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激光治疗磨牙-切牙矿化不全(MIH)牙齿的过敏症:一项系统评价。

Laser therapy in Molar-Incisor Hypomineralization (MIH) teeth treatment of hypersensitivity: a systematic review.

作者信息

Cerqueira Nathália Mancioppi, Altube Lautaro Gallardo, Gambarini Letícia, Borsatto Maria Cristina, Corona Silmara Aparecida Milori

机构信息

School of Dentistry of Ribeirão Preto, Department of Restorative Dentistry, University of São Paulo, Av. Café S/N, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.

Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

出版信息

Lasers Med Sci. 2025 Jan 7;40(1):11. doi: 10.1007/s10103-024-04280-z.

DOI:10.1007/s10103-024-04280-z
PMID:39762507
Abstract

This review investigated the effects of hypersensitivity treatment on molar-incisor hypomineralization (MIH) using laser therapy, combined or in conjunction with other therapeutic modalities. The review was conducted according to the PICOS strategy (Population, Intervention, Comparison, and Outcome) and was performed in March 2024 using the Web of Science, PubMed, Scopus and Embase. The RoB 2 tool was employed to evaluate the risk of bias. Seven articles were included, and none were classified as "high risk" for bias. The recommended wavelengths for laser application ranged from 808 to 810 nm, with an irradiation duration of at least 10 s per point. In two studies, the interval between application sessions varied from 48 to 72 h, with a dosage of 1 J. Three studies incorporated a control group that received some form of fluoride-based treatment. Overall, all studies demonstrated a degree of improvement in dentin hypersensitivity after the laser therapy treatment alone. The application of laser therapy for MIH, whether used in isolation or in combination with other desensitizing strategies, exhibited potential for the long-term reduction of hypersensitivity. (CRD42023424401).

摘要

本综述研究了使用激光疗法单独或与其他治疗方式联合进行的超敏反应治疗对磨牙-切牙矿化不全(MIH)的影响。该综述根据PICOS策略(人群、干预措施、对照、结局)进行,并于2024年3月使用Web of Science、PubMed、Scopus和Embase进行。采用RoB 2工具评估偏倚风险。纳入了7篇文章,无一被归类为偏倚“高风险”。推荐的激光应用波长范围为808至810nm,每点照射持续时间至少10秒。在两项研究中,治疗疗程之间的间隔为48至72小时,剂量为1焦耳。三项研究纳入了接受某种形式氟化物治疗的对照组。总体而言,所有研究均表明仅激光治疗后牙本质过敏有一定程度的改善。激光疗法用于MIH,无论是单独使用还是与其他脱敏策略联合使用,都显示出长期降低过敏反应的潜力。(CRD42023424401)

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本文引用的文献

1
Molar incisor hypomineralization and oral health-related quality of life: a sample of 8-12-years-old children.磨牙症和牙齿矿化不全与口腔健康相关生活质量:8-12 岁儿童样本。
Clin Oral Investig. 2024 Jan 20;28(1):105. doi: 10.1007/s00784-024-05490-z.
2
Treatment Approaches to Molar Incisor Hypomineralization: A Systematic Review.磨牙切牙矿化不全的治疗方法:一项系统评价
J Clin Med. 2023 Nov 20;12(22):7194. doi: 10.3390/jcm12227194.
3
Photobiomodulation and glass ionomer sealant as complementary treatment for hypersensitivity in molar incisor hypomineralisation in children: protocol for a blinded randomised clinical trial.
光生物调节与玻璃离子水门汀联合治疗儿童磨牙釉质不全症牙本质过敏症的双盲随机临床试验方案
BMJ Open. 2023 Jun 14;13(6):e068102. doi: 10.1136/bmjopen-2022-068102.
4
Parameters Used With Diode Lasers (808-980 nm) in Dentin Hypersensitivity Management: A Systematic Review.用于牙本质过敏管理的二极管激光器(808 - 980纳米)相关参数:一项系统评价
J Lasers Med Sci. 2022 Jan 20;13:e3. doi: 10.34172/jlms.2022.03. eCollection 2022.
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Hypersensitivity in teeth affected by molar-incisor hypomineralization (MIH).磨牙-切牙釉质发育不全(MIH)影响牙齿的超敏反应。
Sci Rep. 2021 Sep 9;11(1):17922. doi: 10.1038/s41598-021-95875-x.
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Efficacy of near infrared dental lasers on dentinal hypersensitivity: a meta-analysis of randomized controlled clinical trials.近红外牙科激光治疗牙本质过敏症的疗效:随机对照临床试验的荟萃分析。
Lasers Med Sci. 2022 Mar;37(2):733-744. doi: 10.1007/s10103-021-03391-1. Epub 2021 Aug 3.
7
Laser Effects on the Prevention and Treatment of Dentinal Hypersensitivity: A Systematic Review.激光对牙本质过敏症防治作用的系统评价
J Lasers Med Sci. 2019 Winter;10(1):1-11. doi: 10.15171/jlms.2019.01. Epub 2018 Dec 15.
8
Prevalence of Hypersensitivity in Teeth Affected by Molar-Incisor Hypomineralization (MIH).磨牙-切牙牙釉质发育不全(MIH)致牙齿过敏的流行情况。
Caries Res. 2019;53(4):424-430. doi: 10.1159/000495848. Epub 2019 Jan 24.
9
Degree of severity of molar incisor hypomineralization and its relation to dental caries.磨牙牙釉质发育不全的严重程度及其与龋齿的关系。
Sci Rep. 2018 Jan 19;8(1):1248. doi: 10.1038/s41598-018-19821-0.
10
Is photobiomodulation (PBM) effective for the treatment of dentin hypersensitivity? A systematic review.光生物调节作用(PBM)对牙本质过敏症的治疗有效吗?一项系统评价。
Lasers Med Sci. 2018 May;33(4):745-753. doi: 10.1007/s10103-017-2403-7. Epub 2017 Dec 5.