scholarly journals Uso e eficácia clínica do laser no tratamento da hipersensibilidade dentinária: uma revisão de literatura

2020 ◽  
Vol 8 (10) ◽  
Author(s):  
Erika Thaís Cruz Silva ◽  
Rodrigo Gadelha Vasconcelos ◽  
Marcelo Gadelha Vasconcelos

Introdução: A hipersensibilidade dentinária representa uma dor aguda e de curta duração em resposta à um estímulo.  Ao longo do tempo, vários tratamentos para a hipersensibilidade dentinária têm surgido, entre eles, destaca-se o uso do laser. Objetivo: Realizar uma revisão da literatura acerca dos estudos que abordem o uso dos lasers sejam eles de alta ou de baixa potência, destacando sua eficácia clínica no tratamento da hipersensibilidade dentinária. Materiais e método: Realizou-se uma revisão bibliográfica de estudos disponíveis na literatura publicados nos últimos 10 anos (2008- 2018), por meio da busca bibliográfica nas bases de dados eletrônicos utilizando os seguintes descritores: Lasers, hipersensibilidade dentinária e dor dentinária. Resultados: Podem ser utilizados tanto o laser de alta quanto o laser de baixa potência, de forma que cada um atua por um mecanismo diferente no tratamento da hipersensibilidade dentinária. Conclusão: Apesar de existir uma grande variabilidade nos protocolos e dosagens utilizados, de uma forma geral, os lasers mostram-se eficazes no tratamento da hipersensibilidade dentinária.Descritores: Lasers; Sensibilidade da Dentina; Terapêutica.ReferênciasMoraschini V, Costa LS, Santos GO. Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis. Clin Oral Investig. 2018;22(2):617-31.Hashim NT, Gasmalla BG, Sabahelkheir AH, Awooda AM. Effect of the clinical application of the diode laser (810 nm) in the treatment of dentine hypersensitivity. BMC Res Notes. 2014;7:31.Canali GD, Rached RN, Mazur RF, Souza EM. Effect of erosion/abrasion challenge on the dentin tubule occlusion using different desensitizing agents. Braz Dent J. 2017;28(2):216-24.Davari AR, Ataei E, Assarzadeh H. Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review. J Dent (Shiraz). 2013;14(3):136-45.Matias NMA, Lesão JC, Filho PFM, Silva CHV. Hipersensibilidade dentinária: uma revisão de literatura. Odontol. Clín.-Cient. 2010; 9(3): 205-208.Asnaashari  M,  Moeini M. Effectiveness of lasers in the treatment of dentin hypersensitivity. J Lasers Med Sci. 2013;4(1):1-7.Silva EL, Januário MVS, Vasconcelos MG, Vasconcelos RG. O uso do laser como alternativa clínica na dentística. Odontol. Clín.-Cient. 2018; 17(2):79-84.Dantas EM, Dantas PMC, Nóbrega FJO, Vasconcelos RG, Aguiar Júnior JN, Queiroz LMG. Tratamento da hipersensibilidade dentinária cervical com laser de baixa potência – revisão de literatura. Odontol. Clín-Cient. 2013;12(1):7-11.Costa LM, Cury MS, Oliveria MAHM, Nogueira RD, Geraldo-Martins VR. A utilização da laserterapia para o tratamento da hipersensibilidade dentinária: revisão da literatura. J Health Sci. 2016;18(3):210-16.Belal MH, Yassin A. A comparative evaluation of CO2 and erbium-doped yttrium aluminium garnet laser therapy in the management of dentin hypersensitivity and assessment of mineral contente. J Periodontal Implant Sci. 2014;44(5):227-34.Ozlem K, Esad GM, Ayse A, Aslihan U. Efficiency of lasers and a desensitizer agent on dentin hypersensitivity treatment: a clinical study. Niger J Clin Pract. 2018;21(2):225-30.Tabibzadeh Z, Fekrazad R, Esmaeelnejad A,  Shadkar MM, Sadrabad ZK, Ghojazadeh M. Effect of combined application of high- and low-intensity lasers on dentin hypersensitivity: A randomized clinical trial. J Dent Res Dent Clin Dent Prospects. 2018;12(1):49-55.Han SY, Kim JS, Kim YS, Kwon HK, Kim BL. Effect of a new combined therapy with nano-carbonate apatite and co2 laser on dentin hypersensitivity in an in situ model. Photomed Laser Surg. 2014;32(7):394-400.Lopes AO, Eduardo CP, Aranha ACC. Clinical evaluation of low-power laser and a desensitizing agente on dentin hypersensivity. Lasers Med Sci. 2013;30(2):823-29.Lopes AO, de Paula Eduardo C, Aranha ACC. Evaluation of diferente treatment protocols for dentin hypersensivity: na 18-month randomized clinical trial. Lasers Med Sci. 2017;32(5):1023-30.Lopes AO, Aranha. Comparative Evaluation of the Effects of Nd:YAG laser and a desensitizer agent on the treatment of dentin hypersensitivity: a clinical study. Photomed Laser Surg. 2013; 31(3):132-38.Aranha ACC, Eduardo Cde P. Effects of Er:YAG and Er,Cr:YSGG lasers on dentine hypersensitivity. Short-term clinical evaluation. Lasers Med Sci. 2012;27(4):813-18.Yu CH, Chang YC. Clinical efficacy of the Er:YAG laser treatment on hypersensitive dentin. J Formos Med Assoc. 2014; 113(6):388-91.Ribeiro JPF, Aranha ACC, Real RC, Eduardo CP. Avaliação dos efeitos do laser de Nd:YAG no tratamento da hipersensibilidade dentinária: estudo preliminar. Revista Saúde. 2011;5(4):14-26.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(3):111-19.Namour A,  Nammour S,   Peremans A,  Heysselaer D,  De Moor RJG. Treatment of dentinal hypersensitivity by means of Nd:YAP laser: a preliminary in vitro study. Sci World J. 2014; 1: 323604.Dantas EM, Amorim FKO, Nóbrega FJO, Dantas PMC, Vasconcelos RG, Queiroz LMG. Clinical efficacy of fluoride varnish and low-level laser radiation in treating dentin hypersensitivity. Braz Dent J. 2016;27(1):79-82. Bal MV, Keskiner I, Sezer U, Açikel C, Saygun I. Comparison of low level laser and arginine-calcium carbonate alone or combination in the treatment of dentin hypersensitivity: a randomized split-mouth clinical study. Photomed Laser Surg. 2015;33(4):200-5.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;20(3):307-14.Femiano F, Femiano R, Lanza A, Lanza M, Perillo L. Effectiveness on oral pain of 808 nm doide laser used prior to composite restoration for symptomatic non-caroius cervical lesions unresponsive to desensitizing agentes. Lasers Med Sci. 2017;32(1):67-71.Ko Y, Park J, Kim C, Baek SH, Kook YA. Treatment of dentin hypersensitivity with a low-level laser-emitting toothbrush: double-blind randomised clinical trial of efficacy and safety. J Oral Rehabil. 2014;41(7):523-31.

2010 ◽  
Vol 26 (5) ◽  
pp. 591-598 ◽  
Author(s):  
Kaan Orhan ◽  
Umut Aksoy ◽  
Deniz C. Can-Karabulut ◽  
Atakan Kalender

2015 ◽  
Vol 2 ◽  
pp. 5-9
Author(s):  
Elossais André Afif ◽  
Zanelatto Murilo Quintana ◽  
Araujo Ariani Tainara Silva de ◽  
Ramos Anna Thereza Peroba Rezende ◽  
Andrade Marcelo Ferrarezi de ◽  
...  

Laser Physics ◽  
2018 ◽  
Vol 28 (11) ◽  
pp. 113001 ◽  
Author(s):  
Ariani T S de Araujo ◽  
André A Elossais ◽  
Ana C P Barros ◽  
Keren C F Jordão-Basso ◽  
Rafael W C Manso ◽  
...  

2021 ◽  
Vol 12 (1) ◽  
pp. e33-e33
Author(s):  
Ioanna Bourouni ◽  
Kyriaki Kyriakidou ◽  
Ioannis Fourmousis ◽  
Ioannis A. Vrotsos ◽  
Ioannis K. Karoussis

Introduction: Photomodulation is a promising strategy for optimizing tissue healing, but its photomodulatory effects on the synergistic cellular metabolism of gingival and bony tissues remain largely unknown. The aim of the present study was to evaluate the photomodulatory effects of a diode laser (810 nm) on osteoblasts, HGFs and their co-cultures in vitro. Methods: Primary cultures of HGFs, cultures of immature osteoblastic cells (MG63) and their co-cultures were irradiated with a diode laser (810 nm), 15 J/cm2 . Cell cultures were examined for cellular proliferation (MTT assay), viability (FDA/PI staining) after 24, 48 and 72 hours and cell differentiation (qPCR of collagen type 1a – COL1a and alkaline phosphatase expressions - ALP) after 7 days. Results: Photomodulation with an 810-nm diode laser increased cell proliferation at all time points. COL1a gene expression increased both in HGF and co-cultures. ALP expression was up-regulated in osteoblastic cultures, but co-cultures with fibroblasts negated this response. Conclusion: The 810-nm diode laser positively affected cell proliferation and viability in all experimental groups. The statistically significant increased COL1a gene expression at 7 days after irradiation both in the irradiated HGF and co-cultures suggests that low-level laser therapy (LLLT) stimulated extracellular matrix (ECM) formation signaling in both cell types.


2016 ◽  
Vol 27 (1) ◽  
pp. 79-82 ◽  
Author(s):  
Euler Maciel Dantas ◽  
Fernanda Kyarelly de Oliveira Amorim ◽  
Fernando José de Oliveira Nóbrega ◽  
Poliana Medeiros Cunha Dantas ◽  
Rodrigo Gadelha Vasconcelos ◽  
...  

Abstract The objective of this study was to compare the efficacy of fluoride varnish (Fluorniz(r)) and irradiation with a gallium-arsenide-aluminum diode laser in the treatment of cervical dentin hypersensitivity. Cervical dentin hypersensitivity (CDH) is a painful condition that is highly prevalent in the world's adult population, with one in six patients presenting this symptom. Eighty-six teeth were divided into two groups: Group 1, teeth treated with Fluorniz; Group 2, teeth irradiated with a GaAlAs laser at a 4 J/cm2 dose. The two treatments were applied to the buccal cervical region in four sessions, at intervals of 72 to 96 h. The response of the patient to tactile and thermal-evaporative stimuli was rated on a visual analog scale. The results showed a reduction of hypersensitivity in response to tactile and thermal-evaporative stimulation at the end of treatment in both groups. In conclusion, short-term treatment with Fluorniz was found to be more effective than low-level laser radiation in reducing cervical dentin hypersensitivity.


2012 ◽  
Author(s):  
Ying-Ying Huang ◽  
Clark E. Tedford ◽  
Thomas McCarthy ◽  
Michael R. Hamblin

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