Nd:YAG; Nd:YAP; dental pain; dentinal hypersensitivity; laser; photobiomodulation; restorative dentistry; sensitivity; Ecology, Evolution, Behavior and Systematics; Biochemistry, Genetics and Molecular Biology (all); Space and Planetary Science; Paleontology; General Biochemistry, Genetics and Molecular Biology
Abstract :
[en] In this retrospective study, data for three different laser-assisted approaches for the management of dentinal hypersensitivity (DH) was collected (n = 920 teeth). In total, 387 teeth were treated with photobiomodulation (PBM) therapy with 660 nm red light laser (PBM group), 327 were treated with the Nd:YAG laser (1064 nm) and 206 were treated with the Nd:YAP laser (1340 nm). To assess the effectiveness of each treatment, a visual analogue scale (VAS) was used, where zero represented no pain at all and ten represented the greatest pain. VAS was used before (T0), immediately after (T1), one week after (T2), four weeks after (T3), six months after (T4) and one year after treatment (T5). Means and standard deviations of VAS at different follow-up times were calculated. Values were compared within and between groups. Statistical significance was considered to be achieved when p-value was less than 0.05. Confidence level was proposed to be 99% with a P value lower than 0.001. Within groups, a statistically significant reduction was obtained when the mean value of VAS at T0 was compared with T5. At T5, the PBM group had the highest reduction of VAS (with mean value of 0), while the Nd:YAG and Nd:YAP groups had scores of 1.065 ± 0.674 and 4.665 ± 0.674, respectively. Conclusion: this retrospective study showed that PBM therapy and irradiation with Nd:YAG and Nd:YAP lasers are effective in managing DH pain. However, PBM therapy was the only procedure that showed complete pain relief at six and twelve months after treatment.
Research Center/Unit :
d‐BRU - Dental Biomaterials Research Unit - ULiège
Disciplines :
Dentistry & oral medicine
Author, co-author :
Namour, Samir ; Université de Liège - ULiège > Département des sciences dentaires
El Mobadder, Marwan ; Dental Surgery Department, Wroclaw Medical University, 50-425 Wroclaw, Poland
Namour, Mélanie ; Université de Liège - ULiège > Dental biomaterials research unit (d-BRU)
Brugnera Junior, Aldo ; Biophotonics Center, Institute Brugnera e Zanin, Sao Paolo 01434-000, Brazil
Zanin, Fatima; Biophotonics Center, Institute Brugnera e Zanin, Sao Paolo 01434-000, Brazil
Brugnera, Ana Paula; Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium
Geerts, Sabine ; Centre Hospitalier Universitaire de Liège - CHU > > Service de dentisterie conservatrice et de pédodontie
Namour, Amaury; Department of Dental Science, Faculty of Medicine, University of Liege, 4000 Liege, Belgium
Language :
English
Title :
Twelve-Month Follow-Up of Different Dentinal Hypersensitivity Treatments by Photobiomodulation Therapy, Nd:YAG and Nd:YAP Lasers.
Bartold P. Dentinal hypersensitivity: A review Aust. Dent. J. 2006 51 212 218 10.1111/j.1834-7819.2006.tb00431.x 17037886
Shiau H.J. Dentin hypersensitivity J. Evid. Based Dent. Pract. 2012 12 220 228 10.1016/S1532-3382(12)70043-X 23040350
Brännström M. The hydrodynamic theory of dentinal pain: Sensation in preparations, caries, and the dentinal crack syndrome J. Endod. 1986 12 453 457 10.1016/S0099-2399(86)80198-4 3465849
West N.X. Lussi A. Seong J. Hellwig E. Dentin hypersensitivity: Pain mechanisms and aetiology of exposed cervical dentin Clin. Oral Investig. 2013 17 9 19 10.1007/s00784-012-0887-x 23224116
Absi E. Addy M. Adams D. Dentine hypersensitivity: A study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine J. Clin. Periodontol. 1987 14 280 284 10.1111/j.1600-051X.1987.tb01533.x 3475295
Zeola L.F. Soares P.V. Cunha-Cruz J. Prevalence of dentin hypersensitivity: Systematic review and meta-analysis J. Dent. 2019 81 1 6 10.1016/j.jdent.2018.12.015 30639724
Mathew M.G. Soni A.J. Khan M.M. Kauser A. Charan V.S.S. Akula S.K. Efficacy of remineralizing agents to occlude dentinal tubules in primary teeth subjected to dentin hypersensitivity in vitro: SEM study J. Fam. Med. Prim. Care 2020 9 354 10.4103/jfmpc.jfmpc_853_19
Porto I.C.C.M. Andrade A.K.M. Montes M.A.J.R. Diagnosis and treatment of dentinal hypersensitivity J. Oral Sci. 2009 51 323 332 10.2334/josnusd.51.323
Orchardson R. Gillam D.G. Managing dentin hypersensitivity J. Am. Dent. Assoc. 2006 137 990 998 10.14219/jada.archive.2006.0321
El Mobadder M. Namour A. Namour M. Dib W. El Mobadder W. Maalouf E. Geerts S. Zeinoun T. Nammour S. Dentinal Hypersensitivity Treatment Using Diode Laser 980 nm: In Vivo Study Dent. J. 2019 7 5 10.3390/dj7010005
Rosa W.L.D.O.d. Lund R.G. Piva E. Da Silva A.F. The effectiveness of current dentin desensitizing agents used to treat dental hypersensitivity: A systematic review Quintessence Int. 2013 44 7
Hall C. Sufi F. Milleman J.L. Milleman K.R. Efficacy of a 3% potassium nitrate mouthrinse for the relief of dentinal hypersensitivity: An 8-week randomized controlled study J. Am. Dent. Assoc. 2019 150 204 212 10.1016/j.adaj.2018.10.023 30803493
Hughes N. Mason S. Jeffery P. Welton H. Tobin M. O’shea C. Browne M. A comparative clinical study investigating the efficacy of a test dentifrice containing 8% strontium acetate and 1040 ppm sodium fluoride versus a marketed control dentifrice containing 8% arginine, calcium carbonate, and 1450 ppm sodium monofluorophosphate in reducing dentinal hypersensitivity J. Clin. Dent. 2010 21 49 55
Thrash W. Dodds M. Jones D. The effect of stannous fluoride on dentinal hypersensitivity Int. Dent. J. 1994 44 107 118 8021036
Hines D. Xu S. Stranick M. Lavender S. Pilch S. Zhang Y.P. Sullivan R. Montesani L. Montesani L. Mateo L.R. et al. Effect of a stannous fluoride toothpaste on dentinal hypersensitivity: In vitro and clinical evaluation J. Am. Dent. Assoc. 2019 150 47 59 10.1016/j.adaj.2019.01.006 30797259
Martins C.C. Firmino R.T. Riva J.J. Ge L. Carrasco-Labra A. Brignardello-Petersen R. Colunga-Lozano L.E. Granville-Garcia A.F. Costa F.O. Yepes-Nuñez J.J. et al. Desensitizing toothpastes for dentin hypersensitivity: A network meta-analysis J. Dent. Res. 2020 99 514 522 10.1177/0022034520903036
Marto C.M. Baptista Paula A. Nunes T. Pimenta M. Abrantes A.M. Pires A.S. Laranjo M. Coelho A. Donato H. Botelho M.F. et al. Evaluation of the efficacy of dentin hypersensitivity treatments-A systematic review and follow-up analysis J. Oral Rehabil. 2019 46 952 990 10.1111/joor.12842
Patil S.A. Naik B.D. Suma R. Evaluation of three different agents for in-office treatment of dentinal hypersensitivity: A controlled clinical study Indian J. Dent. Res. 2015 26 38 10.4103/0970-9290.156796
Trowbridge H.O. Silver D.R. A review of current approaches to in-office management of tooth hypersensitivity Dent. Clin. North Am. 1990 34 561 581 10.1016/S0011-8532(22)01135-1
Mahdian M. Behboodi S. Ogata Y. Natto Z.S. Laser therapy for dentinal hypersensitivity Cochrane Database Syst. Rev. 2021 7 CD009434
Tolentino A.B. Zeola L.F. Fernandes M.R. Pannuti C.M. Soares P.V. Aranha A.C. Photobiomodulation therapy and 3% potassium nitrate gel as treatment of cervical dentin hypersensitivity: A randomized clinical trial Clin. Oral Investig. 2022 25 1 9 10.1007/s00784-022-04652-1 35871702
Namour A. Nammour S. Peremans A. Heysselaer D. De Moor R.J. Treatment of dentinal hypersensitivity by means of Nd: YAP Laser: A preliminary in vitro study Sci. World J. 2014 2014 323604 10.1155/2014/323604 25383368
Machado A.C. Viana Í.E. Farias-Neto A.M. Braga M.M. Eduardo C.d.P. de Freitas P.M. Aranha A.C. Is photobiomodulation (PBM) effective for the treatment of dentin hypersensitivity? A systematic review Lasers Med. Sci. 2018 33 745 753 10.1007/s10103-017-2403-7 29204915
Aranha A.C. de Paula Eduardo C. Effects of Er:YAG and Er,Cr:YSGG lasers on dentine hypersensitivity. Short-term clinical evaluation Lasers Med. Sci. 2012 27 813 818 10.1007/s10103-011-0988-9 21912983
Benchimol E.I. Smeeth L. Guttmann A. Harron K. Moher D. Petersen I. Sørensen H.T. Von Elm E. Langan S.M. The RECORD Working Committee. The REporting of studies Conducted using Observational Routinely-collected health Data (RECORD) Statement PLoS Med. 2015 12 1001885 10.1371/journal.pmed.1001885
Olley R.C. Wilson R. Moazzez R. Bartlett D. Validation of a Cumulative Hypersensitivity Index (CHI) for dentine hypersensitivity severity J. Clin. Periodontol. 2013 40 942 947 10.1111/jcpe.12144
White J.M. Gekelman D. Shin K.B. Park J.S. Swenson T.O. Rouse B.P. Tran K.T. Bullard S.L. Scott-Beckles L.B. Oto M.G. et al. Laser interaction with dental soft tissues: What do we know from our years of applied scientific research? Lasers Dent. VIII 2002 4610 39 48
Da Rosa W. Piva E. da Silva A. Disclosing the physiology of pulp tissue for vital pulp therapy Int. Endod. J. 2018 51 829 846 10.1111/iej.12906
He Y. Gan Y. Lu J. Feng Q. Wang H. Guan H. Jiang Q. Pulpal tissue inflammatory reactions after experimental pulpal exposure in mice J. Endod. 2017 43 90 95 10.1016/j.joen.2016.09.003
El Mobadder M. Farhat F. El Mobadder W. Nammour S. Photobiomodulation Therapy in the Treatment of Oral Mucositis, Dysphagia, Oral Dryness, Taste Alteration, and Burning Mouth Sensation Due to Cancer Therapy: A Case Series Int. J. Environ. Res. Public Health 2019 16 4505 10.3390/ijerph16224505
Zecha J.A.E.M. Raber-Durlacher J.E. Nair R.G. Epstein J.B. Elad S. Hamblin M.R. Barasch A. Migliorati C.A. Milstein D.M.J. Genot M.-T. et al. Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: Part 2: Proposed applications and treatment protocols Support. Care Cancer 2016 24 2793 2805 10.1007/s00520-016-3153-y 26984249
Zecha J.A.E.M. Raber-Durlacher J.E. Nair R.G. Epstein J.B. Sonis S.T. Elad S. Hamblin M.R. Barasch A. Migliorati C.A. Milstein D.M.J. et al. Low-level laser therapy/photobiomodulation in the management of side effects of chemoradiation therapy in head and neck cancer: Part 1: Mechanisms of action, dosimetric, and safety considerations Support. Care Cancer 2016 24 2781 2792 10.1007/s00520-016-3152-z 26984240
Mir M. Mojahedi S.M. Tunér J. Shabani M. Darabi F. Rohban A. The effectiveness of home-use photobiomodulation toothbrush for treating dentin hypersensitivity: A pilot study Laser Ther. 2019 28 193 198 10.5978/islsm.28_19-OR-16 32009733
Kemper K.J. “Let there be light.” Research on phototherapy, light therapy, and photobiomodulation for healing—Alternative therapy becomes mainstream Complement. Ther. Med. 2018 41 1 6 10.1016/j.ctim.2018.10.007
Shigetani Y. Sasa N. Suzuki H. Okiji T. Ohshima H. GaAlAs laser irradiation induces active tertiary dentin formation after pulpal apoptosis and cell proliferation in rat molars J. Endod. 2011 37 1086 1091 10.1016/j.joen.2011.05.020
Gerschman J.A. Ruben J. Gebart-Eaglemont J. Low level laser therapy for dentinal tooth hypersensitivity Aust. Dent. J. 1994 39 353 357 10.1111/j.1834-7819.1994.tb03105.x
Fornaini C. Brulat-Bouchard N. Medioni E. Zhang S. Rocca J.-P. Merigo E. Nd: YAP laser in the treatment of dentinal hypersensitivity: An ex vivo study J. Photochem. Photobiol. B Biol. 2020 203 111740 10.1016/j.jphotobiol.2019.111740
Maamary S. De Moor R. Nammour S. Treatment of dentin hypersensitivity by means of the Nd: YAG laser. Preliminary clinical study Rev. Belg. Med. Dent. 2009 64 140 146
Al Habdan A. Al Ahmari F. Phototherapy Using Er, Cr: YSGG Laser as a Definitive Treatment for Dentin Hypersensitivity: A Systematic Review Int. J. Gen. Med. 2022 15 4871 10.2147/IJGM.S355890
Lin P.Y. Cheng Y.W. Chu C.Y. Chien K.L. Lin C.P. Tu Y.K. In-office treatment for dentin hypersensitivity: A systematic review and network meta-analysis J. Clin. Periodontol. 2013 40 53 64 10.1111/jcpe.12011 23057701
Simões K.C.T.-M.S. Melo B. Fernandes-Neto A.J.-d.A. Batista L.A. Use of high-and low-intensity lasers in the treatment of dentin hypersensitivity: A literature review J. Clin. Exp. Dent. 2021 13 412 417 10.4317/jced.57783 33841742
Yilmaz H.G. Cengiz E. Kurtulmus-Yilmaz S. Leblebicioglu B. Effectiveness of Er, Cr: YSGG laser on dentine hypersensitivity: A controlled clinical trial J. Clin. Periodontol. 2011 38 341 346 10.1111/j.1600-051X.2010.01694.x 21210833
Watanabe H. Kataoka K. Iwami H. Shinoki T. Okagami Y. Ishikawa I. In vitro and in vivo studies on application of erbium: YAG laser for dentine hypersensitivity Int. Congr. Ser. 2003 1248 455 457 10.1016/S0531-5131(02)01347-X
Zhou K. Liu Q. Yu X. Zeng X. Laser therapy versus topical desensitising agents in the management of dentine hypersensitivity: A meta-analysis Oral Dis. 2020 27 422 430 10.1111/odi.13309
Butera A. Gallo S. Pascadopoli M. Montasser M.A. Abd El Latief M.H. Modica G.G. Scribante A. Home Oral Care with Biomimetic Hydroxyapatite vs. Conventional Fluoridated Toothpaste for the Remineralization and Desensitizing of White Spot Lesions: Randomized Clinical Trial Int. J. Environ. Res. Public Health 2022 19 8676 10.3390/ijerph19148676
Davari A.R. Ataei E. Assarzadeh H. Dentin hypersensitivity: Etiology, diagnosis and treatment: A literature review J. Dent. 2013 14 136
