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新型结晶生物活性玻璃陶瓷粉末对牙本质过敏症的疗效:一项长期临床研究。

The effect of a novel crystallised bioactive glass-ceramic powder on dentine hypersensitivity: a long-term clinical study.

机构信息

Department of Dental Materials and Prosthesis, Faculty of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil.

出版信息

J Oral Rehabil. 2011 Apr;38(4):253-62. doi: 10.1111/j.1365-2842.2010.02157.x. Epub 2010 Sep 26.

Abstract

The aim of this comparative clinical study was to evaluate a novel bioactive glass-ceramic (Biosilicate® 1-20 μm particles) to treat dentine hypersensitivity (DH). Volunteers (n = 120 patients/ 230 teeth) received the following treatments: G1-Sensodyne® , G2-SensiKill®, G3-Biosilicate® incorporated in a 1% water-free-gel and G4-Biosilicate® mixed with distilled water at 1:10 ratio. G1 and G3 were applied at home, daily for 30 days; G2 and G4 were applied once a week by a dentist (four applications). A visual analogue scale (VAS) was employed to evaluate pain for each quadrant in one sensitive tooth at baseline, weekly during treatment and during a 6-month follow-up period. Dentine hypersensitivity values (G1/n= 52), (G2/n =62), (G3/n = 59) and (G4/n = 59) were analysed with Kruskal-Wallis/Dunn tests. All the products were efficient in reducing DH after 4 weeks. Among the four materials tested, G4 demonstrated the best clinical performance and provided the fastest treatment to reduce DH pain. Distilled water proved to be an adequate vehicle to disperse Biosilicate®. Low DH scores were maintained during the 6-month follow-up period. The hypothesis that the novel bioactive glass-ceramic may be an efficient treatment for DH was confirmed.

摘要

本临床对比研究旨在评估一种新型生物活性玻璃陶瓷(Biosilicate® 1-20μm 颗粒)治疗牙本质敏感症(DH)的效果。志愿者(n = 120 名患者/230 颗牙齿)接受了以下治疗:G1-Sensodyne®、G2-SensiKill®、G3-以 1%无水电凝胶形式存在的 Biosilicate®和 G4-Biosilicate®与蒸馏水按 1:10 的比例混合。G1 和 G3 在家中每天使用,持续 30 天;G2 和 G4 由牙医每周使用一次(共四次)。使用视觉模拟评分(VAS)在基线、治疗期间和 6 个月随访期间评估每颗敏感牙齿的每个象限的疼痛。对牙本质敏感值(G1/n=52)、(G2/n=62)、(G3/n=59)和(G4/n=59)进行了 Kruskal-Wallis/Dunn 检验分析。所有产品在治疗 4 周后均能有效减轻 DH。在测试的四种材料中,G4 表现出最佳的临床效果,能最快减轻 DH 疼痛。事实证明,蒸馏水是分散 Biosilicate®的合适载体。在 6 个月的随访期间,DH 评分保持较低水平。证实了新型生物活性玻璃陶瓷可能是治疗 DH 的有效方法这一假设。

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