Umberto Romeo, Claudia Russo, Gaspare Palaia, Gianluca Tenore, Alessandro Del Vecchio
Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Via Caserta 6, 00161 Rome, Italy.
Int J Dent. 2012;2012:858950. doi: 10.1155/2012/858950. Epub 2012 Jun 25.
Introduction. Dentine hypersensitivity (DH) is characterized by pain after stimuli that usually provoke no symptoms. This study compared the effectiveness of GaAlAs diode laser alone and with topical sodium fluoride gel (NaF). Materials and Methods. The study was conducted on 10 patients (8 F/2 M, age 25-60) and 115 teeth with DH assessed by air and tactile stimuli measured by Numeric Rating Scale (NRS). Teeth were randomly divided into G1 (34 teeth) treated by 1.25% NaF; G2 (33 teeth) lased at 0.5 W PW (T on 100 m and T off 100 ms), fluence 62.2 J/cm(2) in defocused mode with a 320 μ fiber. Each tooth received three 1' applications; G3 (48 teeth) received NaF gel plus laser at same G2 parameters. NRS was checked at each control. Results. Significant pain reduction was showed. The NRS reduction percentages were calculated, and there was a concrete decrease of DH above all in G3 than G2 and G1. Conclusion. Diode laser is a useful device for DH treatment if used alone and mainly if used with NaF gel.
引言。牙本质过敏症(DH)的特征是在通常不会引发症状的刺激后出现疼痛。本研究比较了单独使用GaAlAs二极管激光以及联合使用局部氟化钠凝胶(NaF)的效果。材料与方法。该研究对10名患者(8名女性/2名男性,年龄25 - 60岁)和115颗患有牙本质过敏症的牙齿进行,通过空气和触觉刺激进行评估,采用数字评定量表(NRS)测量。牙齿被随机分为G1组(34颗牙齿),用1.25% NaF治疗;G2组(33颗牙齿),以0.5 W脉冲宽度(开启时间100 ms,关闭时间100 ms)、能量密度62.2 J/cm²在散焦模式下用320μm光纤进行激光照射。每颗牙齿接受三次1分钟的照射;G3组(48颗牙齿)接受与G2组相同参数的NaF凝胶加激光治疗。每次检查时均使用NRS。结果。显示疼痛明显减轻。计算了NRS降低百分比,与G2组和G1组相比,G3组牙本质过敏症的具体降低最为显著。结论。二极管激光单独使用时是治疗牙本质过敏症的有用设备,与NaF凝胶联合使用时效果更佳。