yemen
| | - Sary Borzangy
- Associate Professor, Substitutive Dental Science Department, College of Dentistry, Taibah University, Al-Madinah, Saudi Arabia
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AlQahtani SM, Nagate RR, Al-Ahmari MMM, Magbol MA, Gokhale ST, Tikare S, Chaturvedi S. Evaluation of Propolis Hydrogel for the Treatment of Dentinal Sensitivity: A Clinical Study. Gels 2023; 9:483. [PMID: 37367153 DOI: 10.3390/gels9060483] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 06/02/2023] [Accepted: 06/09/2023] [Indexed: 06/28/2023] Open
Abstract
BACKGROUND Propolis is a natural resinous substance collected by honeybees, chiefly from buds and the leaves, branches, and bark of trees. Its role as a wound-healing gel has been studied, but the use of a propolis hydrogel in the treatment of dentinal hypersensitivity has not been evaluated. Dentin hypersensitivity (DH) is commonly treated via iontophoresis using fluoridated desensitizers. The aim of the present study was to compare and evaluate the effects of a 10% propolis hydrogel, 2% sodium fluoride (NaF), and 1.23% acidulated phosphate fluoride (APF) when used in conjunction with iontophoresis for the treatment of cervical dentin hypersensitivity (DH). METHODS Systemically healthy patients complaining of DH were selected for this single-centre, parallel, double-blind randomized clinical trial. Three substances were selected as desensitizers for study in the present trial: a 10% propolis hydrogel, 2% sodium fluoride, and 1.23% acidulated phosphate fluoride, all in conjunction with iontophoresis. Any decrease in DH following the application of specific stimuli was assessed at baseline, before and after application, on the 14th day following use, and on the 28th day following the intervention. RESULTS Intra-group comparisons show diminished values of DH at maximum post-op follow-up intervals which were significantly trimmed down from the baseline (p < 0.05). The 2% NaF demonstrated a significant reduction in DH over 1.23% APF and the 10% propolis hydrogel (p < 0.05). However, there was no statistically significant difference in the mean difference between the APF and propolis hydrogel groups assessed via tactile, cold, and air tests (p > 0.05). CONCLUSION All three desensitizers have proved to be useful when used in conjugation with iontophoresis. Within the limitations of this study, a 10% propolis hydrogel can be used as a naturally occurring alternative to commercially available fluoridated desensitizers.
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Affiliation(s)
- Saad Mohammed AlQahtani
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Raghavendra Reddy Nagate
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Manae Musa Musleh Al-Ahmari
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Mohammad Al Magbol
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Shankar T Gokhale
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Shreyas Tikare
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
| | - Saurabh Chaturvedi
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia
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Tolentino AB, Zeola LF, Fernandes MRU, Pannuti CM, Soares PV, Aranha ACC. Photobiomodulation therapy and 3% potassium nitrate gel as treatment of cervical dentin hypersensitivity: a randomized clinical trial. Clin Oral Investig 2022; 26:6985-6993. [PMID: 35871702 PMCID: PMC9309092 DOI: 10.1007/s00784-022-04652-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Accepted: 07/16/2022] [Indexed: 12/02/2022]
Abstract
OBJECTIVES This randomized controlled trial aimed to evaluate different protocols for dentin hypersensitivity treatment with low-power lasers and desensitizing agents, and the association between low-power lasers and desensitizing agents. MATERIALS AND METHODS Fifty-four patients (303 teeth) were randomly allocated to three groups: G1, 3% nitrate potassium gel, UltraEZ (n = 17); G2, photobiomodulation therapy (PBM) with a low-level infrared laser (n = 17), 100 mW, spot size of 0.028 cm2, and dose of 1 J per point; and G3, nitrate potassium + PBM (n = 20). Treatments were applied to the buccal cervical region at intervals of 72 h, and all protocols were performed in three sessions. The patients' response to evaporative stimuli was rated using the visual analog scale (VAS). Re-evaluations were performed immediately after each application and 1 week, 1 month, and 3 months after treatment. A two-way repeated measures test and Tukey's post hoc test were used for multiple comparisons (α = 5%). RESULTS There was a reduction in pain levels at the end of treatment in all groups. There were no significant differences in VAS score changes between the groups immediately after treatment and after the third month, compared to the baseline (p > 0.05). CONCLUSION Under the limitations of this in vivo study, the proposed three-session protocol was effective in reducing dentin hypersensitivity after 3 months, regardless of the desensitization mechanism used. Conservative and long-term protocols are interesting for the control of pain caused by dentin hypersensitivity. CLINICAL RELEVANCE The increase in cervical dentin hypersensitivity prevalence warrants easy-to-apply and long-lasting desensitizing protocols for pain control.
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Affiliation(s)
- Andrea Barros Tolentino
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes 2227, São Paulo, 05508-000, Brazil
| | - Livia Favaro Zeola
- Department of Dentistry and Dental Materials, School of Dentistry, Federal University of Minas Gerais, Rua Prof. Moacir Gomes de Freitas, 688, Belo Horizonte, Minas Gerais, Brazil
| | - Marcella Rodrigues Ueda Fernandes
- Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes 2227, São Paulo, 05508-000, Brazil
| | - Claudio Mendes Pannuti
- Department of Periodontics, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, São Paulo, SP, 222705508-000, Brazil
| | - Paulo Vinícius Soares
- School of Dentistry, Department of Dental Materials, Federal University of Uberlândia, Av. Pará - 1720, Uberlândia, Minas Gerais, Brazil
| | - Ana Cecilia Correa Aranha
- Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil.
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Albar NH. Efficacy of GLUMA for the Treatment of Dentin Hypersensitivity Compared to Lasers: A Systematic Review. J Contemp Dent Pract 2022; 23:1057-1065. [PMID: 37073920 DOI: 10.5005/jp-journals-10024-3420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/20/2023]
Abstract
OBJECTIVE Dentin hypersensitivity (DH) is characterized by a short, sharp pain in response to a thermal or tactile stimulus. The application of desensitizing agents such as GLUMA and laser is a non-invasive and safe approach to decrease sensitivity. The evidence for the efficacy of GLUMA desensitizer compared to laser desensitization in patients with DH was evaluated for 6 months. DESIGN In March 2022, an electronic search of PubMed, Scopus, and Web of Science databases was conducted. Articles published in English that compared GLUMA and laser in the treatment of DH with a follow-up of 6 months or more were included. Randomized, non-randomized controlled trials, and clinical trials were included. Risk of bias assessment tools developed by the Cochrane collaboration ROB 2 and ROBINS-I were used to assess the quality of studies. The GRADE assessment method was used to assess the certainty of evidence. RESULTS About 36 studies were identified in the search results. After applying the predefined eligibility criteria, eight studies with 205 participants and 894 sites were included in this review. Of the eight studies, four were judged to be at high risk of bias, three had some concerns, and one had a serious risk of bias. The certainty of the evidence was graded as low. CONCLUSION Based on limited evidence, GLUMA and laser appear to be equally effective in providing relief from DH. GLUMA showed an immediate effect and provided pain relief. Over the course of a week, laser showed long-term stable results. GLUMA is effective in providing immediate relief.
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Affiliation(s)
- Nassreen H Albar
- Department of Restorative Dentistry, College of Dentistry, Jazan University, Jazan, Saudi Arabia, Phone: +966 505745812, e-mail:
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Effect of sodium fluoride varnish, Gluma, and Er,Cr:YSGG laser in dentin hypersensitivity treatment: a 6-month clinical trial. Lasers Med Sci 2022; 37:2989-2997. [PMID: 35704219 PMCID: PMC9198208 DOI: 10.1007/s10103-022-03583-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 05/24/2022] [Indexed: 11/12/2022]
Abstract
Dentinal hypersensitivity (DH) is a common clinical condition usually associated with exposed dentinal surfaces. The aim of this study was to study the effect of sodium fluoride varnish, Gluma, and Er,Cr:YSGG laser, in the dentin hypersensitivity treatment. One hundred sixty-five teeth with dentin hypersensitivity in 55 patients were involved in this study. Teeth are divided into five groups based on the received treatment (n = 33): G group: Gluma; F group: sodium fluoride varnish (5%); L group: Er,Cr:YSGG laser (wavelength 2780 nm, frequency 20 Hz, power 0.25 W, energy density 44.3 J/cm2, and pulse width of 150 µs at distance of 1 mm for 30 s) which was followed by Er,Cr:YSGG laser; GL group: Gluma + laser; VL group: both sodium fluoride varnish and Gluma, which are common treatments for hypersensitivity, were selected as control groups. The treatment was performed in one session, and the sensitivity to air spray conditioning was recorded after the treatment, at 15 min, 1 week, 1 month, and 6 months as the VAS. Statistical analysis was performed using SPSS Ver. 21 software. One-way ANOVA was used to compare the VAS between all treatment groups at each time-point. One-way repeated measurements ANOVA (RM-ANOVA) and two-way-repeated measurements ANOVA (RM-ANOVA) were used to compare the hypersensitivity of each group and sensitivity of all treatment groups, respectively. Tukey post hoc test was used to compare the groups pairwise. The hypersensitivity between different groups at before and 15 min after the treatment was not significantly different (P = 0.063). The hypersensitivity of all studied groups was decreased after the treatment. The Er,Cr:YSGG laser, alone or in combination with Gluma, in 1 week, 1 month, and 6 month follow-ups, had significantly reduced the hypersensitivity instead of sodium fluoride varnish. All treatments significantly reduced the dentin hypersensitivity up to 6 months. Er,Cr:YSGG laser alone or in combination with Gluma was more effective than sodium fluoride varnish; however, it was not significantly different from other treatments. In a 6-month follow-up of dentine hypersensitivity treatment, Gluma had a significantly higher effect than sodium fluoride. Trial registration: IRCT20190422043343N1. Registered 19 July 2019.
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Okur E, Eyüboğlu GB. Evaluation of Dentin Tubule Plugging Efficiencies and Effects on Dentin Surface Roughness of Dentin Desensitizing Agents, the Er,Cr:YSGG Laser, and Their Combination After Erosion-Abrasion Cycles: An In Vitro Study. Oper Dent 2022; 47:E35-E51. [PMID: 35289911 DOI: 10.2341/21-086-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/29/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The purposes of this in vitro study were to evaluate the tubule plugging efficiencies and effects on the surface roughness of dentin of different dentin desensitizing agents (DDAs; Teethmate Desensitizer, Kuraray; Gluma Desensitizer, Kulzer; Clinpro White Varnish, 3M ESPE; Enamelast, Ultradent) and the Er,Cr:YSGG laser (Biolase, Waterlase), both alone and in combination with DDAs, after application and after an erosion-abrasion cycle. METHODS AND MATERIALS For surface roughness examinations, superficial buccal dentin specimens were divided into 10 groups: the control, Teethmate Desensitizer, Gluma Desensitizer, Enamelast, Clipro White Varnish, Er,Cr:YSGG Laser, Teethmate Desensitizer-Laser, Gluma Desensitizer-Laser, and Enamelast-Laser, and Clinpro White Varnish-Laser groups. Profilometric analyses and scanning electron microscopy (SEM) examinations were performed after applications and after a 5-day erosive-abrasive cycle. For the statistical analysis of surface roughness measurements, 2-way analysis of variance (ANOVA), 1-way ANOVA, and Tukey post hoc test were used. RESULTS Among the treatments, only DDAs alone did not cause increase in surface roughness after application. All of the laser applications increased the surface roughness of dentin, and after the erosion-abrasion cycle, all of the test groups had increased surface roughness. However, SEM images showed that morphological changes were less frequently observed in all of the experimental groups than in the control group. In addition, all of the laser-DDA combinations had stronger tubule occlusion effects than did DDAs alone, even after erosion-abrasion. CONCLUSIONS All of the test treatments showed protective effects on dentin surfaces against the negative effects of erosion-abrasion. The addition of the laser to DDA applications increased tubular plugging efficiencies of DDAs, and the tubule plugs of the combination treatments were resistant to the erosion-abrasion cycle.
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Affiliation(s)
- E Okur
- Esmahan Okur, Dr Dt, Department of Restorative Dentistry, School of Dentistry, Karadeniz Technical University, Ortahisar/Trabzon, Turkey
| | - G B Eyüboğlu
- *Güneş Bulut Eyüboğlu, DDS, PhD, Department of Restorative Dentistry, School of Dentistry, Karadeniz Technical University, Ortahisar/Trabzon, Turkey
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Qeli E, Toti Ç, Odorici A, Blasi E, Tragaj E, Tepedino M, Masedu F, Kaçani G, Hysi D, Meto A, Fiorillo L, Meto A. Effectiveness of Two Different Fluoride-Based Agents in the Treatment of Dentin Hypersensitivity: A Prospective Clinical Trial. MATERIALS (BASEL, SWITZERLAND) 2022; 15:1266. [PMID: 35161211 PMCID: PMC8837978 DOI: 10.3390/ma15031266] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 02/01/2022] [Accepted: 02/04/2022] [Indexed: 11/17/2022]
Abstract
Hyperesthesia is related to increased sensitivity of dental tissues to mechanical, chemical and thermal stimuli. The aim of this prospective clinical trial was to compare the effectiveness of a calcium-fluoride-forming agent (Tiefenfluorid®, Humanchemie GmbH, Alfeld, Germany) with that of a fluoride varnish (EnamelastTM, Ultradent Inc., Cologne, Germany) in the treatment of dental hyperesthesia in adult patients. In total, 176 individuals (106 females and 70 males, aged 18-59 years old) diagnosed with dental hyperesthesia (DH) were enrolled. The main clinical symptoms were hyperesthesia from coldness and sweetness during chewing; the types of clinical lesions were also determined and recorded. The patients were selected randomly and divided into two groups: (i) the first group of 96 patients was treated with Tiefenfluorid® applied in three appointments at 7-day intervals; (ii) the second group of 80 patients was treated with EnamelastTM, applied seven times at 7-day intervals. All the patients were recalled 7 days, 14 days, 1 month, 3 months, and 6 months from the last application. At the baseline and during every follow-up visit, the DH was measured with a pulp tester. A random intercept/random slope model was used to evaluate the effect of the treatment, at various times with respect to the initial diagnosis. Within the limits of the present study, Tiefenfluorid® was more effective than EnamelastTM against DH in that it provided long-lasting results, with a significant improvement still detected at the latest 6-month follow-up.
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Affiliation(s)
- Etleva Qeli
- Department of Conservative, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania;
| | - Çeljana Toti
- Department of Prosthetic, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania; (Ç.T.); (G.K.)
| | - Alessandra Odorici
- Laboratory of Microbiology and Virology, School of Doctorate in Clinical and Experimental Medicine, University of Modena and Reggio Emilia, Via G. Campi, 287, 41125 Modena, Italy;
| | - Elisabetta Blasi
- Department of Surgical, Medical, Dental and Morphological Sciences with Interest in Transplant, Oncological and Regenerative Medicine, University of Modena and Reggio Emilia, 41125 Modena, Italy;
| | - Emiljano Tragaj
- Department of Dentistry, University of Aldent, 1000 Tirana, Albania; (E.T.); (A.M.)
| | - Michele Tepedino
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (M.T.); (F.M.)
| | - Francesco Masedu
- Department of Biotechnological and Applied Clinical Sciences, University of L’Aquila, 67100 L’Aquila, Italy; (M.T.); (F.M.)
- Academy of Sciences of Abruzzo Region, 67100 L’Aquila, Italy
| | - Gerta Kaçani
- Department of Prosthetic, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania; (Ç.T.); (G.K.)
| | - Dorjan Hysi
- Department of Conservative, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania;
| | - Agron Meto
- Department of Dentistry, University of Aldent, 1000 Tirana, Albania; (E.T.); (A.M.)
| | - Luca Fiorillo
- Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, 98100 Messina, Italy;
- Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli”, 80121 Naples, Italy
| | - Aida Meto
- Department of Conservative, Faculty of Dental Medicine, University of Medicine, 1005 Tirana, Albania;
- Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40125 Bologna, Italy
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Lepri C, De Castro D, Geraldo-Martins V, Faraoni J, Palma-Dibb R. Laser irradiation prevents root caries: Microhardness and scanning electron microscopy analysis. Indian J Dent Res 2022; 33:198-202. [DOI: 10.4103/ijdr.ijdr_140_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Shan Z, Ji J, McGrath C, Gu M, Yang Y. Effects of low-level light therapy on dentin hypersensitivity: a systematic review and meta-analysis. Clin Oral Investig 2021; 25:6571-6595. [PMID: 34642786 PMCID: PMC8602177 DOI: 10.1007/s00784-021-04183-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Accepted: 09/18/2021] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To investigate the treatment efficacy of low-level light therapy on dentin hypersensitivity. MATERIALS AND METHODS Following the PRISMA guideline, six electronic databases supplemented with bibliographies were searched till December 2020. Two reviewers performed the screenings independently with a reliability assessment. Studies fulfilling the pre-registered eligibility criteria were included for risk-of-bias assessment and data synthesis. RESULTS Thirty-five articles ultimately informed this systematic review based on the eligibility criteria and underwent risk-of-bias assessment (ĸ = 0.86). Quantitative results were deduced by meta-analysis of 20 randomised controlled trials: LLLT showed favourable outcomes compared to placebos for immediate (SMD: 1.09, 95% CI: 0.47 to 1.70), interim (SMD: 1.32, 95% CI: 0.41 to 2.23), and persistent efficacies (SMD: 2.86, 95% CI: 1.98 to 3.74). However, substantial heterogeneity existed among included studies (I2: 64-95%). Regarding comparisons with other desensitising strategies, LLLT showed no significant benefits in DH alleviation over others except fluorides for interim efficacy (SMD: 0.31, 95% CI: 0.10 to 0.52) and persistent efficacy (SMD: 0.45, 95% CI: 0.03 to 0.86). CONCLUSIONS This systematic review shows that LLLT has positive immediate, interim, and persistent DH-treatment efficacies compared with placebo. No superior treatment effects of LLLT were observed except fluoride agent use. Further studies are warranted-RCTs with low risk of bias, consistent technical settings, comprehensive assessments, and long follow-up periods. CLINICAL RELEVANCE This systematic review bridges a critical research gap by analysing clinical evidence in the DH-alleviating efficacy of LLLT in comparison with placebo and other in-office desensitising strategies.
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Affiliation(s)
- Zhiyi Shan
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, China
| | - Juanjuan Ji
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, China
- Department of Stomatology, Second People's Hospital of Yunnan Province, Kunming, People's Republic of China
| | - Colman McGrath
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, China
| | - Min Gu
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, China
| | - Yanqi Yang
- Faculty of Dentistry, The University of Hong Kong, 34 Hospital Road, Sai Ying Pun, Hong Kong SAR, China.
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Bellal S, Feghali RE, Mehta A, Namachivayam A, Benedicenti S. Efficacy of near infrared dental lasers on dentinal hypersensitivity: a meta-analysis of randomized controlled clinical trials. Lasers Med Sci 2021; 37:733-744. [PMID: 34342772 DOI: 10.1007/s10103-021-03391-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 07/24/2021] [Indexed: 10/20/2022]
Abstract
Conventional therapies have aimed to try to help individuals suffering with dentine hypersensitivity (DH/DHS). A relatively new approach, laser therapy claims to be beneficial while having immediate and long-lasting effect. Therefore, our analysis aims to explore the immediate and 1-month efficacy of near-infrared laser (NIR) therapy in treating dentinal hypersensitivity. A systematic literature search conducted in databases, and analysis was undertaken utilizing a meta-analysis approach. Randomized controlled clinical trials comparing near-infrared lasers and placebo/no treatment in patients (> 18 years) were included. The risk of bias for included studies was assessed using Cochrane RoB tool (for randomized studies). Random effects meta-analyses model of standardized mean differences and 95% confidence intervals were performed using RevMan 5.4 software. A comprehensive electronic and manual search yielded a total of 1081 potential articles. Following the implementation of the inclusion and exclusion criteria, a total of 6 studies were included in the analysis. Near-infrared laser therapy led to statistical significant reduction in immediate and 1-month follow-up VAS (visual analog scale) scores compared to placebo/no treatment (p < 0.05). Statistical heterogeneity across the studies was high (I2-96%). The findings suggest that near-infrared laser therapy does have a significant immediate effect in reducing dentine hypersensitivity compared to placebo/no treatment. Furthermore, this effect is not diminished and endured at 1-month follow-up.
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Affiliation(s)
- Shivani Bellal
- Bapuji Dental College and Hospital, Davangere, Karnataka State, India. .,Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, 16132, Genoa, Italy.
| | - Rita El Feghali
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, 16132, Genoa, Italy
| | - Abha Mehta
- Bapuji Dental College and Hospital, Davangere, Karnataka State, India
| | | | - Stefano Benedicenti
- Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, 16132, Genoa, Italy
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Abstract
BACKGROUND Dentinal hypersensitivity is characterized by short, sharp pain from exposed dentine that occurs in response to external stimuli such as cold, heat, osmotic, tactile or chemicals, and cannot be explained by any other form of dental defect or pathology. Laser therapy has become a commonly used intervention and might be effective for dentinal hypersensitivity. OBJECTIVES To assess the effects of in-office employed lasers versus placebo laser, placebo agents or no treatment for relieving pain of dentinal hypersensitivity. SEARCH METHODS Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 20 October 2020), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library 2020, Issue 9), MEDLINE Ovid (1946 to 20 October 2020), Embase Ovid (1980 to 20 October 2020), CINAHL EBSCO (Cumulative Index to Nursing and Allied Health Literature; 1937 to 20 October 2020), and LILACS BIREME Virtual Health Library (Latin American and Caribbean Health Science Information database; from 1982 to 20 October 2020). Conference proceedings were searched via the ISI Web of Science and ZETOC, and OpenGrey was searched for grey literature. The US National Institutes of Health Ongoing Trials Register (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA Randomized controlled trials (RCTs) in which in-office lasers were compared to placebo or no treatment on patients aged above 12 years with tooth hypersensitivity. DATA COLLECTION AND ANALYSIS Two review authors independently and in duplicate screened the search results, extracted data, and assessed the risk of bias of the included studies. Disagreement was resolved by discussion. For continuous outcomes, we used mean differences (MD) and 95% confidence intervals (CI). We conducted meta-analyses only with studies of similar comparisons reporting the same outcome measures. We assessed the overall certainty of the evidence using GRADE. MAIN RESULTS We included a total of 23 studies with 936 participants and 2296 teeth. We assessed five studies at overall low risk of bias, 13 at unclear, and five at high risk of bias. 17 studies contributed data to the meta-analyses. We divided the studies into six subgroups based on the type of laser and the primary outcome measure. We assessed the change in intensity of pain using quantitative pain scale (visual analogue scale (VAS) of 0 to 10 (no pain to worst possible pain)) when tested through air blast and tactile stimuli in three categories of short (0 to 24 hours), medium (more than 24 hours to 2 months), and long term (more than 2 months). Results demonstrated that compared to placebo or no treatment the application of all types of lasers combined may reduce pain intensity when tested through air blast stimuli at short term (MD -2.24, 95% CI -3.55 to -0.93; P = 0.0008; 13 studies, 978 teeth; low-certainty evidence), medium term (MD -2.46, 95% CI -3.57 to -1.35; P < 0.0001; 11 studies, 1007 teeth; very low-certainty evidence), and long term (MD -2.60, 95% CI -4.47 to -0.73; P = 0.006; 5 studies, 564 teeth; very low-certainty evidence). Similarly, compared to placebo or no treatment the application of all types of lasers combined may reduce pain intensity when tested through tactile stimuli at short term (MD -0.67, 95% CI -1.31 to -0.03; P = 0.04; 8 studies, 506 teeth; low-certainty evidence) and medium term (MD -1.73, 95% CI -3.17 to -0.30; P = 0.02; 9 studies, 591 teeth; very low-certainty evidence). However, there was insufficient evidence of a difference in pain intensity for all types of lasers when tested through tactile stimuli in the long term (MD -3.52, 95% CI -10.37 to 3.33; P = 0.31; 2 studies, 184 teeth; very low-certainty evidence). Most included studies assessed adverse events and reported that no obvious adverse events were observed during the trials. No studies investigated the impact of laser treatment on participants' quality of life. AUTHORS' CONCLUSIONS Limited and uncertain evidence from meta-analyses suggests that the application of laser overall may improve pain intensity when tested through air blast or tactile stimuli at short, medium, or long term when compared to placebo/no treatment. Overall, laser therapy appears to be safe. Future studies including well-designed double-blinded RCTs are necessary to further investigate the clinical efficacy of lasers as well as their cost-effectiveness.
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Affiliation(s)
- Mina Mahdian
- Department of Prosthodontics and Digital Technology, Stony Brook University School of Dental Medicine, Stony Brook, NY, USA
| | - Soodabeh Behboodi
- Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Yumi Ogata
- Department of Periodontology, Tufts University School of Dental Medicine, Boston, MA, USA
| | - Zuhair S Natto
- Department of Dental Public Health, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia
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Sayed ME, Dewan H, Alomer N, Alsubaie S, Chohan H. Efficacy of Desensitizers in Reducing Post-preparation Sensitivity Prior to a Fixed Dental Prosthesis: A Randomized Controlled Clinical Trial. J Int Soc Prev Community Dent 2021; 11:332-339. [PMID: 34268196 PMCID: PMC8257008 DOI: 10.4103/jispcd.jispcd_31_21] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 04/04/2021] [Accepted: 04/12/2021] [Indexed: 11/26/2022] Open
Abstract
Aims: The aim of this article is to evaluate and compare the effectiveness of Gluma, Shield Force Plus, and Telio CS desensitizers, in reducing pre- and post-cementation sensitivity for complete coverage restorations. Materials and Methods: The study was a double-blind, randomized, controlled clinical trial in which 56 patients requiring posterior three-unit fixed partial dentures were randomly assigned to four groups, each group with 14 patients (n = 14): Group C (Control group), Group GL (Gluma group), Group SF (Shield Force Plus group), and Group TC (Telio CS group). In the desensitizer groups, desensitizer application was performed following the manufacturer’s directions immediately after tooth preparation (first visit), before metal restoration try-in (second visit, 2 weeks after the first visit), and before final cementation (third visit, 2 weeks after the second visit). Sensitivity levels were scored and evaluated using a visual analog scale (VAS), using cold test and electric pulp test (EPT) during the three visits before the cementation, and then over the phone 2 weeks after the final cementation. The data were statistically analyzed using one-way analysis of variance (ANOVA) followed by post-hoc Bonferroni and unpaired t-tests. Results: One-way ANOVA revealed significant differences between the four groups. The post-hoc Bonferroni tests showed a significant decrease in the mean cold test scores from the first to third visit, with a p-value <0.001 for the GL, SF, and TS groups. The mean EPT scores also decreased significantly from the first to third visit (p< 0.001) for the GL and SF groups, whereas p = 0.023 for the TS group. Most of the subjects did not complain of any sensitivity post-cementation, except for one patient in Group TS. Conclusion: All three desensitizers were found to be effective in reducing pre- and post-cementation dentin sensitivity, as indicated by the consistent reduction in VAS scores throughout the visits.
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Affiliation(s)
- Mohammed E Sayed
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Harisha Dewan
- Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Neda Alomer
- Dental Intern, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Shaa Alsubaie
- Dental Intern, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
| | - Hitesh Chohan
- Department of Restorative Dental Sciences, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
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Bhavsar BA, Vaz M, Neilalung K, Das T, Majumdar S, Talukdar J. Comparative Evaluation of Efficacy of Diode Laser and Clinpro XT Varnish for Treatment of Dentin Hypersensitivity: A Randomized Clinical Trial. J Int Soc Prev Community Dent 2021; 10:779-785. [PMID: 33437713 PMCID: PMC7791592 DOI: 10.4103/jispcd.jispcd_356_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Revised: 10/01/2020] [Accepted: 10/02/2020] [Indexed: 11/04/2022] Open
Abstract
Context Dentin hypersensitivity (DH) is a very common dilemma and often results in temporary relief by the conventional treatment method. An in vivo comparative study of various methods and materials helps in evaluation of a superior method to provide a long-lasting relief. Aim The aim of this study was to evaluate the efficacy of diode laser (DL) and Clinpro XT Varnish for managing DH. Materials and Methods This study was a randomized, single-blinded, clinical trial, designed, adhering to the CONSORT (Consolidated Standards of Reporting Trials) Guidelines using DL and fluoride-based varnish for managing DH. A total of 40 teeth were selected from eight patients and randomly divided into two groups. All patients received tactile and air syringe stimulus to assess for DH and a visual analog scale (VAS) was used to obtain readings at baseline, 15min, 1 week, and 3 weeks, posttreatment. Student's t test was used, paired t test was for the intragroups, and unpaired t test was for intergroups. Results This study showed that the effect of DL and Clinpro XT Varnish results in a significant decrease of DH. However, success decreased gradually over time. Conclusion Clinpro XT Varnish presented superior immediate effect and DL effect tends to become better with time. Hence, both had good results in the end.
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Affiliation(s)
- Bhavika Alpesh Bhavsar
- Department of Conservative Dentistry and Endodontics, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India
| | - Michelle Vaz
- Department of Conservative Dentistry and Endodontics, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India
| | - Kamei Neilalung
- Department of Conservative Dentistry and Endodontics, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India
| | - Tanisha Das
- Department of Leadership in Healthcare, Trinity Western University, Langley Township, British Columbia, Canada
| | - Swarnaditya Majumdar
- Department of Dentistry, Murshidabad Medical College and Hospital, Berhampore, West Bengal, India
| | - Jagriti Talukdar
- Department of Dentistry, Assam Medical College and Hospital, Dibrugarh, Assam, India
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Vishanth S, Sherwood IA, Gutmann JL, Murugadoss V, Prince E. Evaluation of 3 different treatment modalities for conservative management of attrited, sensitive molar teeth - A preliminary 12-week report. AUST ENDOD J 2020; 46:415-423. [PMID: 32914509 DOI: 10.1111/aej.12435] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 07/28/2020] [Accepted: 08/08/2020] [Indexed: 12/01/2022]
Abstract
Management of symptomatic attrited molar teeth presents various challenges. Aim of the study was to manage and evaluate the outcome of sensitive, attrited molar teeth using three different treatment options, including bioglass-containing desensitising toothpaste, Gluma desensitiser and coronal a pulpotomy using a calcium silicate-based product, Biodentine. A total of 61 attrited molar teeth, for which the patients had expressed tooth sensitivity, were included. Depending on the pulp status, treatment groups were allotted using block randomisation. Post-treatment sensitivity was assessed at 48 h, 4 and 12 weeks using 10-point visual analog scale (VAS) and Schiff Cold Air Sensitivity Scale (SCASS). Data were analysed using non-parametric statistical tests. Pulpotomies achieved significantly the least post-treatment sensitivity scores at all scheduled recalls. This interim 12-week report on management concludes that a pulpotomy, using Biodentine, was able to achieve significantly higher number of asymptomatic teeth when compared to other treatment choices.
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Affiliation(s)
- Subashri Vishanth
- Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences, Madurai, India
| | - I Anand Sherwood
- Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences, Madurai, India
| | - James L Gutmann
- Department of Endodontics, Nova Southeastern University College of Dental Medicine, A&M University College of Dentistry, Texas, USA
| | - Vaanjay Murugadoss
- Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences, Madurai, India
| | - Ernest Prince
- Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences, Madurai, India
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15
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Muniz RSC, Carvalho CN, Aranha ACC, Dias FMCS, Ferreira MC. Efficacy of low-level laser therapy associated with fluoride therapy for the desensitisation of molar-incisor hypomineralisation: Randomised clinical trial. Int J Paediatr Dent 2020; 30:323-333. [PMID: 31808584 DOI: 10.1111/ipd.12602] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Revised: 11/23/2019] [Accepted: 12/02/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Molar-incisor hypomineralisation (MIH) is a qualitative enamel defect. AIM To investigate the low-level laser therapy (LLLT) associated with fluoride varnish for the desensitisation of teeth with MIH. DESIGN A randomised clinical trial was conducted with 66 children, randomly allocated to the treatments: laser (L); fluoride varnish (FV); and laser + fluoride varnish (L + FV). The participants in the L group underwent two sessions of LLLT (48-hour interval). The FV group received four applications of varnish at one-week intervals. The L + FV underwent two sessions of LLLT and four applications of varnish. Prior to each session and one month after the onset of treatment, tooth sensitivity and its magnitude were evaluated. Intra- and inter-group comparisons were performed (α = 5%). RESULTS A significant reduction in the mean sensitivity score was found over time in all groups. After the final treatment, a significant difference was found between the L and L + FV groups (P = .011), with a lower score in the L + FV group (0.09), whereas no difference was found between the FV and L + FV groups (P = .095). CONCLUSIONS Fluoride varnish and the combination of treatments (L + FV) had greater desensitising action on teeth with MIH. Laser therapy demonstrated an immediate desensitising effect, whereas fluoride varnish had a late-onset effect.
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Affiliation(s)
| | - Ceci Nunes Carvalho
- School of Dentistry, Postgraduate Program in Dentistry, Ceuma University, São Luís, Brazil
| | - Ana Cecília Correa Aranha
- Department of Restorative Dentistry, School of Dentistry, São Paulo University, São Paulo, SP, Brazil
| | | | - Meire Coelho Ferreira
- School of Dentistry, Postgraduate Program in Dentistry, Ceuma University, São Luís, Brazil
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16
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Network meta-analysis of the desensitizing effects of lasers in patients with dentine hypersensitivity. Clin Oral Investig 2019; 24:1917-1928. [DOI: 10.1007/s00784-019-03051-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2019] [Accepted: 08/05/2019] [Indexed: 01/08/2023]
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17
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Garofalo SA, Sakae LO, Machado AC, Cunha SR, Zezell DM, Scaramucci T, Aranha AC. In Vitro Effect of Innovative Desensitizing Agents on Dentin Tubule Occlusion and Erosive Wear. Oper Dent 2019; 44:168-177. [DOI: 10.2341/17-284-l] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Purpose:
The purpose of this study was to evaluate the effects of four in-office desensitizing products on dentin tubule occlusion and erosive wear.
Methods:
Dentin hypersensitivity was simulated by EDTA application for five minutes. The specimens were randomly allocated into five groups (n=11), according to treatment: No treatment - Control (C), Duraphat (DUR), Desensibilize Nano P (NP), ClinPro XT Varnish (XTV), and ClinPro White Varnish (CWV). They were then submitted to erosive/abrasive cycling for five days. After EDTA, treatment, and cycling, the specimens were analyzed with an environmental scanning electron microscope (ESEM) to verify the number of opened dentin tubules (ODT) which were counted by using ImageJ software, and with a profilometer to determine the surface curvature/loss. ESEM data were analyzed with two-way repeated measure analysis of variance and Tukey tests. For the profilometer, data were analyzed with Kruskal-Wallis, Tukey, and Mann-Whitney tests.
Results:
After treatment, all groups showed lower ODT than the control, without significant differences between them. After cycling, the only group that showed lower ODT than the control was group XTV; however, it did not significantly differ from the other groups. For the profilometric analysis, there were significant differences in SL between the experimental times after treatment and after cycling for all groups (p<0.05). After cycling, no surface loss was detected in groups DUR and XTV, which presented a significantly different curvature than group NP and the control group, but not from group CWV. Surface loss was detected for the control and groups NP and CWV, without difference among them.
Conclusion:
All desensitizing agents tested presented promising results concerning the obliteration of dentin tubules immediately after treatment. XTV was the only desensitizer capable of preventing the reopening of the tubules after the erosive/abrasive challenges. XTV and DUR presented a protective effect against dentin erosive wear.
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Affiliation(s)
- SA Garofalo
- Stephanie A Garofalo, DDS, PhD Student, Department of Restorative Dentistry, University of São Paulo, São Paulo, Brazil
| | - LO Sakae
- Letícia O Sakae, DDS, Master's student, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - AC Machado
- Alana C Machado, MSc, PhD student, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - SR Cunha
- Sandra Ribeiro Cunha, MSc, PhD student, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - DM Zezell
- Denise Maria Zezell, MSc, PhD, Centro de Lasers e Aplicações, Instituto de Pesquisas Energéticas e Nucleares, Universidade de São Paulo, Cidade Universitária, Sao Paulo, Brazil
| | - T Scaramucci
- Taís Scaramucci, DDS, PhD, assistant professor, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - AC Aranha
- Ana Cecilia Corrêa Aranha, associate professor, DDS, MSc, PhD, Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Special Laboratory of Lasers in Dentistry (LELO), Sao Paulo, Brazil
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Tabatabaei MH, Chiniforush N, Hashemi G, Valizadeh S. Efficacy Comparison of Nd:YAG laser, diode laser and dentine bonding agent in dentine hypersensitivity reduction: a clinical trial. Laser Ther 2018; 27:265-270. [PMID: 31182901 DOI: 10.5978/islsm.27_18-or-24] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2018] [Accepted: 08/13/2018] [Indexed: 11/06/2022]
Abstract
Purpose Dentin hypersensitivity is characterized by short, sharp pain arising from exposed dentin in response to external stimuli. Several modalities have been suggested for treatment of this condition such as low-level laser therapy (LLLT) and application of dentin bonding agents. The aim of this study was to compare the clinical efficacy of diode laser, Nd:YAG laser and dentin bonding agent for treatment of dentin hypersensitivity. Materials and Methods In this study, 135 teeth of 22 patients diagnosed with dentin hypersensitivity were divided into three groups: In group 1, the teeth were irradiated by diode laser with 810 nm wavelength for 30 seconds and in group 2, the teeth were irradiated by Nd:YAG laser with 1064 nm wavelength for 40 seconds. CLEARFIL SE BOND was applied on teeth in group 3. LLLT was carried out in 3 sessions with 7-day intervals between sessions, during a period of 3 consecutive weeks. Hypersensitivity was assessed by cold test according to the criteria proposed by Uchida at baseline, immediately after treatment and at 1, 3 and 6 months, postoperatively. Results Reduction of dentin hypersensitivity was observed at 3 and 6 months following the use of Nd:YAG laser (p < 0.001). Reduction in dentin hypersensitivity was observed immediately after treatment in all groups. Statistically significant differences in level of dentin hypersensitivity were found between groups at 3 and at 6 months (p ≤ 0.001). The reduction in dentin hypersensitivity by Nd:YAG laser was significantly superior to that in other groups at this time. Conclusion The efficacy of Nd:YAG laser in reduction of dentin hypersensitivity was significantly superior to that of other modalities at 3 and 6 months.
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Affiliation(s)
| | - Nasim Chiniforush
- Laser Research Center in Dentistry, School of Dentistry, Tehran University of Medical Science, Tehran, Iran
| | | | - Sara Valizadeh
- Operative Dentistry Department, Dental School, Tehran University of Medical Sciences, Tehran, Iran
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19
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Rezazadeh F, Dehghanian P, Jafarpour D. Laser Effects on the Prevention and Treatment of Dentinal Hypersensitivity: A Systematic Review. J Lasers Med Sci 2018; 10:1-11. [PMID: 31360362 DOI: 10.15171/jlms.2019.01] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Introduction: Dentinal hypersensitivity (DH) is an acute intensive tooth pain which can lead to dental annoyances during eating and drinking. Stimulating exposed dentinal tubules by either kind of thermal, tactile, chemical and/or osmotic stimuli is believed to be the cause of this pain. It is hypothesized that dentinal tubules' orifice occlusion (DOO) can help relieve such dental irritations. Thus, this systematic review was conducted to evaluate the effectiveness of laser application as a prevention and treatment modality on DH reduction. Methods: Electronic databases (MEDLINE, SCOPUS) were searched among randomized clinical trials from January 2007 to December 2016. The extraction of data and quality assessments were carried out by different independent observers. Results: A total of 499 items were found of which3 9 relevant articles were extracted. The profound findings proved lasers' effectiveness as a treatment of DH. Although some of the researches reported no significant difference between laser and other desensitizing agents, most of the studies suggested that better results (both rapid and long-lasting) were obtained in combined modalities. Furthermore, the preventive role of this new technology has been emphasized as well. Nd-YAG (neodymium-doped yttrium aluminum garnet) and diode lasers reduce DH after bleaching. Lasers can also protect cervical restorations from DH due to tubular occlusion. Moreover, it is suggested to apply lasers in relief of DH following scaling and root planning. Nevertheless, a few researchers dispute its beneficence as a result of placebo effect. Conclusion: The results obtained from several studies in the present review revealed that the application of lasers is effective not only in terms of treatment of DH, but also in the prevention of this intensive tooth pain. Among various types of lasers, the application of Nd:YAG laser has shown the best results in DH treatment.
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Affiliation(s)
- Fahimeh Rezazadeh
- Oral and Dental Disease Research Center, Oral & Maxillofacial Medicine department, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Paria Dehghanian
- Student Research Committee, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Dana Jafarpour
- Research Associate, Biomaterials Research Center, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
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Moura SK, Lopes CC, Trevelin LT, Matos AB, Martinez ÍVL, Estevam M, Bussadori SK. Effects of different treatments on chemical and morphological features of eroded dentin. Lasers Med Sci 2018; 33:1441-1446. [PMID: 29582261 DOI: 10.1007/s10103-018-2482-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Accepted: 03/09/2018] [Indexed: 10/17/2022]
Abstract
To evaluate the treatment of eroded dentin (Sensodyne Repair & Protect™, Er:YAG laser and combinations). The occlusal surfaces of 25 third molars were sectioned 1.5 mm in thickness. After an erosion cycle (5 min in demineralizing solution + 3 h in remineralizing solution; six cycles a day for 8 days), the samples were divided into five groups (n = 5): (E) erosion - control; (ES) erosion + Sensodyne Repair & Protect (NovaMin); (EL) erosion + Er:YAG laser (40 mJ, 10 Hz, 0.4 W, 50 μs, 3.1 J/cm2, 63 W/cm2); (ELS) erosion + Er:YAG laser + Sensodyne; and (ESL) erosion + Sensodyne + Er:YAG laser. Following storage in ultrapure water (37 °C/14 days), the Ca/P ratio was evaluated by EDXRF and the morphology surfaces examined in SEM. The percentage of exposed dentin tubules was calculated. One-way analysis of variance and Tukey's test at 5% were used to treat the data. The Ca/P ratio was higher in E and ES groups. More exposed dentin tubules were found in E group and less exposed tubules were found in the ES group (p < 0.0001). When the toothpaste and laser were combined, the number of occluded dentin tubules was higher when laser was performed first (ELS). A positive effect was found when the laser and toothpaste were combined.
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Affiliation(s)
- Sandra Kiss Moura
- Department of Dentistry, University North of Parana (UNOPAR), Rua Marselha 183, Londrina, 86010141, Brazil.
- Department of Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), Rua Vergueiro 245, São Paulo, 01504000, Brazil.
| | - Carolina Cury Lopes
- Department of Dentistry, University North of Parana (UNOPAR), Rua Marselha 183, Londrina, 86010141, Brazil
| | - Livia Tosi Trevelin
- Department of Dentistry, University of São Paulo (FOUSP), Av Prof Lineu Prestes 2227, São Paulo, 05508000, Brazil
| | - Adriana Bona Matos
- Department of Dentistry, University of São Paulo (FOUSP), Av Prof Lineu Prestes 2227, São Paulo, 05508000, Brazil
| | | | - Marcelo Estevam
- LPIS Health Research and Innovation Laboratory, Federal Institute of Parana (IFPR), Av João XXIII 600, Londrina, 86060370, Brazil
| | - Sandra Kalil Bussadori
- Department of Biophotonics Applied to Health Sciences, Nove de Julho University (UNINOVE), Rua Vergueiro 245, São Paulo, 01504000, Brazil
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21
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Canali GD, Rached RN, Mazur RF, Souza EM. Effect of Erosion/Abrasion Challenge on the Dentin Tubule Occlusion Using Different Desensitizing Agents. Braz Dent J 2018; 28:216-224. [PMID: 28492753 DOI: 10.1590/0103-6440201700811] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2016] [Accepted: 12/19/2016] [Indexed: 11/22/2022] Open
Abstract
The aim of the study was to evaluate dentinal tubule occlusion, measuring the dentin permeability (Lp) and using different desensitizing agents before and after abrasive/erosive challenge. Dentin discs from 42 healthy human third molars were obtained. Minimum Lp was measured after a smear layer simulation using #600 SiC paper and maximum Lp after an immersion in 0.5 M EDTA. The specimens were treated with different desensitizers: two varnishes (Clinpro XT Varnish-CV, Fluor Protector-FP), a paste (Desensibilize Nano P-NP) and a gel (Oxa Gel-OG). The Lp of each specimen was measured immediately after the desensitizers' application. The discs were subjected to erosion/abrasion cycles for 7 days, with 0.5% citric acid solution (6x/day) and tooth brushing (3x/day). Lp was measured after the first, fourth and seventh day of the challenge. The data were analyzed by 3-way ANOVA with repeated measurements and by a Games-Howell test (α=5%). FP and CV did not show significant differences in Lp immediately after application until the 7th day (p<0.05). OG showed a significant increase in Lp after the 4th and 7th days. NP resulted in a significantly higher permeability compared to the other materials immediately after the application and after the 1st day of challenge. All the desensitizers reduced the dentin permeability immediately after application. However, only the varnishes were able to maintain the occlusive effect after the erosion/abrasion challenge.
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Affiliation(s)
- Gabriela D Canali
- Graduate Program in Dentistry, School of Life Sciences, PUCPR - Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
| | - Rodrigo N Rached
- Graduate Program in Dentistry, School of Life Sciences, PUCPR - Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
| | - Rui F Mazur
- Graduate Program in Dentistry, School of Life Sciences, PUCPR - Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil
| | - Evelise M Souza
- Graduate Program in Dentistry, School of Life Sciences, PUCPR - Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.,Operative Dentistry, Department of Restorative Dentistry, UFPR - Universidade Federal do Paraná, Curitiba, PR, Brazil
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Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis. Clin Oral Investig 2018; 22:617-631. [DOI: 10.1007/s00784-017-2330-9] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 12/21/2017] [Indexed: 01/08/2023]
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Raut CP, Sethi KS, Kohale B, Mamajiwala A, Warang A. Evaluation of diode laser and stannous fluoride in the treatment of root sensitivity after access flap surgery: Randomized controlled clinical trial. J Indian Soc Periodontol 2018; 22:158-163. [PMID: 29769771 PMCID: PMC5939024 DOI: 10.4103/jisp.jisp_2_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background: Postsurgical root sensitivity has always been an enigma to the periodontists. There is a plethora of evidence suggesting the presence of root sensitivity following periodontal flap surgical procedures. Thus, the aim of the present study was to compare and evaluate the effect of low-power diode lasers with and without topical application of stannous fluoride (SnF2) gel in the treatment of root sensitivity and also evaluate whether laser creates any placebo effect in the control group or not. Materials and Methods: Thirty patients participated in this study and 99 teeth were included. Root sensitivity was assessed for all groups with a Verbal Rating Scale (VRS). For each patient, the teeth were randomized into three groups. In the test Group I, sensitive teeth were treated with SnF2 and diode laser. In the test Group II, sensitive teeth were irradiated with laser only. In the control group, no treatment was performed. Results: The mean ± standard deviation (SD) score for VRS and Visual Analog Scale at baseline was not statistically significant (P > 0.05) between the three groups. After 15 min, statistical significant difference was seen in test Group I and test Group II, although no difference was found in the control group. At 15th day and 30th day, the mean ± SD scores were statistically significant (P < 0.05). Conclusion: Within the limitations of the study, it can be concluded that diode lasers alone and in combination with 0.4% SnF2 was effective in the treatment of root sensitivity after access flap surgery.
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Affiliation(s)
- Chetan Purushottam Raut
- Department of Periodontology, MGV KBH Dental College and Hospital, Nashik, Maharashtra, India
| | - Kunal Sunder Sethi
- Department of Periodontology, MGV KBH Dental College and Hospital, Nashik, Maharashtra, India
| | - Bhagyashree Kohale
- Department of Periodontology, MGV KBH Dental College and Hospital, Nashik, Maharashtra, India
| | - Alefiya Mamajiwala
- Department of Periodontology, MGV KBH Dental College and Hospital, Nashik, Maharashtra, India
| | - Ayushya Warang
- Department of Periodontology, MGV KBH Dental College and Hospital, Nashik, Maharashtra, India
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Machado AC, Viana ÍEL, Farias-Neto AM, Braga MM, de Paula Eduardo C, de Freitas PM, Aranha ACC. Is photobiomodulation (PBM) effective for the treatment of dentin hypersensitivity? A systematic review. Lasers Med Sci 2017; 33:745-753. [DOI: 10.1007/s10103-017-2403-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Accepted: 11/28/2017] [Indexed: 10/18/2022]
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Hajizadeh H, Nemati-Karimooy A, Majidinia S, Moeintaghavi A, Ghavamnasiri M. Comparing the effect of a desensitizing material and a self-etch adhesive on dentin sensitivity after periodontal surgery: a randomized clinical trial. Restor Dent Endod 2017; 42:168-175. [PMID: 28808633 PMCID: PMC5553016 DOI: 10.5395/rde.2017.42.3.168] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2016] [Accepted: 06/22/2017] [Indexed: 11/20/2022] Open
Abstract
Objectives This double-blind randomized placebo-controlled clinical trial evaluated the ability of a desensitizing agent and a self-etch adhesive on cervical dentin sensitivity (CDS) after periodontal surgery. Materials and Methods Ninety hypersensitive teeth of 13 subjects were included in the study. After periodontal surgery, the teeth of each posterior sextant treated with one of the following materials: G1: Clearfil S3 Bond (Kuraray Dental), G2: Gluma Desensitizer (Heraeus Kulzer), and G3: placebo (water). The sensitivity was assessed using evaporative stimuli before treatment (baseline, T0), 1 day after treatment (T1), after 1 week (T2), and after 1 month (T3) according to visual analog scale (VAS). Results Following the treatment, all the 3 groups showed significant reduction of CDS in T1 compared to T0. Reduction of CDS between T1 and T2 was observed only in G1 but there was no significant difference between T2 and T3 in this group. Although we observed a significant difference in T3 compared to T1 and T2 in G2 and G3, comparison of treatment groups in each assessment time showed a significant difference only in T3. According to paired comparison, this was due to the difference between G2 and G3. Conclusions Dentin sensitivity following periodontal surgery will decrease spontaneously over time, but treating the sensitive teeth with Gluma Desensitizer and Clearfil S3 Bond can have some benefits.
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Affiliation(s)
- Hila Hajizadeh
- Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Restorative and Cosmetic Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Atefeh Nemati-Karimooy
- Department of Restorative and Cosmetic Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Sara Majidinia
- Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.,Department of Restorative and Cosmetic Dentistry, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Amir Moeintaghavi
- Department of Periodontics, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
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Evaluation of different treatment protocols for dentin hypersensitivity: an 18-month randomized clinical trial. Lasers Med Sci 2017; 32:1023-1030. [DOI: 10.1007/s10103-017-2203-0] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2016] [Accepted: 03/29/2017] [Indexed: 10/19/2022]
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Öncü E, Karabekiroğlu S, Ünlü N. Effects of different desensitizers and lasers on dentine tubules: An in-vitro analysis. Microsc Res Tech 2017; 80:737-744. [DOI: 10.1002/jemt.22859] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2016] [Revised: 02/13/2017] [Accepted: 02/14/2017] [Indexed: 11/09/2022]
Affiliation(s)
- Elif Öncü
- Departmant of Periodontolgy; Necmettin Erbakan University; Konya Turkey
| | - Said Karabekiroğlu
- Departmant of Restorative Dentistry; Necmettin Erbakan University; Konya Turkey
| | - Nimet Ünlü
- Departmant of Restorative Dentistry; Necmettin Erbakan University; Konya Turkey
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Schmalz G, Hellwig F, Mausberg RF, Schneider H, Krause F, Haak R, Ziebolz D. Dentin Protection of Different Desensitizing Varnishes During Stress Simulation: An In Vitro Study. Oper Dent 2016; 42:E35-E43. [PMID: 27802119 DOI: 10.2341/16-068-l] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE The aim of this study was to investigate dentin protection of different desensitizing varnishes (light- and self-curing) during acid action/abrasion stress and thermocyclic loading in vitro. METHODS Dentin discs of 2 mm thickness were cut from 120 human molars, embedded, and polished. Specimens were randomized into five groups (n=24): A, negative control; B, Gluma Desensitizer; C, Cervitec plus (self-curing); D, Seal&Protect; and E, Admira Protect (light-curing). In groups B-E, varnish was applied on two-thirds of the dentin surface, and one-third acted as internal control. Stress cycle (2 cycles/day) for specimens were as follows: 1, acid action (pH: 2.9: five minutes); 2, remineralization (synthetic saliva: 60 minutes); 3, brushing (100 strokes); 4, thermocycling (five cycles); and 5, remineralization (synthetic saliva: six hours) for each group (n=12) for 30 (15 days) or 60 times (30 days). Specimens were analyzed using an incident light microscope. Substance loss was measured in micrometers. Statistical analysis was performed with the multiple contrast test (p<0.05). RESULTS Groups B and C had a significantly lower dentin loss than A (p<0.01). After 30 days, group A showed the highest dentin loss (p<0.01), whereas the other groups lacked a significant difference regarding their substance loss (dentin and/or varnish; p>0.05). Varnish layer loss was shown for groups D and E with a remaining protective layer; groups A-C showed dentin removal. CONCLUSION All four varnishes are protective compared with an untreated control. Light-curing varnishes might provide higher dentin protection than self-curing materials.
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Pulpal response following photo-biomodulation with a 904-nm diode laser: a double-blind clinical study. Lasers Med Sci 2016; 31:1811-1817. [DOI: 10.1007/s10103-016-2055-z] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2015] [Accepted: 08/12/2016] [Indexed: 10/21/2022]
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BEVILACQUA FM, CATELAN A, ARAÚJO GSA, SARACENI CHC, SAMPAIO JEC. Efficacy of a bioactive material and nanostructured desensitizing on dentin hypersensitivity treatment. REVISTA DE ODONTOLOGIA DA UNESP 2016. [DOI: 10.1590/1807-2577.24115] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction Dentin hypersensitivity is a frequent occurrence in dental practice. It is clinically characterized by acute, short, and temporary pain in response to mechanical, chemical, thermal, or osmotic stimuli resulting from dentin exposure. Objective To compare in vivo the effect of an experimental crystalline bioactive material and nanostructured desensitizing on the pain assessment among patients with cervical dentin hypersensitivity. Material and method Thirty patients were selected for this study, who were randomly assigned to two groups (n=15) in a split-mouth design. Each patient received two treatments: group 1 (fluoride gel and bioactive material) and group 2 (fluoride gel and nanostructured desensitizing). Pain analyses were performed using a visual analogue scale, ranging 0-10. Baseline pain measurement was performed prior to initial treatment (T0) and new measurements were carried out weekly for 3 weeks (T1, T2, and T3) before materials were reapplied. Final pain analysis was performed 3 months after initial treatment (T4). Degree of pain reduction was calculated using the formula T0 - Tperiod after treatment. The data of the pain measurements were analyzed using 2-way repeated measure ANOVA and Tukey’s test (α=0.05). Result Regardless of evaluation period, there was no statistical difference on pain reduction between the treatments (p>0.05). The degree of pain was reduced significantly in each evaluated period for all tested treatments (p<0.05), by approximately three degrees after 3 months. Conclusion The tested desensitizing materials were effective on dentin hypersensitivity reduction.
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Biagi R, Cossellu G, Sarcina M, Pizzamiglio IT, Farronato G. Laser-assisted treatment of dentinal hypersensitivity: a literature review. ANNALI DI STOMATOLOGIA 2016; 6:75-80. [PMID: 26941892 DOI: 10.11138/ads/2015.6.3.075] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The purpose of this literature review was to evaluate the effectiveness of the laser-assisted treatment of dentinal hypersensitivity. A review with inclusion and exclusion criteria was performed from January 2009 to December 2014 with electronic data-bases: MedLine via PubMed, Science Direct and Cochrane Library. Research of paper magazines by hand was not considered. Forty-three articles were selected between literature reviews, in vitro studies, clinical trials, pilot and preliminary studies. The items were divided into laser-used groups for an accurate description, and then the reading of results into various typologies. Laser-assisted treatment reduces dentinal hypersensitivity-related pain, but also a psychosomatic component must be considered, so further studies and more suitable follow-ups are necessary.
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Affiliation(s)
- Roberto Biagi
- Department of Biomedical, Surgical and Dental Sciences, Unit of Orthodontics and Paediatric Dentistry, School of Dentistry, University of Milan; Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico, UOC di Chirurgia Maxillo-Facciale ed Odontostomatologia, Milan, Italy
| | - Gianguido Cossellu
- Department of Biomedical, Surgical and Dental Sciences, Unit of Orthodontics and Paediatric Dentistry, School of Dentistry, University of Milan; Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico, UOC di Chirurgia Maxillo-Facciale ed Odontostomatologia, Milan, Italy
| | - Michele Sarcina
- Department of Biomedical, Surgical and Dental Sciences, Unit of Orthodontics and Paediatric Dentistry, School of Dentistry, University of Milan; Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico, UOC di Chirurgia Maxillo-Facciale ed Odontostomatologia, Milan, Italy
| | | | - Giampietro Farronato
- Department of Biomedical, Surgical and Dental Sciences, Unit of Orthodontics and Paediatric Dentistry, School of Dentistry, University of Milan; Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico, UOC di Chirurgia Maxillo-Facciale ed Odontostomatologia, Milan, Italy
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Lopez TCC, Diniz IMA, Ferreira LS, Marchi J, Borges R, de Cara SPHM, D'Almeida‐Couto R, Marques MM. Bioactive glass plus laser phototherapy as promise candidates for dentine hypersensitivity treatment. J Biomed Mater Res B Appl Biomater 2015; 105:107-116. [DOI: 10.1002/jbm.b.33532] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2015] [Revised: 08/18/2015] [Accepted: 09/12/2015] [Indexed: 12/13/2022]
Affiliation(s)
| | | | - Leila Soares Ferreira
- Restorative Dentistry Department, School of DentistryUniversity of Sao Paulo Sao Paulo Brazil
| | - Juliana Marchi
- Federal University of ABC, Human and Natural Sciences Center Sao Paulo Brazil
| | - Roger Borges
- Federal University of ABC, Human and Natural Sciences Center Sao Paulo Brazil
| | | | - Roberta D'Almeida‐Couto
- Restorative Dentistry Department, School of DentistryUniversity of Sao Paulo Sao Paulo Brazil
- Restorative Dentistry Department, School of DentistryFederal University of ParáBelém Pará Brazil
| | - Márcia Martins Marques
- Restorative Dentistry Department, School of DentistryUniversity of Sao Paulo Sao Paulo Brazil
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FREITAS SDS, SOUSA LLA, MOITA NETO JM, MENDES RF, PRADO JUNIOR RR. Dentin hypersensitivity treatment of non-carious cervical lesions – a single-blind, split-mouth study. Braz Oral Res 2015; 29:45. [PMID: 25760065 DOI: 10.1590/1807-3107bor-2015.vol29.0045] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2014] [Accepted: 12/01/2014] [Indexed: 11/22/2022] Open
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Doshi S, Jain S, Hegde R. Effect of Low-Level Laser Therapy in Reducing Dentinal Hypersensitivity and Pain Following Periodontal Flap Surgery. Photomed Laser Surg 2014; 32:700-6. [DOI: 10.1089/pho.2014.3802] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Affiliation(s)
- Shreya Doshi
- Department of Periodontics, M. A. Rangoonwala Dental College and Research Centre, Pune, India
| | - Sanjay Jain
- Department of Periodontics, M. A. Rangoonwala Dental College and Research Centre, Pune, India
| | - Rashmi Hegde
- Department of Periodontics, M. A. Rangoonwala Dental College and Research Centre, Pune, India
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Treatment of dentinal hypersensitivity by means of Nd:YAP Laser: a preliminary in vitro study. ScientificWorldJournal 2014; 2014:323604. [PMID: 25383368 PMCID: PMC4212543 DOI: 10.1155/2014/323604] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2014] [Accepted: 08/25/2014] [Indexed: 11/23/2022] Open
Abstract
Objective. The aim of this study is to evaluate the effectiveness of Nd:YAP laser to seal dentinal tubules at different parameters.
Material and Methods. 24 caries-free human wisdom impacted molars were used. The crowns were sectioned transversally in order to totally expose the dentin. The smear layer was removed by a 1 min application of EDTA. Each surface was divided into four quadrants, but only three quadrants were irradiated at a different output power setting (irradiation speed: 1 mm/sec; optical fiber diameter: 320 µm; tangential incidence of beam and in noncontact mode). Samples were smeared with a graphite paste prior to laser irradiation. All specimens were sent for SEM analysis. Pulp temperature increases in additional twenty teeth were measured by a thermocouple. Results. Morphological changes in dentin surfaces depend on the value of used energy density. Higher energy densities (2 W–4 W; 200–400 mJ; pulse duration: 100 m sec.; and 10 Hz) induce higher dentin modifications. Our results confirmed that Nd:YAP laser irradiations can lead to total or partial occlusion of dentin tubules without provoking fissures or cracks. Measurements of pulp temperature increases showed that Nd:YAP laser beam can be considered as harmless for pulp vitality for following irradiation conditions: 2 W (200 mJ) to 4 W (400 mJ) with an irradiation speed of 1 mm/sec; fiber diameter: 320 micrometers; 10 Hz; pulse duration: 100 m sec; noncontact mode and in tangential incidence to exposed dentin. The perpendicular incidence of the laser beam on exposed dentin may injure pulp vitality even at low output power of 3 W. Conclusions. Nd:YAP laser beam was able to seal the dentin tubules without damaging dentinal surfaces and without harming pulp vitality. Nd:YAP laser is effective and may be safely used for future in vivo treatments of dentinal hypersensitivity under certain conditions.
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Ko Y, Park J, Kim C, Park J, Baek S, Kook Y. Treatment of dentin hypersensitivity with a low-level laser-emitting toothbrush: double-blind randomised clinical trial of efficacy and safety. J Oral Rehabil 2014; 41:523-31. [DOI: 10.1111/joor.12170] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/13/2014] [Indexed: 11/29/2022]
Affiliation(s)
- Y. Ko
- Department of Periodontics; Seoul St. Mary's Hospital; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - J. Park
- Department of Periodontics; Seoul St. Mary's Hospital; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - C. Kim
- Department of Oral and Maxillofacial Surgery; Seoul St. Mary's Hospital; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - J. Park
- Department of Oral and Maxillofacial Surgery; Seoul St. Mary's Hospital; College of Medicine; The Catholic University of Korea; Seoul Korea
| | - S.H. Baek
- Department of Orthodontics; School of Dentistry; Seoul National University; Seoul Korea
| | - Y.A. Kook
- Department of Orthodontics; Seoul St. Mary's Hospital; College of Medicine; The Catholic University of Korea; Seoul Korea
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Yilmaz HG, Bayindir H. Clinical and scanning electron microscopy evaluation of the Er,Cr:YSGG laser therapy for treating dentine hypersensitivity: short-term, randomised, controlled study. J Oral Rehabil 2014; 41:392-8. [DOI: 10.1111/joor.12156] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/06/2014] [Indexed: 11/28/2022]
Affiliation(s)
- H. G. Yilmaz
- Department of Periodontology; Faculty of Dentistry; Near East University; Mersin 10 Turkey
| | - H. Bayindir
- Department of Periodontology; Faculty of Dentistry; Near East University; Mersin 10 Turkey
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Lopes AO, de Paula Eduardo C, Aranha ACC. Clinical evaluation of low-power laser and a desensitizing agent on dentin hypersensitivity. Lasers Med Sci 2013; 30:823-9. [DOI: 10.1007/s10103-013-1441-z] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2013] [Accepted: 09/16/2013] [Indexed: 11/24/2022]
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Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Lasers for the Treatment of Dentin Hypersensitivity. J Dent Res 2013; 92:492-499. [DOI: 10.1177/0022034513487212] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/30/2023] Open
Abstract
This systematic review and meta-analysis assessed the efficacy of lasers in reducing dentin hypersensitivity (DH) as compared with placebo or no treatment. Seven electronic databases and a manual search resulted in 2,538 unique publications. After selection, 13 studies were included in the meta-analysis. A CONSORT-based quality assessment revealed that 3 and 10 studies were at low and high risk of bias, respectively. A random-effects model with the generic inverse variance standardized mean difference (SMD) was used because of expected heterogeneity. Meta-analyses of the baseline-end of follow-up changes in pain revealed no differences for Er,Cr:YSSG vs. placebo (SMD = 2.49; 95% CI, -0.25 to 5.22; p = .07) but did reveal differences in favor of lasers for Er:YAG vs. placebo (SMD, 2.65; 95% CI, 1.25 to 4.05; p = .0002), Nd:YAG vs. placebo (SMD, 3.59; 95% CI, 0.49 to 6.69; p = .02), and GaAlAs vs. placebo (SMD, 3.40; 95% CI, 1.93 to 4.87; p < .00001). High and significant heterogeneity was found for all comparisons. In conclusion, Er:YAG, Nd:YAG, and GaAlAs lasers appear to be efficacious in reducing DH. However, given the high heterogeneity of the included studies, future randomized controlled clinical trials are needed to confirm these results.
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Affiliation(s)
- F. Sgolastra
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - A. Petrucci
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - M. Severino
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - R. Gatto
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
| | - A. Monaco
- Department of Life, Health, and Environmental Sciences, School of Dentistry, University of L’Aquila, Italy
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40
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Lopes AO, Aranha ACC. Comparative evaluation of the effects of Nd:YAG laser and a desensitizer agent on the treatment of dentin hypersensitivity: a clinical study. Photomed Laser Surg 2013; 31:132-8. [PMID: 23421629 DOI: 10.1089/pho.2012.3386] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
UNLABELLED Abstract 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(™) ST6, Lares Research®) contact mode, laser protocol of 1.5 W, 10 Hz, and 100 mJ,≈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.
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Affiliation(s)
- Anely Oliveira Lopes
- Department of Restorative Dentistry/Special Laboratory of Lasers (LELO), School of Dentistry, University of São Paulo, Cidade Universitária, São Paulo, Brazil
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Petersson LG. The role of fluoride in the preventive management of dentin hypersensitivity and root caries. Clin Oral Investig 2012; 17 Suppl 1:S63-71. [PMID: 23271217 PMCID: PMC3586140 DOI: 10.1007/s00784-012-0916-9] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2011] [Accepted: 11/28/2012] [Indexed: 11/24/2022]
Abstract
Objective The objectives were to bring light on fluoride to control dentin hypersensitivity (DHS) and prevent root caries. Materials and methods Search strategy included papers mainly published in PubMed, Medline from October 2000 to October 2011. Results Fluoride toothpaste shows a fair effect on sensitive teeth when combined with dentin fluid-obstructing agents such as different metal ions, potassium, and oxalates. Fluoride in solution, gel, and varnish give an instant and long-term relief of dentin and bleaching hypersensitivity. Combined with laser technology, a limited additional positive effect is achieved. Prevention of root caries is favored by toothpaste with 5,000 ppm F and by fluoride rinsing with 0.025–0.1 % F solutions, as the application of fluoride gel or fluoride varnish three to four times a year. Fluoride measures with tablets, chewing gum, toothpick, and flossing may be questioned because of unfavorable cost effectiveness ratio. Conclusion Most fluoride preparations in combination with dentin fluid obstruction agents are beneficial to reduce DHS. Prevention of root caries is favorable with higher fluoride concentrations in, e.g., toothpaste. Clinical relevance Fluoride is an effective agent to control DHS and to prevent root caries particularly when used in higher concentrations.
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Affiliation(s)
- Lars G Petersson
- Department of Community Dentistry, Maxillofacial Unit, Halland Hospital, Region Halland, SE 301 85, Halmstad, Sweden.
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Evaluation of an Experimental Gel Containing Euclea natalensis: An In Vitro Study. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2012; 2012:184346. [PMID: 23243432 PMCID: PMC3517253 DOI: 10.1155/2012/184346] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/03/2012] [Accepted: 09/27/2012] [Indexed: 11/30/2022]
Abstract
Objective. To evaluate the effect of an experimental gel containing Euclea natalensis extract on dentin permeability. Methods. Thirty-six dentin discs, 1-mm-thick. The discs were prepared from the coronal dentin of extracted human third molars that were divided into 3 groups (n = 10). The dentin discs in each group were treated with the groups following experimental materials: (FG): 1.23% fluoride gel, pH 4.1; (EG): Euclea natalensis extract gel, pH 4.1; (CG): control gel, pH 4.1. The gels were applied to the occlusal slide of the dentin under the following conditions: after 37% phosphoric acid and before 6% citric acid. The hydraulic conductance (HC) of each condition was determined four times using a fluid flow apparatus (Flodec). The data were analyzed using Two-way ANOVA and Tukey's test (P < 0.05). Results. The greatest mean reduction in HC was produced in group EG dentin discs (61.2%; P < 0.05). Even after acid challenge with 6% citric acid the great reduction occurred in group EG (66.0%; P < 0.05) than other groups (CG-77.1%, FG-90.8%). Conclusion. E. natalensis gel not only reduced dentin permeability, but also resisted posttreatment citric acid challenge without changing its permeability. Further research has to confirm this promising result in the clinical situation.
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Pinto SCS, Silveira CMM, Pochapski MT, Pilatt GL, Santos FA. Effect of desensitizing toothpastes on dentin. Braz Oral Res 2012; 26:410-7. [DOI: 10.1590/s1806-83242012000500006] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Accepted: 07/27/2012] [Indexed: 11/22/2022] Open
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Al-Saud LMS, Al-Nahedh HNA. Occluding Effect of Nd:YAG Laser and Different Dentin Desensitizing Agents on Human Dentinal Tubules In Vitro: A Scanning Electron Microscopy Investigation. Oper Dent 2012; 37:340-55. [DOI: 10.2341/10-188-l] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objectives
This in vitro study aimed to microscopically evaluate and compare the occluding effect of the Nd:YAG laser and different dentin desensitizing agents on human dentinal tubules.
Materials and Methods
The Nd:YAG laser (SunLase™ 800) and four commercially available and professionally applied dentin desensitizers (Gluma® desensitizer, Tenure Quick®, Quell™ desensitizer, and VivaSens®) were investigated in this study. Sixty-four extracted intact human molars were used. Each dentin surface was divided by shallow indentation into two halves, one of which was used for treatment and the other of which served as a control. The dentin surfaces were etched to remove any smear plugs and to mimic the open dentinal tubules of sensitive dentin using 0.5 M ethylenediaminetetraacetic acid (pH 7.4) for two minutes (applied with a microbrush) and then rinsed with an air-water syringe for 30 seconds. The laser samples (n=16) were randomly divided into four groups of four samples each. These groups were the step-up technique group, the 14-day group, the one-minute group, and the two-minute group. Forty-eight samples were treated with the four tested desensitizing agents and were randomly divided into four groups (n=12/group). Each group was further subdivided into three subgroups (n=4). Samples of the first subgroup were treated for 14 days, while those of the second subgroup were treated once. Samples of the last subgroup were fractured longitudinally after a single treatment. All of the samples were then examined under a scanning electron microscope.
Results
The Nd:YAG laser–irradiated dentin showed reduction or complete obliteration of the dentinal tubule lumen; thus, the treatment modified the original dentinal structure. The lased dentin surface in the two-minute group showed bubble-like changes in the area of the dentinal tubules' orifices. Statistically, the two-minute group was found to have a significantly higher percentage of partially or fully occluded tubules than did the one-minute group. All of the studied desensitizing agents produced occlusion of the dentinal tubules; however, the appearance of the precipitates, the level of coverage, and the degree of dentinal occlusion varied among the tested products.
Conclusion
Throughout the specified period of this study, occlusion and/or narrowing of the open dentinal tubules have been successfully achieved with both treatment approaches.
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Camilotti V, Zilly J, Busato PDMR, Nassar CA, Nassar PO. Desensitizing treatments for dentin hypersensitivity: a randomized, split-mouth clinical trial. Braz Oral Res 2012; 26:263-8. [DOI: 10.1590/s1806-83242012000300013] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2012] [Accepted: 04/03/2012] [Indexed: 11/22/2022] Open
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Effects of Er:YAG and Er,Cr:YSGG lasers on dentine hypersensitivity. Short-term clinical evaluation. Lasers Med Sci 2011; 27:813-8. [DOI: 10.1007/s10103-011-0988-9] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2011] [Accepted: 08/26/2011] [Indexed: 11/25/2022]
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Sales-Peres SHDC, Carvalho FND, Marsicano JA, Mattos MC, Pereira JC, Forim MR, Silva MFDGFD. Effect of propolis gel on the in vitro reduction of dentin permeability. J Appl Oral Sci 2011; 19:318-23. [PMID: 21956588 PMCID: PMC4223781 DOI: 10.1590/s1678-77572011005000004] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2009] [Accepted: 05/25/2010] [Indexed: 12/03/2022] Open
Abstract
Objective The aim of this study was to evaluate the capacity of potassium oxalate,
fluoride gel and two kinds of propolis gel to reduce the hydraulic
conductance of dentin, in vitro. Material and Methods The methodology used for the measurement of hydraulic conductance of dentin
in the present study was based on a model proposed in literature. Thirty-six
1-mm-thick dentin discs, obtained from extracted human third molars were
divided into 4 groups (n=9). The groups corresponded to the following
experimental materials: GI-10% propolis gel, pH 4.1; GII-30% propolis gel;
GIII-3% potassium oxalate gel, pH 4,1; and GIV-1.23% fluoride gel, pH 4.1,
applied to the dentin under the following surface conditions: after 37%
phosphoric acid and before 6% citric acid application. The occluding
capacity of the dentin tubules was evaluated using scanning electron
microscopy (SEM) at ×500, ×1,000 and ×2,000 magnifications. Data were
analyzed statistically by two-way ANOVA and Tukey's test at 5% significance
level. Results Groups I, II, III, IV did not differ significantly from the others in any
conditions by reducing in hydraulic conductance. The active agents reduced
dentin permeability; however they produced the smallest reduction in
hydraulic conductance when compared to the presence of smear layer
(P<0.05). The effectiveness in reducing dentin permeability did not
differ significantly from 10% or 30% propolis gels. SEM micrographs revealed
that dentin tubules were partially occluded after treatment with propolis.
Conclusions Under the conditions of this study, the application of 10% and 30% propolis
gels did not seem to reduce the hydraulic conductance of dentin in
vitro, but it showed capacity of partially obliterating the
dentin tubules. Propolis is used in the treatment of different oral problems
without causing significant great collateral effects, and can be a good
option in the treatment of patients with dentin sensitivity.
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Sgolastra F, Petrucci A, Gatto R, Monaco A. Effectiveness of Laser in Dentinal Hypersensitivity Treatment: A Systematic Review. J Endod 2011; 37:297-303. [DOI: 10.1016/j.joen.2010.11.034] [Citation(s) in RCA: 84] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2010] [Revised: 11/26/2010] [Accepted: 11/30/2010] [Indexed: 11/29/2022]
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Yilmaz HG, Cengiz E, Kurtulmus-Yilmaz S, Leblebicioglu B. Effectiveness of Er,Cr:YSGG laser on dentine hypersensitivity: a controlled clinical trial. J Clin Periodontol 2011; 38:341-6. [DOI: 10.1111/j.1600-051x.2010.01694.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Chermont AB, Carneiro KK, Lobato MF, Machado SMM, Souza Junior MHSE. Clinical evaluation of postoperative sensitivity using self-etching adhesives containing glutaraldehyde. Braz Oral Res 2010; 24:349-54. [DOI: 10.1590/s1806-83242010000300015] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2010] [Accepted: 05/14/2010] [Indexed: 11/22/2022] Open
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