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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.

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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