Skip to main content

Advertisement

SpringerLink
Log in

Clinical evaluation of low-power laser and a desensitizing agent on dentin hypersensitivity

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

The aim of this randomized, longitudinal clinical study was to evaluate different protocols for dentin hypersensitivity treatment with low-power laser at different dosages, desensitizing agent, and associations, for a period of 6 months. After analysis of the inclusion and exclusion criteria of volunteer participants, those who present pain resulting from non-carious cervical lesions were selected. Twenty-seven patients participated in the study, and 55 lesions were recorded. The lesions were divided into five groups (n = 11), treated, and evaluated: G1: Gluma Desensitizer (Heraeus); G2: low-power laser (Photon Lase, DMC) at low dose (three vestibular points and one apical point of irradiation: 30 mW, 10 J/cm2, 9 s per point with wavelength of 810 nm), three sessions were performed with an interval of 72 h between them; G3: low-power laser at high dose (application at one cervical and one apical point: 100 mW, 90 J/cm2, 11 s per point with wavelength of 810 nm), three sessions were performed with an interval of 72 h between irradiations; G4: low-power laser at low dose + Gluma Desensitizer; and G5: low-power laser at high dose + Gluma Desensitizer, the level of sensitivity of each volunteer was evaluated with a visual analog scale of pain (VAS) with the use of air from a triple syringe and exploration with a probe after time intervals of 5 min, 1 week, and 1, 3, and 6 months after treatment. Data were collected and subjected to statistical analysis. Kolmogorov–Smirnov test was used to verify the distribution of the data, and nonparametric Kruskal–Wallis and Friedman tests were performed for comparison among the experimental groups and time intervals studied, respectively. Statistically significant differences between the studied time intervals (p < 0.05) were detected. From the difference in pain, it was observed that for both stimuli, the protocol with the Gluma desensitizing agent presented immediate effects of pain reduction. For low-level lasers, it was observed that there were distinct effects for the different doses; however, both were efficient in reducing pain up to the 6 months of clinical follow-up. Therefore, it could be concluded that all the desensitizing protocols were effective in reducing dentin hypersensitivity, but with different effects. The combination of protocols is an interesting alternative in the treatment of cervical dentin hypersensitivity.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Orchardson R, Gangarosa LP, Holland GR et al (1994) Dentine hypersensitivity into the 21st century. Arch Oral 39:113–119

    Article  Google Scholar 

  2. Bartold PM (2006) Dentinal hypersensitivity: a review. Aust Dent J 51(3):212–218

    Article  CAS  PubMed  Google Scholar 

  3. Bartlett DW, Shah P (2006) A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. J Dent Res 85(4):306–12

    Article  CAS  PubMed  Google Scholar 

  4. Lussi A (2006) Erosive tooth wear—a multifactorial condition of growing concern and increasing knowledge. Monogr Oral Sci 20:1–8

    Article  CAS  PubMed  Google Scholar 

  5. Coleman TA, Grippo JO, Kinderknecht KE (2000) Cervical dentin hypersensitivity, part II: associations with abfractive lesions. Quintessence Int 31(7):466–73

    CAS  PubMed  Google Scholar 

  6. Walters PA (2005) Dentinal hypersensitivity: a review. J Contemp Dent Pract 6(2):107–17

    PubMed  Google Scholar 

  7. West NX (2008) Dentine hypersensitivity: preventive and therapeutic approaches to treatment. Periodontol 2000(48):31–41

    Article  Google Scholar 

  8. Ladalardo TC, Pinheiro A, Campos RAC et al (2002) Laser therapy in the treatment of dentine hypersensitivity. Braz Dent J 15(2):780–95

    Google Scholar 

  9. Brännström M (1966) Sensitivity of dentine. Oral Surgery 21(4):517–526

    Article  Google Scholar 

  10. Orchardson R, Gillam DG (2006) Managing dentin hypersensitivity. JADA 137(7):990–998

    PubMed  Google Scholar 

  11. Chabanski MB, Gillam DG (1997) Etiology, prevalence and clinical features of cervical dentin sensitivity. J Oral Rehabil 24(1):15–19

    Article  CAS  PubMed  Google Scholar 

  12. Kakaboura A, Rahiotis C, Thomaidis S, Doukoudakis S (2005) Clinical effectiveness of two agents on the treatment of tooth cervical hypersensitivity. Am J Dent 18(4):291–295

    PubMed  Google Scholar 

  13. Pamir T, Dalgar H, Onal B (2007) Clinical evaluation of three desensitizing agents in relieving dentin hypersensitivity. Oper Dent 32(6):544–548

    Article  PubMed  Google Scholar 

  14. Olusile AO, Bamise CT, Oginni AO, Dosumu OO (2008) Short-term clinical evaluation of four desensitizing agents. J Contemp Dent Pract 9(1):22–29

    PubMed  Google Scholar 

  15. Aranha ACC, Pimenta LA, Marchi GM (2009) Clinical evaluation of desensitizing treatments for cervical dentin hypersensitivity. Braz Oral Res 23(3):333–339

    Article  PubMed  Google Scholar 

  16. Al-Sabbagh M, Brown A, Thomas MV (2009) In-office treatment of dentinal hypersensitivity. Dent Clin North Am 53(1):61–70

    Article  PubMed  Google Scholar 

  17. Orsini G, Procaccini M, Manzoli L, Giuliodori F, Lorenzini A, Putignano A (2010) A double-blind randomized-controlled trial comparing the desensitizing efficacy of a new dentifrice containing carbonate/hydroxyapatite nanocrystals and a sodium fluoride/potassium nitrate dentifrice. J Clin Periodontol 37(6):510–517

    Article  PubMed  Google Scholar 

  18. Pradeep AR, Sharma A (2010) Comparison of clinical efficacy of a dentifrice containing calcium sodium phosphosilicate to a dentifrice containing potassium nitrate and to a placebo on dentinal hypersensitivity: a randomized clinical trial. J Periodontol 81(8):1167–1173

    Article  CAS  PubMed  Google Scholar 

  19. Aranha ACC, Eduardo CP (2011) In vitro effects of Er, Cr:YSGG laser on dentine hypersensitivity. Dentine permeability and scanning electron microscopy analysis. Lasers Med Sci 27:1–8

    Google Scholar 

  20. Aranha ACC, Eduardo CP (2011) Effects of Er:YAG and Er, Cr:YSGG lasers on dentine hypersensitivity. Short-term clinical evaluation. Lasers Med Sci 13:1–6

    Google Scholar 

  21. Lopes AL, Aranha ACC (2013) Comparative evaluation of the effects of the Nd:YAG laser and a desensitizer agent on the treatment of dentin hypersensitivity. A clinical study. Photomed Laser Surg 31(3):132–138

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  22. Kerns DG, Scheidt MJ, Pashley DH, Horner AJ, Strong SL, Van Dyke TE (1991) Dentinal tubule occlusion and root hypersensitivity. J Periodontol 62(7):421–428

    Article  CAS  PubMed  Google Scholar 

  23. Panduric V, Kneževic A, Tarle Z, Šutalo J (2001) The efficiency of dentine adhesives in treating non-caries cervical lesions. J Oral Rehabil 28(12):1168–1174

    Article  CAS  PubMed  Google Scholar 

  24. Grossman LI (1935) A systematic method for the treatment of hypersensitive dentin. J Am Dent Assoc 22:592–602

    Google Scholar 

  25. Shiau HJ (2012) Dentin hypersensitivity. J Evid Based Dent Pract 12(3 Suppl):220–8

    Article  PubMed  Google Scholar 

  26. Dondidall’Orologio G, Lone A, Finger WJ (2002) Clinical evaluation of the role of glutaraldehyde in a one-bottle adhesive. Am J Dent 15(5):330–334

    Google Scholar 

  27. Qin C, Xu J, Zhang Y (2006) Spectroscopic investigation of the function of aqueous 2-hydroxyethylmethacrylate/glutaraldehyde solution as a dentin desensitizer. Eur J Oral Sci 114(4):354–359

    Article  CAS  PubMed  Google Scholar 

  28. Schüpbach P, Lutz F, Finger W (1997) Closing of dentinal tubules by Gluma desensitizer. Eur J Oral Sci 105(5):414–421

    Article  PubMed  Google Scholar 

  29. Marsilio AL, Rodrigues JR, Borges AB (2003) Effect of the clinical application of the GaAlAs laser in the treatment of dentine hypersensitivity. J Clin Laser Med Surg 21(5):291–296

    Article  PubMed  Google Scholar 

  30. Ladalardo TC, Pinheiro A, Campos RA, Brugnera Júnior A, Zanin F, Albernaz PL, Weckx LL (2004) Laser therapy in the treatment of dentine hypersensitivity. Braz Dent J 15(2):144–50

    Article  PubMed  Google Scholar 

  31. Dilsiz A, Aydn T, Emrem G (2010) Effects of the combined desensitizing dentifrice and diode laser therapy in the treatment of desensitization of teeth with gingival recession. Photomed Laser Surg 28(2):69–74

    Google Scholar 

  32. Tate Y, Yoshiba K, Yoshiba N, Iwaku M, Okiji T, Ohshima H (2006) Odontoblast responses to GaAlAs laser irradiation in rat molars: an experimental study using heatshock protein-25 immunohistochemistry. Eur J Oral Sci 114(1):50–57

    Article  CAS  PubMed  Google Scholar 

  33. Tengrungsun T, Sangkla W (2008) Comparative study in desensitizing efficacy using the GaAlAs laser and dentin bonding agent. J Dent 36(6):392–395

    Article  CAS  PubMed  Google Scholar 

  34. Midda M, Renton-Harper P (1991) Lasers in dentistry. Br Dent J 120(9):343–346

    Article  Google Scholar 

  35. Gerschman JA, Ruben J, Gebart-Eaglemont J (1994) Low level laser therapy for dentinal tooth hypersensitivity. Aust Dent J 39(6):353–357

    Article  CAS  PubMed  Google Scholar 

  36. Wakabayashi H, Hamba M, Matsumoto K, Tachibana H (1993) Effect of irradiation by semiconductor laser on responses evoked in trigeminal caudal neurons by tooth pulp stimulation. Lasers Surg Med 13(6):605–610

    Article  CAS  PubMed  Google Scholar 

  37. Godoy BM, Arana-Chavez VE, Núñez SC, Ribeiro MS (2007) Effects of low-power red laser on dentine-pulp interface after cavity preparation. An ultrastructural study. Arch Oral Biol 52(9):899–903

    Article  CAS  PubMed  Google Scholar 

  38. Ferreira ANS, Silveira L Jr, Genovese WJ (2006) Effect of GaAIAs laser on reactionaldentinogenesis induction in human teeth. Photomed Laser Surgery 24:358–365

    Article  Google Scholar 

  39. Smith AJ (2002) Dentin formation and repair. Quintessence Publishing Co., Chicago, pp 41–62

    Google Scholar 

  40. Vieira AHM, Passos VF, De Assis JS, Mendonça JS, Santiago SL (2009) Clinical evaluation of a 3% potassium oxalate gel and a GaAlAs laser for the treatment of dentinal hypersensitivity. Photomed Laser Surg 27(5):807–812

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The authors would like to thank the Special Laboratory of Lasers in Dentistry at the School of Dentistry of University of São Paulo, FAPESP (2010/13232-9 and 2011/17701-6) and CNPq (307375/2010-2).

Author information

Authors and Affiliations

  1. Special Laboratory of Lasers (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes, 2227, Cidade Universitária, São Paulo, SP, 05580-900, Brazil

    Anely Oliveira Lopes, Carlos de Paula Eduardo & Ana Cecília Correa Aranha

Authors
  1. Anely Oliveira Lopes
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Carlos de Paula Eduardo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ana Cecília Correa Aranha
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ana Cecília Correa Aranha.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lopes, A.O., de Paula Eduardo, C. & Aranha, A.C.C. Clinical evaluation of low-power laser and a desensitizing agent on dentin hypersensitivity. Lasers Med Sci 30, 823–829 (2015). https://doi.org/10.1007/s10103-013-1441-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-013-1441-z

Keywords

Search

Navigation