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两种脱敏产品的有效性:一项为期 6 个月的随机临床、分口研究。

Effectiveness of two desensitizing products: A 6-month randomized clinical, split-mouth study.

机构信息

Department of Restorative Dentistry, School of Dentistry, Baskent University, Ankara, Turkey,

Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey.

出版信息

Am J Dent. 2020 Dec;33(6):325-329.

Abstract

PURPOSE

This randomized controlled clinical trial compared the efficacy of a desensitizer containing calcium phosphate with a two-step self-etch adhesive and placebo over a 6-month period.

METHODS

50 subjects aged between 21-64 years with a sensitivity score of 6 or higher according to the Visual Analog Scale (VAS) in at least three teeth participated in this study. Teethmate Desensitizer, Clearfil SE Bond 2, and placebo (distilled water) were applied randomly to three teeth of each patient. Recall reviews were performed at baseline, 1 week, 1 month, 3 months, and 6 months after treatment, and the sensitivity scores were assessed by air-blast application. The normality of data was analyzed with Shapiro-Wilk. Since the placebo treatment was successful only in a small number of teeth, the three materials could only be compared 10 minutes after the treatment. Data were analyzed with Wilcoxon Test, Friedman and Dunn post-hoc tests (P= 0.05).

RESULTS

Sensitivity decreased significantly after application for each of the three test groups when compared to the pretreatment condition (P< 0.05). There were no significant differences between the Teethmate Desensitizer and Clearfil SE Bond 2, and both materials were more effective than the placebo (P< 0.05).

CLINICAL SIGNIFICANCE

Teethmate Desensitizer and Clearfil SE Bond 2 had similar desensitizing effects; both of them could be applied to treat dentin hypersensitivity for a 6-month period.

摘要

目的

本随机对照临床试验比较了含有磷酸钙的脱敏剂与两步自酸蚀黏接剂和安慰剂在 6 个月期间的疗效。

方法

50 名年龄在 21-64 岁之间、根据视觉模拟量表(VAS)至少有三颗牙齿敏感度评分为 6 或更高的受试者参与了这项研究。将 Teethmate Desensitizer、Clearfil SE Bond 2 和安慰剂(蒸馏水)随机应用于每位患者的三颗牙齿。在基线、治疗后 1 周、1 个月、3 个月和 6 个月进行随访评估,通过空气喷吹法评估敏感度评分。采用 Shapiro-Wilk 检验分析数据的正态性。由于安慰剂治疗仅在少数牙齿中成功,因此仅在治疗后 10 分钟比较三种材料。采用 Wilcoxon 检验、Friedman 和 Dunn 事后检验(P=0.05)进行数据分析。

结果

与治疗前相比,三种测试组在应用后敏感度均显著降低(P<0.05)。Teethmate Desensitizer 和 Clearfil SE Bond 2 之间无显著差异,两者均比安慰剂更有效(P<0.05)。

临床意义

Teethmate Desensitizer 和 Clearfil SE Bond 2 具有相似的脱敏效果;两者均可用于治疗牙本质敏感症,为期 6 个月。

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