Application of Diode Laser in the Treatment of Dentine Hypersensitivity

Mirjana Gojkov-Vukelic, Sanja Hadzic, Amila Zukanovic, Enes Pasic, Veriva Pavlic, Mirjana Gojkov-Vukelic, Sanja Hadzic, Amila Zukanovic, Enes Pasic, Veriva Pavlic

Abstract

Introduction: Dentine hypersensitivity is characterized by acute, sharp pain arising from the exposed dentine, most commonly in response to thermal, tactile, or chemical stimuli, and which cannot be linked to any other pathological changes in the tooth or the environment. Therapy uses various impregnating agents in the form of solutions or gels and, in more recent times, laser.

Aim: The aim of this research was to examine the effects of treatment of hypersensitive dental cervix with diode laser.

Materials and methods: The study included 18 patients with 82 sensitive teeth. The degree of dentine hypersensitivity was evaluated by visual analogue scale (VAS), and the treatment was carried out by application of low-power diode laser over the span of three visits, which depended on the initial sensitivity.

Results: There is a significant difference in VAS values measured at the onset of treatment (baseline) and immediately after the first laser treatment (t=9.275; p=0.000), after 7 days, after the second laser treatment (14 days) (t=7.085, p=0.000), as well as after 14 days and the third laser treatment (t=5.517, p=0.000), which confirms the effectiveness of this therapeutic procedure. The results showed a reduction of hypersensitivity in response to tactile stimulus with a probe after the third treatment, even with teeth whose value on the VAS was very high at the beginning of treatment (baseline).

Conclusion: Within the scope of the conducted study, laser therapy has provided extremely safe and effective results in the treatment of cervical dentine hypersensitivity.

Keywords: dentine hypersensitivity; desensitizing agent; diode laser; laser therapy.

References

    1. Bartlett DW. The role of erosion in tooth wear: aetiology, prevention and management. Int Dent J. 2005;55:277–84.
    1. Bartlett D.W, Shah P. A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. J Dent Res. 2006;85:306–12.
    1. Ady M. Dentine hypersensivity. New perspectives and old problem. Inter Dent J. 2002;52:367–78.
    1. Rees JS. The prevalence of dentine hypersensitivity in general dental practise in the UK. J Clin Periodontol. 2000;27:860–5.
    1. Walline BW, Wagner JG, Marx DB, Reinhart RA. Comparison of methods for measuring root and mucogingival sensitivity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(5):641–6.
    1. Porto ICCM, Andrade AKM, Montes MAJR. Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci. 2009;51:323–32.
    1. Bamise CT, Esan TA. Mechanisms and treatment approaches of dentine hypersensitivity: a literature review. Oral Health Prev Dent. 2011;9:353–67.
    1. Blatz MB. Laser therapy may be better than topical desensitizing agents for treating dental hypersensitivity. J Evid Based Dent Pract. 2012;12:69–70.
    1. da Rosa WL, Lund RG, Piva E, da Silva AF. The effectiveness of current dentin desensitizing agents used to treat dental hypersensitivity: a systematic review. Quintessence Int. 2013;44:535–46.
    1. Orchardson R. Gillam DG. Managing dentin hypersensitivity. J Am Dent Assoc. 2006;137:990–8.
    1. Birang R. Poursamimi J. Gutknecht N. Lampert F. Mir M. Comparative evaluation of the effects of Nd: YAG and Er: YAG laser in dentin hypersensitivity treatment. Lasers Med Sci. 2007;22:21–4.
    1. Kara C. Orbak R. Comparative evaluation of Nd: YAG laser and fluoride varnish for the treatment of dentinal hypersensitivity. J Endod. 2009;35:971–4.
    1. Madhavan S, Nayak M, Shenoy A, Shetty R, Prasad K. Dentinal hypersensitivity: A comparative clinical evaluation of CPP-ACP F, sodium fluoride, propolis, and placebo. J Conserv Dent. 2012;15:315–8.
    1. Gangarosa LP., Sr Current strategies for dentist-applied treatment in the management of hypersensitive dentine. Arch Oral Biol. 1994;39(Suppl):101S–6S.
    1. Kimura Y, Wilder-Smith P, Yonaga K, Matsumoto K. Treatment of dentine hypersensitivity by lasers: A review. J Clin Periodontol. 2000;27:715–21.
    1. He S, Wang Y, Li X, Hu D. Effectiveness of laser therapy and topical desensitizing agents in treating dentine hypersensitivity: a systematic review. J Oral Rehabil. 2011;38:348–58.
    1. Biagi R, Cossellu G, Sarcina M, Pizzamiglio IT, Farronato G. Laser-assisted treatment of dentinal hypersensitivity: a literature review. Ann Stomatol (Roma) 2016
    1. Pashley DH. Dentin permeability and dentin sensitivity. Proc Finn Dent Soc. 1992;88(Suppl 1):31–7.
    1. Bartold PM. Dentinal hypersensitivity: A review. Aust Dent J. 2006;51:212–8.
    1. Walters PA. Dentinal hypersensitivity: A review. J Contemp Dent Pract. 2005;6:1–10.
    1. Yilmaz HG, 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. Photomed Laser Surg. 2011 Nov;29(11):721–5.
    1. Dilsiz A, Aydin T, Canakci V, Gungormus M. Clinical evaluation of Er: YAG, Nd: YAG, and diode laser therapy for desensitization of teeth with gingival recession. Photomed Laser Surg. 2010;28:S1–S7.
    1. Dantas EM, Amorim FK, Nóbrega FJ, Dantas PM, Vasconcelos RG, Queiroz LM. Clinical Efficacy of Fluoride Varnish and Low-Level Laser Radiation in Treating Dentin Hypersensitivity. Braz Dent J. 2016 Jan-Feb;27(1):79–82.
    1. Myers TD. McDaniel JD. The pulsed Nd: YAG dental laser: review of clinical applications. J Calif Dent Assoc. 1991;19:25–30.
    1. Liu Y, Gao J, Gao Y, Xu S, Zhan X, Wu B. In vitro study of dentin hypersensitivity treated by 980-nm diode laser. J Lasers Med Sci. 2013;4:111–9.
    1. Lan WH, Lee BS, Liu HC, Lin CP. Morphologic study of Nd: YAG laser usage in treatment of dentinal hypersensitivity. J Endod. 2004;30:131–4.
    1. Umberto R, Claudia R, Gaspare P, Gianluca T, Alessandro del V. Treatment of dentine hypersensitivity by diode laser: a clinical study. Int J Dent 2012. 2012:858950.
    1. Asnaashari M, Moeini M. Effectiveness of lasers in the treatment of dentin hypersensitivity. J Lasers Med Sci. 2013;4:1–7.
    1. Suri I, Singh P, Shakir QJ, Shetty A, Bapat R, Thakur R. A comparative evaluation to assess the efficacy of 5% sodium fluoride varnish and diode laser and their combined application in the treatment of dentin hypersensitivity. J Indian Soc Periodontol. 2016 May-Jun;20(3):307–14.
    1. Lopes AO, Eduardo Cde P, Aranha AC. Clinical evaluation of low-power laser and a desensitizing agent on dentin hypersensitivity. Lasers Med Sci. 2015 Feb;30(2):823–9.

Source: PubMed

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