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激光照射和护齿泡沫对诊室漂白后牙齿敏感的影响:一项非随机临床试验。

Effects of laser irradiation and tooth mousse on tooth hypersensitivity after office bleaching: A non-randomized clinical trial.

作者信息

Sadri Mohammadmahdi, Nakhostin Afrooz, Salamat Fahimeh

机构信息

Department of Dentistry, Students Research Committee, Arak University of Medical Sciences, Arak, Iran.

Department of Restorative Dentistry, School of Dentistry, Arak University of Medical Sciences, Arak, Iran.

出版信息

Dent Res J (Isfahan). 2023 Feb 14;20:24. doi: 10.4103/1735-3327.369626. eCollection 2023.

Abstract

BACKGROUND

This study aimed to assess the effect of laser irradiation and Tooth Mousse on tooth hypersensitivity (TH) after office bleaching (OB).

MATERIALS AND METHODS

This clinical trial, parallel-design split-mouth nonrandomized was conducted on 30 patients requiring OB. After scaling and fabrication of a custom tray, 35% hydrogen peroxide was applied on all teeth, and 940 nm diode laser (10 W, Class IV, 110-240 V) was irradiated to the upper and lower right quadrants. Laser in off mode was used for the left quadrants. Bleaching agent was then reapplied. After completion of bleaching, a custom tray containing tooth Mousse was placed on the maxillary arch while the tray was used without the paste for the mandibular arch. A visual analog scale was used to assess the degree of TH at 15 min and 24 h after OB. Data were compared using -test, paired -test, and analysis of variance. Significance level was set at α = 0.05.

RESULTS

Comparison of TH at 15 min and 24 h after OB showed a significantly lower TH score in the left upper quadrant (tooth Mousse alone) than right upper quadrant (both laser and Tooth Mousse) ( < 0.05). The TH score in the right upper quadrant was significantly lower than that in the right lower quadrant (laser only) ( < 0.05). The mean TH score in the left upper quadrant was insignificantly lower than that in the left lower quadrant (no intervention) ( > 0.05).

CONCLUSION

The use of 940 nm diode laser for OB increases the postoperative TH. The application of Tooth Mousse can effectively decrease TH after OB with/without laser irradiation.

摘要

背景

本研究旨在评估激光照射和牙齿护理霜对诊室漂白(OB)后牙齿敏感(TH)的影响。

材料与方法

本平行设计的非随机分口临床试验针对30例需要进行诊室漂白的患者开展。在进行洁治和制作定制托盘后,对所有牙齿应用35%的过氧化氢,并对右上和右下象限照射940nm二极管激光(10W,IV类,110 - 240V)。左象限使用激光关闭模式。然后再次涂抹漂白剂。漂白完成后,在上颌弓放置含牙齿护理霜的定制托盘,而下颌弓使用不含膏体的托盘。采用视觉模拟评分法评估诊室漂白后15分钟和24小时的牙齿敏感程度。使用t检验、配对t检验和方差分析对数据进行比较。显著性水平设定为α = 0.05。

结果

诊室漂白后15分钟和24小时牙齿敏感情况的比较显示,左上象限(仅使用牙齿护理霜)的牙齿敏感评分显著低于右上象限(激光和牙齿护理霜联合使用)(P < 0.05)。右上象限的牙齿敏感评分显著低于右下象限(仅使用激光)(P < 0.05)。左上象限的平均牙齿敏感评分略低于左下象限(无干预),但差异无统计学意义(P > 0.05)。

结论

使用940nm二极管激光进行诊室漂白会增加术后牙齿敏感。无论是否联合激光照射,应用牙齿护理霜均可有效降低诊室漂白后的牙齿敏感。

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