Nammour Samir, El Mobadder Marwan, Namour Melanie, Brugnera Junior Aldo, Zanin Fatima, Brugnera Ana Paula, Geerts Sabine, Namour Amaury
Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium.
Dental Surgery Department, Wroclaw Medical University, 50-425 Wroclaw, Poland.
Life (Basel). 2022 Nov 30;12(12):1996. doi: 10.3390/life12121996.
In this retrospective study, data for three different laser-assisted approaches for the management of dentinal hypersensitivity (DH) was collected ( = 920 teeth). In total, 387 teeth were treated with photobiomodulation (PBM) therapy with 660 nm red light laser (PBM group), 327 were treated with the Nd:YAG laser (1064 nm) and 206 were treated with the Nd:YAP laser (1340 nm). To assess the effectiveness of each treatment, a visual analogue scale (VAS) was used, where zero represented no pain at all and ten represented the greatest pain. VAS was used before (T0), immediately after (T1), one week after (T2), four weeks after (T3), six months after (T4) and one year after treatment (T5). Means and standard deviations of VAS at different follow-up times were calculated. Values were compared within and between groups. Statistical significance was considered to be achieved when -value was less than 0.05. Confidence level was proposed to be 99% with a P value lower than 0.001. Within groups, a statistically significant reduction was obtained when the mean value of VAS at T0 was compared with T5. At T5, the PBM group had the highest reduction of VAS (with mean value of 0), while the Nd:YAG and Nd:YAP groups had scores of 1.065 ± 0.674 and 4.665 ± 0.674, respectively. Conclusion: this retrospective study showed that PBM therapy and irradiation with Nd:YAG and Nd:YAP lasers are effective in managing DH pain. However, PBM therapy was the only procedure that showed complete pain relief at six and twelve months after treatment.
在这项回顾性研究中,收集了三种不同激光辅助治疗牙本质过敏症(DH)的数据(n = 920颗牙齿)。总共387颗牙齿接受了660nm红光激光光生物调节(PBM)治疗(PBM组),327颗接受了Nd:YAG激光(1064nm)治疗,206颗接受了Nd:YAP激光(1340nm)治疗。为评估每种治疗方法的有效性,使用了视觉模拟量表(VAS),其中0表示完全无痛,10表示最剧烈的疼痛。在治疗前(T0)、治疗后即刻(T1)、治疗后一周(T2)、治疗后四周(T3)、治疗后六个月(T4)和治疗后一年(T5)使用VAS。计算不同随访时间VAS的均值和标准差。对组内和组间的值进行比较。当P值小于0.05时认为具有统计学意义。置信水平设定为99%,P值低于0.001。在组内,将T0时VAS的均值与T5时进行比较,得到了具有统计学意义的降低。在T5时,PBM组VAS降低幅度最大(均值为0),而Nd:YAG组和Nd:YAP组的得分分别为1.065±0.674和4.665±0.674。结论:这项回顾性研究表明,PBM治疗以及Nd:YAG和Nd:YAP激光照射对治疗DH疼痛有效。然而,PBM治疗是唯一在治疗后六个月和十二个月显示完全缓解疼痛的方法。