目的 比较和观察极固宁(Green OrTM)和Er:YAG激光法对
支托窝脱敏的疗效。方法 选取2013-01至2013-12初次选用可摘局部义齿修复牙列缺损的90例患者90颗磨牙,男43例,女47例, 46～60岁,随机分为极固宁组30颗,Er:YAG激光组30颗,对照组30颗。采用视觉模拟评分法(visual analog scale, VAS)对3组患者均在合支托预备后即刻脱敏治疗之后和脱敏治疗4个月后进行牙本质敏感性临床评估,测定VAS值。结果 即刻脱敏结束后,极固宁组(83.3%)和Er:YAG激光组(86.7%)的有效率均高于对照组(23.3%,
P＜0.05),极固宁组和Er:YAG激光组的有效率差异无统计学意义。脱敏治疗4个月后复查,Er:YAG激光组的有效率(79.3%)高于极固宁组(31.0%)和对照组(21.4%,
P＜0.05),极固宁组和对照组的有效率差异无统计学意义。结论 在牙本质过敏症的短期治疗中极固宁效果较显著,长期疗效中Er:YAG激光作用更加明显。
Abstract
Objective To compare the clinical efficacy of GreenTM Or and Er: YAG laser treating dentine hypersensitivity after occlusal rest preparation. Methods A total of 90 subjects were recruited into the study and distributed into 3 balanced groups. The sensitivity scores were recorded in visual analogue scale (VAS) by the subjects. The teeth in each group were treated with one of 2 kinds of desensitizing treatments. The desensitizing efficacy was evaluated before and immediately after treatment, and 4 months after treatment. Results Immediately after the treatment, the efficacy of GreenTM Or and Er: YAG laser groups were better than the control group(P<0.05), and no significant difference was identified between the two groups. Four months after treatment, the efficacy of Er:YAG laser group was better than the GreenTM group(P<0.05), and no significant difference was identified between the control group and GreenTM group. Conclusions GreenTM shows a good efficacy in short term treatment of tooth hypersensitivity, while the Er:YAG laser shows a long efficacy in treatment of hypersensitivity.
关键词
牙本质敏感 /
支托窝 /
极固宁 /
Er:YAG激光
Key words
hypersensitivity;occlusal rest /
GreenTM /
Er:YAG laser
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参考文献
[1] Cummins D. Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief[J]. J Clin Dent, 2009,20(1):1-9.
[2] Bekes K, John M T, Schaller H G, et al. Oral health-related quality of life in patients seeking care for dentin hypersensitivity[J]. J Oral Rehabil, 2009,36(1):45-51.
[3] Vora J, Mehta D, Meena N, et al. Effects of two topical desensitizing agents and placebo on dentin hypersensitivity[J]. Am J Dent, 2012,25(5):293-298.
[4] Brahmbhatt N, Bhavsar N, Sahayata V, et al. A double blind controlled trial comparing three treatment modalities for dentin hypersensitivity[J]. Med Oral Patol Oral Cir Bucal, 2012,17(3):e483-e490.
[5] Chaknis P, Panagakos F S, Devizio W, et al. Assessment of hypersensitivity reduction of a dentifrice containing 0.3% triclosan, 2.0% PVM/MA copolymer, 0.243% NaF and specially-designed silica as compared to a dentifrice containing 0.454% stannous fluoride, sodium hexametaphosphate and zinc lactate and to a dentifrice containing 0.243% NaF on dentin hypersensitivity reduction: an 8-week study[J]. Am J Dent, 2011,24 Spec No A:14A-20A.
[6] Ehlers V, Ernst C P, Reich M, et al. Clinical comparison of gluma and Er:YAG laser treatment of cervically exposed hypersensitive dentin[J]. Am J Dent, 2012,25(3):131-135.
[7] Drebenstedt S, Zapf A, Rodig T, et al. Efficacy of two different CHX-containing desensitizers: a controlled double-blind study[J]. Oper Dent, 2012,37(2):161-171.
[8] Ipci S D, Cakar G, Kuru B, et al. Clinical evaluation of lasers and sodium fluoride gel in the treatment of dentine hypersensitivity[J]. Photomed Laser Surg, 2009,27(1):85-91.
[9] Yilmaz H G, Kurtulmus-Yilmaz S, Cengiz E. Long-term effect of diode laser irradiation compared to sodium fluoride varnish in the treatment of dentine hypersensitivity in periodontal maintenance patients: a randomized controlled clinical study[J]. Photomed Laser Surg, 2011,29(11):721-725.
[10] Yu C H, Chang Y C. Clinical efficacy of the Er:YAG laser treatment on hypersensitive dentin[J]. J Formos Med Assoc, 2014,113(6):388-391.
[11] Blatz M B. Laser therapy may be better than topical desensitizing agents for treating dentin hypersensitivity[J]. J Evid Based Dent Pract, 2012,12(3 Suppl):229-230.
[12] Olusile A O, Bamise C T, Oginni A O, et al. Short-term clinical evaluation of four desensitizing agents[J]. J Contemp Dent Pract, 2008,9(1):22-29.
[13] Pashley D H. Mechanisms of dentin sensitivity[J]. Dent Clin North Am, 1990,34(3):449-473.
[14] Bond M R, Pilowsky I. Subjective assessment of pain and its relationship to the administration of analgesics in patients with advanced cancer.[J]. J Psychosom Res, 1966,10(2):203-208.
[15] Zhang Y, Agee K, Pashley D H, et al. The effects of Pain-Free Desensitizer on dentine permeability and tubule occlusion over time, in vitro[J]. J Clin Periodontol, 1998,25(11 Pt 1):884-891.
[16] Majewska-Paradowska M. Green or preparation in dentin hypersensitivity treatment[J]. Ann Univ Mariae Curie Sklodowska Med, 2004,59(1):265-268.
[17] 戴 琳, 程 波, 周 杰. 3种脱敏剂治疗超声龈下刮治所致根面牙本质敏感症的疗效观察[J]. 口腔医学研究,2009,25(1):87-89.
[18] Schwarz F, Arweiler N, Georg T, et al. Desensitizing effects of an Er:YAG laser on hypersensitive dentine[J]. J Clin Periodontol, 2002,29(3):211-215.
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