Abstract
This study compares sensitivity reduction after dental restoration with and without prior diode laser (DL) irradiation for cervical dentine hypersensitivity (CDH) from non-carious cervical lesions (NCCLs) unresponsive to desensitizing agents. Eighty-eight teeth of 28 subjects (21 females; age 23–64 years), with CDH from NCCL were included in this study. NCCLs of each oral quadrant were randomized in two groups (study group (SG)) to estimate the sensitivity reduction after dental restoration (SG-1) compared with the DL irradiation used prior to restoration placement (SG-2). The subjects were asked to rate the sensitivity experienced during air stimulation using a visual analog scale before (baseline), immediately after, and at 6 and 12 months from restoration. The outcomes showed a significant reduction of discomfort compared to baseline for NCCLs of SG-2 with the decrease of 78.5, 78.9, and 78.1 % immediately and at 6 and 12 months after restoration, respectively; in comparison with the decrease of 70.1, 67, and 65.3 % for NCCLs of SG-1 immediately and at 6 and 12 months after restoration, respectively; and compared to baseline. The DL irradiation prior to dental restoration can further improve the painful symptomatology of CDH from NCCL unresponsive to desensitizing agents.
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References
Bader JD, Levitch LC, Shugars DA, Haymann HO, McClure F (1993) How dentists classified and treated noncarious cervical lesions. J Am Dent Assoc 124(5):46–54
Grippo JO (1991) Abfractions: a new classification of hard tissue lesions of teeth. J Esthet Dent 3(1):14–19
Femiano F, Femiano R, Femiano L, Festa VM, Rullo R, Perillo L (2015) Noncarious cervical lesions: correlation between abfraction and wear facets in permanent dentition. Open J Stomatology (OJST) 5:152–157
Brännström M, Astrom A (1972) The hydrodynamics of the dentine, its possible relationship to dentinal pain. Int Dent J 22:219–227
Brännström M, Johnson G, Nordenvall KJ (1979) Transmission and control of dental pain: resin impregnation for the desensitization of dentin. J Am Dent Assoc 99:612–618
de Souza AM, Colares RC, Mendonça JS, Rodrigues LK, Santiago SL (2014) Effect of oxalic acid pre-treatment in restorations of non-carious cervical lesions: a randomized clinical trial. J Conserv Dent 17(5):427–431
Zhu M, Li J, Chen B, Mei L, Yao L, Tian J, Li H (2015) The effect of calcium sodium phosphosilicate on dentin hypersensitivity: a systematic review and meta-analysis. PLoS One 10(11):1–15
Jena A, Shashirekha G (2015) Comparison of efficacy of three different desensitizing agents for in-office relief of dentin hypersensitivity: a 4 weeks clinical study. J Conserv Dent 18(5):389–393
Femiano F, Femiano R, Lanza A, Festa MV, Rullo R, Perillo L (2013) Efficacy of diode laser in association to sodium fluoride vs Gluma desensitizer on treatment of cervical dentin hypersensitivity. A double blind controlled trial. Am J Dent 26(4):214–218
Femiano F, Femiano L, Festa VM, Rosario R, Perillo L (2014) Reactionary and reparative dentinogenesis a review. Int J Dent Clin (INTJDC) 6(4):17–19, http://intjdc.org/index.php/intjdc/article/view/6406964
Han L, Okiji T (2015) Dentin tubule occluding ability of dentin desensitizers. Am J Dent 28(2):90–94
Smith BG, Knight JK (1984) An index for measuring the wear of teeth. Br Dent J 156:435–438
Afolabi AO, Shaba OP, Adegbulugbe IC (2013) Clinical investigation of patient related factors in non carious cervical lesions. Nig Q J Hosp Med 23(2):129–134
Antoniazzi RP, Machado ME, Grellmann AP, Santos RC, Zanatta FB (2014) Effectiveness of a desensitizing agent for topical and home use for dentin hypersensitivity: a randomized clinical trial. Am J Dent 27(5):251–257
Arnold WH, Prange M, Naumova EA (2015) Effectiveness of various toothpastes on dentine tubule occlusion. J Dent 43(4):440–449
Dall’Orologio GD, Ishihata H, Finger WJ, Sasaki K (2014) In vitro and in vivo evaluation of the effectiveness of three dentin desensitizing treatment regimens. Am J Dent 27(3):139–144
Burrow MF (2011) Clinical evaluation of non-carious cervical lesion restorations using a HEMA-free adhesive: three-year results. Aust Dent J 56(4):401–405
Ding YJ, Yao H, Wang GH, Song H (2014) A randomized double-blind placebo-controlled study of the efficacy of Clinpro XT varnish and Gluma dentin desensitizer on dentin hypersensitivity. Am J Dent 27(2):79–83
Davari A, Ataei E, Assarzadeh H (2013) Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review. J Dent (Shiraz) 14(3):136–145, Review
Lawson NC, Robles A, Fu CC, Lin CP, Sawlani K, Burgess JO (2015) Two-year clinical trial of a universal adhesive in total-etch and self-etch mode in non-carious cervical lesions. J Dent 43(10):1229–1234
Freitas Sda S, Sousa LL, Moita Neto JM, Mendes RF, Prado RR (2015) Dentin hypersensitivity treatment of non-carious cervical lesions—a single-blind, split-mouth study. Braz Oral Res 29:45
Pinna R, Bortone A, Sotgiu G, Dore S, Usai P, Milia E (2015) Clinical evaluation of the efficacy of one self-adhesive composite in dental hypersensitivity. Clin Oral Investig 19(7):1663–1672
Arany PR (2016) Craniofacial wound healing with photobiomodulation therapy: new insights and current challenges. J Dent Res
Cunha-Cruz J (2011) Laser therapy for dentine hypersensitivity. Evid Based Dent 12:74–75
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Femiano, F., Femiano, R., Lanza, A. et al. Effectiveness on oral pain of 808-nm diode laser used prior to composite restoration for symptomatic non-carious cervical lesions unresponsive to desensitizing agents. Lasers Med Sci 32, 67–71 (2017). https://doi.org/10.1007/s10103-016-2087-4
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DOI: https://doi.org/10.1007/s10103-016-2087-4