Hajizadeh Hila, Nemati-Karimooy Atefeh, Majidinia Sara, Moeintaghavi Amir, Ghavamnasiri Marjaneh
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.
Restor Dent Endod. 2017 Aug;42(3):168-175. doi: 10.5395/rde.2017.42.3.168. Epub 2017 Jul 21.
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.
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 S 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).
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.
Dentin sensitivity following periodontal surgery will decrease spontaneously over time, but treating the sensitive teeth with Gluma Desensitizer and Clearfil S Bond can have some benefits.
本双盲随机安慰剂对照临床试验评估了一种脱敏剂和一种自酸蚀粘结剂对牙周手术后颈部牙本质敏感(CDS)的作用。
本研究纳入了13名受试者的90颗敏感牙。牙周手术后,每个后牙象限的牙齿用以下材料之一进行处理:G1:Clearfil S Bond(可乐丽牙科),G2:Gluma脱敏剂(贺利氏古莎),G3:安慰剂(水)。根据视觉模拟量表(VAS)在治疗前(基线,T0)、治疗后1天(T1)、1周后(T2)和1个月后(T3)使用蒸发刺激评估敏感性。
治疗后,与T0相比,所有3组在T1时CDS均显著降低。仅在G1组观察到T1和T2之间CDS的降低,但该组T2和T3之间无显著差异。尽管我们观察到G2和G3组在T3时与T1和T2相比有显著差异,但在每个评估时间点治疗组之间的比较仅在T3时有显著差异。根据配对比较,这是由于G2和G3之间的差异。
牙周手术后牙本质敏感会随时间自发降低,但用Gluma脱敏剂和Clearfil S Bond治疗敏感牙可能有一些益处。