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Laser Effects on the Prevention and Treatment of Dentinal Hypersensitivity: A Systematic Review

机译:激光对牙本质过敏的预防和治疗:系统评价

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摘要

>Introduction: Dentinal hypersensitivity (DH) is an acute intensive tooth pain which can lead to dental annoyances during eating and drinking. Stimulating exposed dentinal tubules by either kind of thermal, tactile, chemical and/or osmotic stimuli is believed to be the cause of this pain. It is hypothesized that dentinal tubules’ orifice occlusion (DOO) can help relieve such dental irritations. Thus, this systematic review was conducted to evaluate the effectiveness of laser application as a prevention and treatment modality on DH reduction. >Methods: Electronic databases (MEDLINE, SCOPUS) were searched among randomized clinical trials from January 2007 to December 2016. The extraction of data and quality assessments were carried out by different independent observers. >Results: A total of 499 items were found of which3 9 relevant articles were extracted. The profound findings proved lasers’ effectiveness as a treatment of DH. Although some of the researches reported no significant difference between laser and other desensitizing agents, most of the studies suggested that better results (both rapid and long-lasting) were obtained in combined modalities. Furthermore, the preventive role of this new technology has been emphasized as well. Nd-YAG (neodymium-doped yttrium aluminum garnet) and diode lasers reduce DH after bleaching. Lasers can also protect cervical restorations from DH due to tubular occlusion. Moreover, it is suggested to apply lasers in relief of DH following scaling and root planning. Nevertheless, a few researchers dispute its beneficence as a result of placebo effect. >Conclusion: The results obtained from several studies in the present review revealed that the application of lasers is effective not only in terms of treatment of DH, but also in the prevention of this intensive tooth pain. Among various types of lasers, the application of Nd:YAG laser has shown the best results in DH treatment.
机译:>简介:牙本质过敏症(DH)是一种剧烈的剧烈牙齿疼痛,在进食和饮水时会导致牙齿烦恼。通过热,触觉,化学和/或渗透刺激中的任一种刺激暴露的牙本质小管被认为是造成这种疼痛的原因。据推测,牙本质小管的孔阻塞(DOO)可以帮助减轻这种牙齿刺激。因此,进行了这项系统的评估,以评估激光应用作为减少DH的预防和治疗方式的有效性。 >方法:在2007年1月至2016年12月的随机临床试验中搜索电子数据库(MEDLINE,SCOPUS)。数据的提取和质量评估由不同的独立观察员进行。 >结果:共找到499条,其中3 9条相关文章被提取。深刻的发现证明了激光作为DH疗法的有效性。尽管一些研究报告说激光与其他脱敏剂之间没有显着差异,但是大多数研究表明,在组合方式下可获得更好的结果(快速和持久)。此外,还强调了这项新技术的预防作用。 Nd-YAG(掺钕钇铝石榴石)和二极管激光器可减少漂白后的DH。激光还可以保护因肾小管闭塞而引起的宫颈修复体免受DH损害。此外,建议在结垢和根部规划之后,使用激光缓解DH。然而,一些研究人员对它的益处归因于安慰剂作用。 >结论:本次综述的多项研究结果表明,激光的应用不仅在DH的治疗方面有效,而且在预防这种剧烈的牙齿疼痛方面也很有效。在各种类型的激光器中,Nd:YAG激光器的应用在DH处理中显示出最佳效果。

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