Moura Guilherme Faria, Zeola Lívia Fávaro, Silva Michele Borges, Sousa Sônia Cristina, Guedes Fernanda Rodrigues, Soares Paulo Vinícius
NCCL Research Group, Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Uberlândia, Brazil.
Photobiomodul Photomed Laser Surg. 2019 Feb;37(2):117-123. doi: 10.1089/photob.2018.4477.
A single-blind randomized clinical trial was conducted to evaluate the effectiveness of desensitizing agents with different action mechanisms in reducing cervical dentin hypersensitivity (CDH) after four application sessions, with 24-week follow-up. Sixty patients with CDH were selected in the study and were allocated in three groups of treatment: Desensibilize KF 2%, Clinpro XT Varnish, and Photon Lase III (100 mW, 4 J/cm-1 J/cm each point, 10 sec per point with wavelength of 808 nm). There were four application sessions performed, with a 48-h interval between each one. The evaporative stimuli and visual analog scale were used to evaluate the CDH level at baseline, immediately after treatment, and at 2, 4, 8, and 24 weeks after the application. Mixed-model effects test was used for comparison (α = 0.05). All three groups showed significant reduction in CDH from baseline to each all-subsequent follow-up. All the groups maintained the CDH reduction, and presented no statistical differences between each other after treatment ( = 0.885), 2 ( = 0.857), 4 ( = 0.928), 8 ( = 0.206), and 24 weeks ( = 0.073) of follow-up. The four-session protocol was an effective approach in reduction of CDH (even after 24 weeks), regardless of desensitization mechanism.
进行了一项单盲随机临床试验,以评估具有不同作用机制的脱敏剂在四个应用疗程后降低颈段牙本质过敏(CDH)的有效性,并进行24周的随访。该研究选取了60例CDH患者,将其分为三组进行治疗:2%的脱敏KF、Clinpro XT护齿剂和Photon Lase III(100 mW,每点4 J/cm - 1 J/cm,每点10秒,波长808 nm)。共进行了四个应用疗程,每个疗程间隔48小时。采用蒸发刺激和视觉模拟量表在基线、治疗后即刻以及应用后2、4、8和24周评估CDH水平。采用混合模型效应检验进行比较(α = 0.05)。所有三组从基线到随后的每次随访中CDH均显著降低。所有组的CDH降低情况均得以维持,且在治疗后( = 0.885)、随访2周( = 0.857)、4周( = 0.928)、8周( = 0.206)和24周( = 0.073)时,各组之间均无统计学差异。无论脱敏机制如何,四个疗程的方案都是降低CDH的有效方法(即使在24周后)。