Abstract
Dentinal hypersensitivity is one of the oldest recorded complaints of discomfort to mankind and yet there appears to be no permanent treatment for this clinical condition. This study was designed to evaluate the clinical efficacy of potassium binoxalate gel and neodymium:yttrium–aluminum–garnet (Nd:YAG) laser on dentin hypersensitivity for a period of 9 months. Eighty teeth (20 subjects, 25–55 years old, M = F) were evaluated in a split-mouth design to receive potassium binoxalate (group A, 40 teeth) and Nd:YAG (group B, 40 teeth: 1 W, 10 Hz, and 60 s, irradiated twice). The diameter of output beam was about 300 μm with a distance of 2 mm between laser fiber or tip and tooth surface. The clinical efficacy was evaluated by air-blast test and cold-water test using visual analog scale. Electron microscopy photomicrographs were taken to confirm the results. Analysis was done at baseline; immediately post-treatment; and at 3, 6, 9 months post-treatment. Student’s paired and unpaired T tests were used to evaluate the statistical analysis. Both treatment modalities were effective in reducing dentine hypersensitivity. However, Nd:YAG laser was better when intragroup comparison was made at 9 months post-treatment. Nd:YAG lasers is better in long-term treatment (up to 9 months) owing to the melting of dentinal tubules. However, due to depth of penetration of microcrystals, gel was better when ease of the procedure is considered. Nevertheless, both treatment modalities resulted in recurrence. Hence, further studies are needed to discover an agent, which can be considered as a “gold standard”.
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Notes
D/Sense® Crystal™, Shelton, CT 06484, USA
Fidelis Plus Laser System, Fotona, Slovenia
Statistical Package for Social Sciences, Version 15
References
Pashley DH (1986) Dentin permeability, dentin sensitivity, and treatment through tubule occlusion. J Endodontol 12:465–73
Bartold PM (2006) Dentinal hypersensitivity: a review. Australian Dent J 51(3):212–218
Von Troil B, Needleman I, Sanz M (2002) A systematic review of the prevalence of root sensitivity following periodontal therapy. J Clin Periodontol 29:173–77
Al-Tayeb D (2008) Management of root-dentine hypersensitivity following non-surgical periodontal therapy: clinical and scanning electron microscopic study. Egyptian Dent J 54:1–15
Strassler HE, Drisko CL, Alexander DC (2008) Dentin hypersensivity: its inter-relationship to gingival recession and acid erosion. Compend Contin Educ Dent 29(5):1–9
Bamise CT, Olusile AO, Oginni AO (2008) An analysis of the etiological and predisposing factors related to dentin hypersensitivity. J Contemp Dent Pract 9(5):52–59
Brannstrom M, Astrom A (1972) The hydrodynamics of the dentine, its possible relationship to dentinal pain. Int Dent J 22:219–227
Dababneh RH, Dababneh RH, Khouri AT, Addy M (1999) Dentine hypersensitivity—an enigma? a review of terminology, epidemiology, mechanisms, aetiology and management. Brit Dent J 187(11):606–611
Gangarosa LP Sr (1994) Current strategies for dentist applied treatment in the management of hypersensitive dentine. Arch Oral Biol 39(suppl):101S–106S
Grossman LI (1935) A systematic method for the treatment of hypersensitive dentine. J Am Dent Asso 22:592–602
Schwarz F, Arweiler N, Georg T, Reich E (2002) Desensitizing effects of an Er:YAG laser on hypersensitive dentine. A controlled, prospective clinical study. J Clin Periodontol 29:211–215
White JM, Fagan MC, Goodis HE (1994) Intrapulpal temperatures during pulsed Nd:YAG laser treatment of dentin, in vitro. J Periodontol 65:255–259
Gholami GA, Fekrazad R, Esmaiel-Nejad A, Kalhori KA (2011) An evaluation of the occluding effects of Er; Cr:YSGG, Nd:YAG, CO2 and diode lasers on dentinal tubules: a scanning electron microscope in vitro study. Photomed Laser Surg 29(2):115–21
Sicilia A, Cuesta-Frechoso S, Suáre A, Suáre A, Angulo J, Pordomingo A, De Juan P (2009) Immediate efficacy of diode laser application in the treatment of dentine hypersensitivity in periodontal maintenance patients: a randomized clinical trial. J Clin Periodontol 36(8):650–660
Clavijo EMA, Clavijo VRG, Clavijo VRG, Bandéca MC, Bandéca MC, Nadalin MR, Nadalin MR, Andrade MF, Andrade MF, Saad JRC, Pelegrine AA (2009) Clinical efficiency of low-level diode laser in reducing dentin hypersensitivity. Laser Physics 19(10):2041–2044
Lan W, Liu H (1996) Treatment of dentin hypersensitivity by Nd:YAG laser. J Clin Laser Med Surg 14(2):89–92
Singhal P, Gupta R, Pandit N (2005) 2 % Sodium fluoride-iontophoresis compared to a commercially available desensitizing agent. J Periodontol 76:351–357
GauthamKumar N, Mehta DS (2005) Short term assessment of the Nd:YAG laser with and without sodium fluoride varnish in the treatment of dentine hypersensitivity—a clinical and scanning electron microscope study. J Periodontol 76:1140–1147
Birang R, Yaghini J (2006) Comparative evaluation of dentine surface changes following Nd:YAG laser irradiation by SEM. Dent Res J 3(2):1–7
Gutknecht N, Moritz A, Dercks HW, Lampert F (1997) Treatment of hypersensitive teeth using neodymium:yttrium–aluminum–garnet lasers: a comparison of the use of various settings in an in vivo study. J Clin Laser Med Surg 15(4):171–174
West N, West N, Addy M, Hughes J, Hughes J (1998) Dentin hypersensitivity: the effects of brushing desensitizing toothpastes, their solid and liquid phases, and detergents on dentin and acrylic: studies in vitro. J Oral Rehab 25:885–895
Absi EG, Addy M, Adams D (1987) Dentine hypersensitivity: a study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. J Clin Periodontol 14:280–4
Ricarte JM, Matoses VF, Fernandez AJF, Moreno BM (2008) Dentinal sensitivity: concept and methodology for its objective evaluation. Med Oral Patol Oral Cir Bucal 13(3):E201–6
Chesters R, Kaufman HW, Wolff MS, Huntington E, Kleinberg I (1992) Use of multiple sensitivity measurements and logit statistical analysis to assess the effectiveness of potassium citrate containing dentrifice in reducing dentinal hypersensitivity. J Clin Periodontol 19:256–261
Clark GE, Troullos ES (1990) Designing hypersensitivity clinical studies. Dent Clin North Am 34:531–544
Pashley DH (1990) Mechanisms of dentin sensitivity. Dent Clin North Am 34:449–473
Gillam DG, Newman HN (1993) Assessment of pain in cervical dentinal sensitivity studies: a review. J Clin Periodontol 20:383–394
Hoang-Dao BT, H-Hoang T, Tranthi NN, Koubi G, Camps J (2009) Clinical efficiency of a natural resin fluoride varnish (Shellac F) in reducing dentin hypersensitivity. J Oral Rehab 36:124–131
Muzzin KB, Johnson R (1989) Effects of potassium oxalate on dentin hypersensitivity in vivo. J Periodontol 60(3):151–8
Pereira JC, Martinella A, Santiago SL (2001) Treating hypersensitive dentin with three different potassium oxalate based gel formulations: a clinical study. Rev FOB 9(3/4):123–130
Pillon FL, Romani ID, Schmidt ER (2004) Effect of a 3 % potassium oxalate topical application on dentinal hypersensitivity after subgingival scaling and root planning. J Periodontol 75:1461–1464
Gillam DG, Bullman JS, Jackson RJ, Newman HM (1996) Efficancy of a potassium nitrate mouthwash in alleviating cervical dentin sensitivity. J Clin Periodontol 23:993–997
Tarbet WJ, Silverman G, Stolman JM, Fratarcangelo PA (1980) Clinical evaluation of a new treatment for dentinal hypersensitivity. J Periodontol 51:535–540
Tarbet WJ, Silverman G, Fratarcangelo PA, Kanapka JA (1982) Home treatment for dentinal hypersensitivity: a comparative study. J Am Dent Assoc 105:227–230
Tzanova S, Ivanova Z, Velinova S (2005) Clinical evaluation of dentinal hypersensitivity treatment with 5 % potassium nitrate dentifrice. Folia Med (Plovdiv) 47(2):65–9
Bedi G, Pratibha PK, Bhat KM, Bhat GS (2011) Clinical and scanning electron microscopic evaluation of various concentrations of potassium nitrate as a desensitizing agent. Smile Dent J 6(1):28–35
Pashley DH, O’Meara JA, Kepler EE, Galloway SE (1984) Dentine permeability—effects of desensitizing dentrifices in vitro. J Periodontol 55:522–525
Greenhill JD, Pashley DH (1981) The effects of desensitizing agents on the hydraulic conductance of human dentin in vitro. J Dent Res 60(3):686–698
Wan-Hong L, Hsin-Cheng L (2009) Treatment of dentin hypersensitivity by Nd:YAG laser. J Clin Laser Med Surg 14(2):89–92
Ciaramicoli MT, Carvalho RCR, Eduardo CP (2003) Treatment of cervical dentin hypersensitivity using neodymium: yttrium–aluminum–garnet laser. Clin Eval Lasers Surg Med 33:358–362
H Deiab, K EL-Soudany (2007) Comparative study of the clinical effectiveness between Nd:YAG laser and gluma desensitizer in the treatment of dentin hypersensitivity. Cairo Dent J (23) Part (II): 193–200
Dilsiz A, Aydin T, Canakci V, Gungormus M (2010) Clinical evaluation of Er:YAG, Nd:YAG, and diode laser therapy for desensitization of teeth with gingival recession. Photomed Laser Surg 28(S2):11–17
Kerns DG, Scheidmt MJ, Pashley DH, Hoenes JA, Strong SL, Van Dyke TE (1991) Dentinal tubule occlusion and root hypersensitivity. J Periodontol 62:421–428
Prati C, Montebugnoli L, Suppa P, Valdre G, Mongiorgi R (2003) Permeability and morphology of dentine after erosion induced by acidic drinks. J Periodontol 74:428–436
Figueiredo M, Magalhães D et al (2004) A morphological in vitro study of the effects of Nd:YAG laser on irradiated cervical dentin. Photomed Laser Surg 22(6):527–532
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We are thankful to Centrix Dental, Shelton, USA, for providing free samples of D/Sense® Crystal™, for the study.
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Talesara, K., Kulloli, A., Shetty, S. et al. Evaluation of potassium binoxalate gel and Nd:YAG laser in the management of dentinal hypersensitivity: a split-mouth clinical and ESEM study. Lasers Med Sci 29, 61–68 (2014). https://doi.org/10.1007/s10103-012-1239-4
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DOI: https://doi.org/10.1007/s10103-012-1239-4