scholarly journals Evaluation and comparision of the clinical effectiveness of diode laser and Gluma as desensitizing agents in the treatment of dentinal hypersensitivity

2021 ◽  
Vol 3 (2) ◽  
pp. 69-72
Author(s):  
Nemakal Sumana ◽  
Chakravarthy YSHS ◽  
Ch Susmitha S S ◽  
Patcha Harika ◽  
Sravani Bontu ◽  
...  
Keyword(s):  
Diode Laser ◽  
Clinical Effectiveness ◽  
Adhesive System ◽  
Dentin Hypersensitivity ◽  
Presenting Symptoms ◽  
Vas Score ◽  
Group I ◽  
Desensitizing Agents ◽  
Dentinal Hypersensitivity

Dentin hypersensitivity is one of the most common presenting symptoms in dental practice. It may range from mild discomfort to severe pain affecting the person. Laser desensitization has been introduced as a useful tool for the treatment of hypersensitivity. Gluma Dentin Bond is an adhesive system, where the primer contains 5% glutaraldehyde and 35% hydroxyethyl methacrylate. Practitioners have reported a strong desensitizing effect of the Gluma® system on dentin The aim of this study is to evaluate and compare the clinical effectiveness of Diode laser and Gluma ®desensitizing agent in the treatment of dentin hypersensitivity. 24 patients aged between 20 and 50 years was included to assess tooth sensitivity, a controlled air stimulus (evaporative stimulus) was used. Sensitivity was measured using a 10-cm Visual Aanalog Scale (VAS) score. The teeth was randomly allocated to two groups i.e., Group I or II using the lottery method. Gluma® showed a statistically significant reduction in the VAS score as compared to diode laser 1, 2- and 4-weeks follow-up period (p < 0.05).  The result of the present investigation revealed that application of Gluma® resulted in better control dentin hypersensitivity as compared to diode laser.

scholarly journals Evaluation of the Effects of 660-nm and 810-nm Low-Level Diode Lasers on the Treatment of Dentin Hypersensitivity

2020 ◽  
Vol 11 (2) ◽  
pp. 126-134
Author(s):  
Narges Naghsh ◽  
Mahdi Kachuie ◽  
Marzie Kachuie ◽  
Reza Birang
Keyword(s):  
Diode Laser ◽  
Repeated Measures ◽  
Diode Lasers ◽  
Tooth Surface ◽  
Control Group ◽  
Dentin Hypersensitivity ◽  
Double Blind ◽  
Group I ◽  
Significant Difference ◽  
Laser Group

Introduction: Dentin hypersensitivity is a common oral problem that occurs as a short and sharp pain. There are many techniques to treat this condition, the latest of which is laser treatment. The aim of this study was to evaluate the effect of two types of low-power diode lasers (660 nm and 810 nm) on dentin hypersensitivity in order to achieve an acceptable clinical application by adjusting the effective parameters. Methods: In this randomized, double-blind clinical trial, sensitive teeth of 7 patients were divided into three groups with a randomized matching method: group I, treated with 660-nm diode laser irradiation, group II, treated with diode laser 810-nm, and group III, the control group. Irradiation parameters for 660-nm and 810-nm diode lasers were the power of 30 mW and 100 mW respectively, in contact and continuous modes, perpendicular to the tooth surface with a sweeping motion. Treatments were carried out in four sessions at weekly intervals. The data obtained were analyzed with SPSS 22, using one-way repeated measures ANOVA and the LSD (least significant difference) test. The significance level was considered as P≤0.05. Results: There were no significant differences in visual analogue scale (VAS) score changes between the two laser groups after the intervention in the first, second and third weeks compared to the baseline (P>0.05). These changes in the fourth week were significantly higher in the 810-nm laser group compared to the 660-nm laser group (P=0.04), and in the 660-nm laser group, they were more than the control group (P=0.02). The mean VAS scores at 1-week, 1-month and 2-month postoperative intervals were significantly lower in the 810-nm laser group than in the 660-nm laser group, and in the 660-nm laser group, they were less than the control group (P<0.001). Conclusion: The use of 660-nm and 810-nm diode lasers with the power of 30 and 100 mW respectively for 120 seconds was effective in reducing pain in patients with dentin hypersensitivity. However, the effect of the 810-nm laser on reducing the dentin hypersensitivity was more long-lasting than that of the 660-nm laser.

scholarly journals A randomized split mouth clinical trial of the application of the desensitizer agents for tooth sensitivity

2021 ◽  
Vol 9 (8) ◽  
pp. 2430
Author(s):  
K. Hanisha Reddy ◽  
Afroz Kalmee Syed ◽  
Dasarathi Alivelu ◽  
Haranath Danda ◽  
Ramya Alla
Keyword(s):  
Clinical Trial ◽  
Clinical Effectiveness ◽  
Dentin Hypersensitivity ◽  
Base Line ◽  
Tooth Sensitivity ◽  
The People ◽  
Desensitizing Agents ◽  
Vas Scores ◽  
Barrier Coat ◽  
Line P

Background: Dentin hypersensitivity (DH) affects 3%-75% of the people and is one of the morbid tooth conditions. Hence in the present study we aim to examine the clinical effectiveness of 3 different desensitizing agents in decreasing pain of DH in time of 1 month.Methods: Fifty subjects with cervical DH in at least one tooth in any three of the 4 quadrants were selected. VAS was used to note the pain. Each quadrant in an individual was randomly assigned. Profluorid varnish, Admira protect, and PRG‑Barrier coat was used. VAS scores for the tactile and air stimuli were noted immediately after application, 1 week, and after 1 month. The data was analyzed keeping p<0.05 as significant.Results: VAS significantly reduced for all three groups from the base line (p<0.001). Admira protect showed significant reduction of hypersensitivity scores at 1 month compared to other groups (p<0.001).Conclusions: Admira protect was better at lowering the pain due to DH than PRG‑barrier coat and Profluorid varnish after 1 month of application.

scholarly journals Clinical Effectiveness of Gingival Depigmentation Using Conventional Surgical Scrapping and Diode Laser Technique: A Quasi Experimental Study

2016 ◽  
Vol 9 (3) ◽  
pp. 296 ◽  
Author(s):  
Reddy Nagati Raghavendra ◽  
M. Ragul ◽  
Al-Qahtani Nabeeh ◽  
K. S. Ravi ◽  
S. Tikare ◽  
...  
Keyword(s):  
Diode Laser ◽  
Statistical Difference ◽  
Clinical Effectiveness ◽  
Patient Comfort ◽  
Patient Acceptance ◽  
P Value ◽  
Laser Technique ◽  
Gingival Bleeding ◽  
Gingival Depigmentation

<p>Excessive gingival pigmentation is a major aesthetic concern in modern society, though it is not a medical problem they consider it as a negative attribute. Patients with gingival hyperpigmentation usually complain and request cosmetic therapy, particularly if the pigmentation is visible during speaking and smiling. Various depigmentation methods, including burr abrasion, cryosurgery, electro-surgery, split thickness flap excision and surgical scraping techniques have been used with varying degrees of success. Recently, lasers have been used to ablate cells containing and producing the melanin pigment. The present study was undertaken to compare the clinical effectiveness and patient comfort of surgical scrapping and diode laser technique used for gingival depigmentation for a follow up period of 6 months.20 subjects participated in this split mouth study. The clinical evaluation parameters included Extent and Intensity of gingival hyperpigmentation, post-operative gingival bleeding and pain. On follow up examination at 6<sup>th</sup> month there was no statistical difference in repigmentation extent and intensity between diode laser and surgical scraping techniques. The mean pain scores for treated sites with diode laser were significantly lower than surgical scrapping technique at 24 hours (t-value=2.430, p-value=0.02). The postoperative gingival bleeding at end of procedure was significantly lower with diode laser than surgical scrapping technique (p-value=&lt;0.0001). There was no statistical difference in postoperative re-pigmentation and clinical efficacy among the subjects between surgical scraping and diode laser technique at 6<sup>th</sup> month follow up. Diode laser technique provides better haemostasis and good visibility at the surgical site. The post-operative patient comfort is better at the surgical sites treated with diode laser than surgical scrapping method. Hence, both the techniques are used for depigmentation procedures depending on the severity and gingival biotype and patient acceptance.</p>

scholarly journals COMPARATIVE EVALUATION OF THE EFFICACY OF DIODE LASER, GLUMA DESENSITIZER AND DESENSITIZING MOUTH RINSE IN THE TREATMENT OF DENTINE HYPERSENSITIVITY – CLINICAL STUDY

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Sai Chandra Goud ◽  
Prerna Kataria ◽  
Pradeep Shukla ◽  
Gaurav Malhotra ◽  
Varun Dahiya ◽  
...  
Keyword(s):  
Diode Laser ◽  
Potassium Nitrate ◽  
Mouth Rinse ◽  
Dentine Hypersensitivity ◽  
Group I ◽  
Mouth Rinses ◽  
Probe Test ◽  
Group 3 ◽  
Group 2 ◽  
Dentinal Hypersensitivity

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, lasers. Gluma Desensitizer, Desensitizing mouthrinse has been used previously in a dentifrice or gel to alleviate dentinal hypersensitivity. Aim: To compare the efficacy of Diode laser, Gluma desensitizer and desensitizing mouth rinse in the treatment of dentine hypersensitivity. Materials and Methods: The study contained 60 individuals (42 males and 18 females) of dentinal hypersensitivity. There were three groups in the study i.e., patients treated with laser, Gluma Desensitizer and Desensitizing mouth rinse. Before starting any treatment, the hypersensitivity was checked with the help of cold air blast and probe test according to VAS (Visual analog scale) the responses were evaluated from the patients. Results: Group I (Laser) showing the highly significant results compared to group 2 (Gluma desensitizer) and group 3 desensitizing mouth rinse (3% Potassium Nitrate) in decreasing the dentinal hypersensitivity. Keywords: dentine hypersensitivity, desensitizing agent, diode laser, laser therapy. Gluma Desensitizer; mouth rinses

The Effect of Three Desensitizing Agents on Dentin Hypersensitivity: A Randomized, Split-mouth Clinical Trial

2014 ◽  
Vol 39 (5) ◽  
pp. E186-E194 ◽  
Author(s):  
CRG Torres ◽  
TM Silva ◽  
BM Fonseca ◽  
ALLS Sales ◽  
P Holleben ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Analogue Scale ◽  
Tactile Stimulus ◽  
Multiple Comparisons ◽  
Dentin Hypersensitivity ◽  
Double Blind Study ◽  
Double Blind ◽  
Desensitizing Agents ◽  
Baseline Values

SUMMARY The aim of this study was to evaluate the efficacy of three desensitizing agents to provide relief to dentin hypersensitivity after one session in a four-week follow-up. Forty selected patients participated in a double-blind study following a split-mouth model. One application of the desensitizing agents (A, Admira Protect [Voco]; B, Bifluorid 12 [Voco]; and C, Colgate Pro-Relief in office [Colgate Palmolive]) was performed in three different quadrants for each patient. Each tooth was evaluated by tactile and evaporative stimuli, and the sensitivity response was measured using the Visual Analogue Scale. Evaluations were performed at baseline, immediately after treatment, and after one, two, three, and four weeks. The application of Kruskal-Wallis and Dunn multiple comparisons tests (5%) for both tactile and evaporative stimuli showed that all agents presented a significant desensitizing effect. In groups A and B this relief was maintained for four and three weeks, respectively, as measured by tactile stimulus and for four weeks with evaporative stimulus. The desensitizing effect for group C was maintained for two weeks for both tactile and evaporative stimuli. It is concluded that all desensitizing agents tested were effective in reducing sensitivity compared to baseline values. One application of Admira Protect and Bifluorid 12 presented a longer-lasting desensitizing effect than did Colgate Pro-Relief (applied in the office) on both tactile and evaporative stimuli.

scholarly journals A Clinical Study Comparing the Efficacy of SesameOil with Desensitizing Tooth Paste in Reducing Dentinal Hypersensitivity: A Randomized Controlled Trial

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Walaa Abdullah Al Qahtani ◽  
N. C. Sandeepa ◽  
Eman Khalid Abdullah ◽  
Yosra Mohammed Mousa ◽  
Atheer Abdulhade Ganem ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Analogue Scale ◽  
Controlled Trial ◽  
Sesame Oil ◽  
Dentin Hypersensitivity ◽  
Therapeutic Effectiveness ◽  
Randomized Controlled ◽  
Time Periods ◽  
Dentinal Hypersensitivity

Context. Several treatments are available for management of dentinal hypersensitivity, most routinely recommended one being desensitizing tooth paste with variable results. This is a clinical trial to study the therapeutic effectiveness of sesame oil which is an essential oil, a commonly available household traditional medicine with several health benefits. Objectives. The objective of this study was to evaluate the efficacy of sesame oil therapy in reduction of dentin hypersensitivity, as compared to desensitizing dentifrice. Design, setting, participants. We conducted a single blinded randomized controlled trial in 100 patients reported to Diagnostic Department of King Khalid University-College of Dentistry between March 2018 and December 2019. Interventions. Patients were given desensitizing tooth paste or sesame oil to apply for the specified time. Main outcome measures. A Visual Analogue Scale was used to record sensitivity scores for controlled air stimulus and tactile method at the first visit and after 8th week of treatment. Measured outcome was reduction in dentinal hypersensitivity. Results. Hypersensitivity degree before treatment in case of desensitizing tooth paste was 6.90 ± 1.04, and posttreatment showed a score of 4.70 ± 1.37. In case of sesame oil groups, subjects included had a score of 7.14 ± 0.90 which showed a drop to a score of 4.52 ± 1.16. Conclusions. Desensitizing tooth paste showed 30.5% reduction in sensitivity, whereas sesame oil application showed 36.2% reduction. The belief of considering oil therapy in oral health is just a placebo effect and may not be considered anymore. Efficacy can be established with many more studies including long follow-up and varying time periods.

Enhancing the efficiency of desensitizing agents with shockwave treatment – a new paradigm in dentinal hypersensitivity management

RSC Advances ◽  
2016 ◽  
Vol 6 (73) ◽  
pp. 68973-68978 ◽  
Author(s):  
Akshay Datey ◽  
C. S. Adeeb Thaha ◽  
Sudhir R. Patil ◽  
Jagadeesh Gopalan ◽  
Dipshikha Chakravortty
Keyword(s):  
Dentin Hypersensitivity ◽  
New Paradigm ◽  
Desensitizing Agents ◽  
Dentinal Hypersensitivity

Micro-shockwave assisted dentin hypersensitivity management.

scholarly journals A randomized clinical trial of dentin hypersensitivity reduction over one month after a single topical application of comparable materials

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Samar Hatem Abuzinadah ◽  
Abdulrahman Jafar Alhaddad
Keyword(s):  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
Topical Application ◽  
Dentin Hypersensitivity ◽  
Air Blast ◽  
King Abdulaziz University ◽  
Age Range ◽  
Dentinal Hypersensitivity ◽  
Self Etch

AbstractDentinal hypersensitivity (DH) is a condition that causes patient discomfort. To evaluate the clinical efficacy of Gluma, fluoride varnish and Tetric N-Bond self-etch system in relieving DH immediately and over 30 days following a single topical application. The present randomized clinical trial was conducted on 55 patients with an age range 20–49 years. 70 teeth in total were incorporated and randomly assigned to the three groups. Parameters examined were: Tactile, air blast, and cold stimuli. VAS was used to assess tactile stimulus whereas the Schiff Cold Scale for air blast and cold stimuli. DH was evaluated immediately, at two weeks and 1 month follow up. Gluma showed a statistically significant reduction in DH scores over other materials. It was concluded that Gluma have statistically significant results over other materials in relieving DH immediately and over 30 days following a single topical application.Trial Registration: Clinical Trials.gov Identifier: NCT04351412, King Abdulaziz University Protocol Record 129-09-19. Registered 17 April 2020 – Retrospectively registered. http://ClinicalTrials.gov/NCT04351412.

scholarly journals A New Combined Protocol to Treat the Dentin Hypersensitivity Associated with Non-Carious Cervical Lesions: A Randomized Controlled Trial

2020 ◽  
Vol 11 (1) ◽  
pp. 187
Author(s):  
Felice Femiano ◽  
Rossella Femiano ◽  
Luigi Femiano ◽  
Ludovica Nucci ◽  
Giuseppe Minervini ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Diode Laser ◽  
Controlled Trial ◽  
Study Groups ◽  
Wilcoxon Test ◽  
P Value ◽  
Dentin Hypersensitivity ◽  
Cervical Lesions ◽  
Randomized Controlled ◽  
Vas Score

The goal of this research is to assess the desensitizing effect of a diode laser on non-carious cervical lesions (NCCLs) responsible for dentin hypersensitivity (DH) in two separate output forces implemented both independently and in sequential combination modalities. A randomized controlled trial for this study was applied. Sixty-nine NCCLs responsible for DH pain with severity between 6 and 9 on the VAS scale were considered. Three study groups were developed using just one lesion from three different quadrants of the oral cavity of each patient. All treatment procedures were conducted using a laser diode (810 nm, 5 W) with varying power outputs used separately or in combination. The pain by DH was evaluated at baseline, at treatment completion, and at 15 days and 3 months after each laser procedure. Data analysis was performed using a Wilcoxon test for paired samples, a one-way ANOVA test, and an unpaired t-test. The significant reduction of the mean VAS score was estimated in each study group immediately and at 15 days and 3 months after the end of treatment and compared with the baseline mean VAS score (p-value < 0.0001). The best result concerning the improvement of DH symptomatology was assessed when a combined protocol of two different output powers of the diode laser was used. The authors conclude that the diode laser (810 nm) therapy procedure combining two separate output forces (low and high power) can improve the painful symptoms of DH from NCCLs.

scholarly journals Comparison of two treatment modalities for treatment of dentinal hypersensitivity following periodontal therapy.

2019 ◽  
pp. 14-21
Author(s):  
Kevin Saraiya ◽  
Deepk Dave ◽  
Kesha Vaghani
Keyword(s):  
Cold Water ◽  
Test Group ◽  
Periodontal Therapy ◽  
Treatment Modalities ◽  
Control Group ◽  
Group Comparison ◽  
Air Blast ◽  
Vas Score ◽  
Dentinal Hypersensitivity

Brief Background To evaluate and compare efficacy of 1.23% Acidulated Phosphate Fluoride (APF) gel with iontophoresis and topically applied calcium sodium phosphosillicate in the treatment of dentinal hypersensitivity. Materials and Methods In this clinical study, a total of 72 participants with dentinal hypersensitivity (DH) after periodontal treatment were included. 36 participants were assigned to the test group, treated with 1.23% APF gel iontophoresis and 36 participants were in the control group, treated with topical application of calcium sodium phosphosillicate. The VAS score was measured using tactile, air blast and cold-water test at baseline, 2 weeks and 2 months. Results Inter group comparison showed, statistically significant reduction in difference from baseline to 2 weeks follow-up and baseline to 2 months follow-up in VAS score in test group as compared to control group (p<0.001) except for difference from baseline to 2 weeks in air blast test where test and control group showed same reduction. Difference from 2 weeks to 2 months showed no statistically significant reduction in both groups. Intra group comparison showed, statistically significant reduction in baseline to 2 weeks and baseline to 2 months in both groups and from 2 weeks to 2 months no statistically significant reduction in VAS score in both groups. Summary and Conclusions Within the limitation of the study, it can be concluded that iontophoresis with 1.23% APF gel is more effective. Key Words: 1.23 % APF gel;Calcium Sodium Phosphosilicate;Chronic periodontitis; Dentinal hypersensitivity, Periodontal therapy; VAS score

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