Diode laser vs. fluoride for treating dentin hypersensitivity: trial.

| Posted in: Science Health Sciences Journals

Journal name: Journal of Indian Society of Periodontology
Original article title: Effectiveness of diode laser and fluoride on dentin hypersensitivity treatment: A randomized single-blinded clinical trial
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Érika Soares Pantuzzo, Fabiano Araújo Cunha, Lucas Guimarães Abreu, Rafael Paschoal Esteves Lima


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Effectiveness of diode laser and fluoride on dentin hypersensitivity treatment: A randomized single-blinded clinical trial

Year: 2020 | Doi: 10.4103/jisp.jisp_478

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Dentin hypersensitivity (DH) is characterized by acute pain resulting from exposed dentin in response to various stimuli such as tactile, thermal, evaporative, or osmotic. This condition is particularly prevalent among individuals experiencing gingival recession and affects a significant portion of adults, especially those aged 20 to 50. The study aimed to evaluate the effectiveness of two treatments—diode laser therapy and fluoride gel—in reducing DH and improving patients' quality of life.

Effectiveness of Treatments

In the clinical trial, 28 participants were randomly assigned to receive diode laser treatment, fluoride application, or a placebo. Pain levels were assessed using the Visual Analog Scale (VAS) and the Verbal Rating Scale (VRS) before and after treatment. The results demonstrated a significant reduction in hyperesthesia for the diode laser group when subjected to evaporative stimuli, with a 25.4% reduction in DH. Conversely, fluoride treatment did not show a statistically significant impact on either evaporative or tactile stimuli, indicating its lesser effectiveness compared to diode laser therapy. This suggests that while fluoride can help in managing DH, diode laser therapy presents a more effective alternative for pain relief in affected individuals.

Conclusion

The findings of the trial indicate that diode laser therapy is superior to fluoride in alleviating DH symptoms and enhancing patient quality of life. Although both treatments provide some benefit, the diode laser's efficacy in reducing pain and hypersensitivity post-treatment is noteworthy. Further research is recommended to confirm these results and explore additional treatment options, particularly with larger sample sizes and longer follow-up periods, to enhance the protocols for managing DH.

FAQ section (important questions/answers):

What was the main aim of the clinical trial?

The clinical trial aimed to evaluate the effectiveness of diode laser and fluoride treatment for dentin hypersensitivity caused by gingival recession.

How was pain assessed in the study?

Pain was assessed using the Visual Analog Scale (VAS) and the Verbal Rating Scale (VRS) to evaluate responses to different stimuli over specific time intervals.

What were the findings regarding the treatment of dentin hypersensitivity?

Diode laser therapy significantly reduced dentin hypersensitivity compared to fluoride treatment, with a 25.4% reduction versus 17.1% after the treatment session.

What impact does dentin hypersensitivity have on quality of life?

Dentin hypersensitivity significantly impacts individuals' quality of life, causing emotional and social distress, as reflected in the Dentine Hypersensitivity Experience Questionnaire results.

What is recommended for further research in treating dentin hypersensitivity?

Future studies with larger samples and longer follow-ups are necessary to validate the effectiveness of diode laser and other therapies for dentin hypersensitivity.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Diode laser vs. fluoride for treating dentin hypersensitivity: trial.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In the context of the study, a table refers to a structured representation of data that summarizes findings clearly and efficiently. It typically organizes key statistics, compares different groups, and presents results visually. This aids in understanding complex information at a glance, facilitating quicker analysis and interpretation of research outcomes.

2) Pain:
Pain is a critical aspect of dentin hypersensitivity (DH) and its assessment. It represents the discomfort experienced due to stimuli affecting exposed dentin. Understanding pain levels helps determine the effectiveness of treatment options, guiding clinicians in developing strategies to alleviate discomfort and improve the quality of life for affected individuals.

3) Study (Studying):
The study refers to a rigorous investigation into the effectiveness of treatment methods for dentin hypersensitivity. It employs a randomized design to ensure unbiased results and is vital for advancing clinical knowledge. Analyzing data collected helps to validate treatment effectiveness, leading to improved patient care and informed dental practices.

4) Life:
Life in this context relates to the quality of life impacted by dentin hypersensitivity. The discomfort caused can affect daily activities, emotional well-being, and social interactions. By addressing DH, treatments can enhance life satisfaction, reaffirming the importance of effective dental care for overall health and daily functioning.

5) Quality:
Quality refers to the standard of life as influenced by oral health conditions like dentin hypersensitivity. It encompasses physical, emotional, and social dimensions, underscoring the impact of dental issues. Evaluations in studies aim to measure how effective treatments are in enhancing quality, highlighting the necessity for effective management of oral conditions.

6) Cotton:
Cotton is used during dental procedures as a method of isolation and drying. It helps facilitate accurate treatment applications and reduce the risk of contamination. In the study, cotton rolls are mentioned for isolating teeth during sensitivity assessments, emphasizing the role of basic materials in effective and safe clinical procedures.

7) Family:
Family refers to the social unit whose members may be affected by an individual's dental health issues, particularly dentin hypersensitivity. Family can play a crucial role in supporting those suffering from chronic pain, and understanding how DH affects relational dynamics is important for holistic healthcare approaches involving patient care.

8) Rules:
Rules are crucial in establishing the ethical and procedural framework for conducting clinical studies. They dictate protocols for participant recruitment, data collection, and statistical analysis, ensuring results are valid and reliable. Adhering to these guidelines is vital in producing credible outcomes that can influence future dental practices and policies.

9) Perception:
Perception relates to how patients interpret their pain and the impact of dental conditions on their daily lives. Individual perceptions vary significantly, influencing responses to treatments and quality of life assessments. By understanding these perceptions, healthcare professionals can tailor treatments to better meet the unique needs of their patients.

10) Surface:
Surface denotes the external area of teeth, particularly where dentin exposure occurs due to conditions like gingival recession. Treatments like fluoride and laser applications target these surfaces to mitigate symptoms of dentin hypersensitivity, making it a focal point in dental interventions aimed at alleviating pain and enhancing comfort.

11) Diet:
Diet influences dental health, contributing to conditions that may lead to dentin hypersensitivity. Acidic foods and inadequately managed dietary habits can exacerbate dental issues. The study acknowledges dietary factors, emphasizing the need for comprehensive patient education on nutrition's role in maintaining oral health and preventing dentin exposure.

12) Discussion:
Discussion reflects on the interpretation of the study's findings, linking results back to existing literature and clinical implications. It provides a platform for critically assessing the effectiveness of treatments, fostering understanding among researchers, clinicians, and patients about managing dentin hypersensitivity and enhancing future research directions.

13) Irritation:
Irritation relates to the discomfort experienced due to exposed dentin in dentin hypersensitivity. It often results from various stimuli impacting the dental pulp. Understanding the sources of irritation is vital for developing effective treatment protocols and enhancing patients' quality of life by minimizing pain and discomfort associated with dental procedures.

14) Activity:
Activity refers to the metabolic processes in teeth, especially as influenced by treatments like laser therapy. Enhanced activity in odontoblastic cells following stimulation can result in increased secondary dentin formation. This aspect underscores the dynamic nature of dental tissue responses to therapeutic interventions, vital for effective treatment outcomes.

15) Pregnant:
Pregnant individuals require special consideration in dental care due to hormonal changes affecting oral health. The study excludes pregnant women from participation, recognizing potential risks and the complexity involved in treating dental conditions like hypersensitivity during pregnancy, highlighting the need for tailored approaches in managing oral health during this sensitive time.

16) Mineral:
Mineral deposits, such as fluoride, play a significant role in dental treatments. This element helps occlude dentin tubules to reduce sensitivity. Understanding the mechanisms by which minerals contribute to dental health is crucial in formulating effective treatment protocols and optimizing therapeutic responses to mitigate the effects of dentin hypersensitivity.

17) Science (Scientific):
Science represents the foundational framework supporting research methodologies, guiding the systematic investigation of dental treatments like those for dentin hypersensitivity. It involves hypothesis testing, data collection, and analysis. Relying on scientific principles ensures the reliability, validity, and applicability of research findings to improve clinical practices in dentistry.

18) Filling (Filled):
Filled refers to the condition of teeth that have received dental restorations. Such treatments can affect sensitivity and overall dental health. Excluding individuals with filled teeth from the study reinforces the focus on natural dentin responsiveness, allowing for a clearer analysis of treatment options for dentin hypersensitivity without confounding factors.

19) Visit:
Visit pertains to patient interactions with dental care providers, integral for ongoing management of dental conditions. Regular dental visits allow for early identification and treatment of issues such as dentin hypersensitivity, ensuring timely interventions that preserve oral health and enhance the effectiveness of proposed treatments.

20) Gala (Galam):
Gaala refers to the specific type of laser used in the study (GaAlAs infrared semiconductor laser) for treating dentin hypersensitivity. The choice of this laser technology is pivotal, as it allows for targeted interventions with precise energy application, contributing to effective treatment outcomes and minimizing pain associated with dental procedures.

21) Line:
Line refers to measurement scales, such as the Visual Analog Scale (VAS), which offers a means to quantify pain. Precise scaling helps practitioners assess patient discomfort accurately and track treatment efficacy over time. Understanding patients' responses along this line is essential for tailoring further clinical interventions to their needs.

22) Male:
Male indicates a demographic classification of participants in the study. The presence and proportion of males in the sample help assess the prevalence of dentin hypersensitivity across genders. Analyzing these differences allows researchers to explore whether there are gender-specific treatment responses and tailor approaches in clinical practice accordingly.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Diode laser vs. fluoride for treating dentin hypersensitivity: trial.’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Statistical analysis, Statistically Significant, Placebo treatment, Pain intensity, Gingival Recession, Informed consent form, Dentin hypersensitivity, Verbal Rating Scale, Fluoride Treatment, Oral health-related quality of life, Diode laser treatment, Tactile stimulus, Pain evaluation.

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