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纳米包裹丁香酚局部应用对诊室牙齿漂白后牙齿敏感减轻的效果:一项随机、三盲临床试验。

Effect of topical application of nanoencapsulated eugenol on dental sensitivity reduction after in-office dental bleaching: a randomized, triple-blind clinical trial.

机构信息

Postgraduate Program in Pharmaceutical Sciences, Department of Pharmaceutical Sciences, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.

School of Dentistry, School Paulo Picanço, Fortaleza, Ceará, Brazil.

出版信息

J Esthet Restor Dent. 2021 Jun;33(4):660-667. doi: 10.1111/jerd.12728. Epub 2021 Mar 11.

Abstract

PURPOSE

This randomized, split-mouth, triple-blind clinical study evaluated the effect of application of nanoencapsulated eugenol (NE) on the absolute risk and intensity of tooth sensitivity (TS) resulting from in-office bleaching.

METHODS

Fifty-six patients received a NE in one hemiarch and a placebo gel in the other hemiarch, determined by random sequence, before in-office bleaching. A visual analogue scale (VAS) (0-10) and a numeric rating scale (NRS) (0-4) were used to record TS during bleaching and 1 and 48 h after bleaching. The tooth color was performed from baseline to 2 weeks after bleaching with shade guides (ΔSGU) and a spectrophotometer (∆E , ∆E and WI ). The TS was assessed through the McNemar test (α = 0.05) and by the Wilcoxon signed-rank test (NRS) and paired t-test (VAS). The paired test-t was employed to compare the color changes (ΔSGU and ΔE , ∆E and WI ). The significance level was 5%.

RESULTS

No statistically significant difference was found in the absolute risk or intensity of TS between both groups (p > 0.05). A significant color change was observed in both groups (p > 0.05).

CONCLUSION

Administration of the gel containing NE before the in-office dental bleaching did not reduce the TS and did not interfere in the bleaching effect.

CLINICAL RELEVANCE STATEMENT

The use of desensitizing gel containing NE did not reduce in-office bleaching-induced tooth sensitivity.

摘要

目的

本随机、分半、三盲的临床研究评估了纳米封装丁香酚(NE)在诊室漂白引起的牙齿敏感(TS)的绝对风险和强度中的应用效果。

方法

56 名患者在诊室漂白前,通过随机序列,分别在一侧半口牙齿上使用 NE 凝胶,另一侧使用安慰剂凝胶。使用视觉模拟评分(VAS)(0-10)和数字评分(NRS)(0-4)在漂白过程中和漂白后 1 小时和 48 小时记录 TS。从基线到漂白后 2 周,使用比色板(ΔSGU)和分光光度计(∆E、∆E 和 WI)进行牙齿颜色评估。采用 McNemar 检验(α=0.05)和 Wilcoxon 符号秩检验(NRS)和配对 t 检验(VAS)评估 TS。配对 t 检验用于比较颜色变化(ΔSGU 和 ΔE、∆E 和 WI)。显著水平为 5%。

结果

两组之间的绝对风险或 TS 强度均无统计学差异(p>0.05)。两组均观察到显著的颜色变化(p>0.05)。

结论

在诊室牙漂白前使用含有 NE 的凝胶不会降低 TS,也不会干扰漂白效果。

临床意义

使用含有 NE 的脱敏凝胶不能减轻诊室漂白引起的牙齿敏感。

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