Departments of Periodontology, Faculty of Dentistry, Near East University, Mersin 10, Turkey.
J Clin Periodontol. 2011 Apr;38(4):341-6. doi: 10.1111/j.1600-051X.2010.01694.x. Epub 2011 Jan 6.
Attempts have been made to treat dentine hypersensitivity (DH) with lasers. However, there is limited knowledge on the effects of erbium, chromium-doped:yttrium, scandium, gallium and garnet (Er,Cr:YSGG) laser on DH. The aim of this study was to evaluate the efficacy of Er,Cr:YSGG laser on reduction in DH.
Forty-two patients (146 teeth) were included. Teeth were assigned to an experimental group and irradiated with the Er,Cr:YSGG laser. In the control group same clinical instrument was used without laser emission. DH was assessed for both groups utilizing the visual analog scale. Plaque index (PI) scores were recorded immediately following treatment, at 1 week, 1 and 3 months.
The results showed that Er,Cr:YSGG laser irradiation had a significantly higher desensitizing effect compared with the placebo immediately after treatment (p<0.05). Intra-group comparisons revealed no statistically significant differences within the placebo group (p>0.05). For the test group, the differences between baseline and all time points following treatment were statistically significant (p<0.05). No significant differences were observed in PI between the test and control groups at any follow-up examination (p>0.05).
Within the limits of this study, it appears that Er,Cr:YSGG laser is effective in the treatment of DH compared with the placebo treatment.
人们尝试使用激光治疗牙本质敏感(DH)。然而,对于掺铒、铬:钇、钪、镓和石榴石(Er,Cr:YSGG)激光对 DH 的影响知之甚少。本研究旨在评估 Er,Cr:YSGG 激光对减少 DH 的疗效。
纳入 42 名患者(146 颗牙)。将牙齿分为实验组,用 Er,Cr:YSGG 激光照射。在对照组中,使用相同的临床器械但不发射激光。使用视觉模拟量表评估两组的 DH。在治疗后即刻、治疗后 1 周、1 个月和 3 个月记录菌斑指数(PI)评分。
结果表明,与安慰剂组相比,Er,Cr:YSGG 激光照射在治疗后即刻具有更高的脱敏效果(p<0.05)。组内比较显示安慰剂组无统计学差异(p>0.05)。对于实验组,治疗后所有时间点与基线之间的差异均具有统计学意义(p<0.05)。在任何随访检查中,实验组和对照组之间的 PI 均无显著差异(p>0.05)。
在本研究范围内,与安慰剂治疗相比,Er,Cr:YSGG 激光似乎对 DH 的治疗有效。