Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis

Moraschini, Vittório; Costa, Larissa Salina da; Santos, Gustavo Oliveira dos

doi:10.1007/s00784-017-2330-9

Cited by 70 publications

(66 citation statements)

References 65 publications

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“…Based on these results, it can be inferred that, except for RDC, most of the toothpastes present relative stability, because an ideal polydispersity index would be lower than 0.20. 33 The zeta potential varied as a function of the toothpastes, with none of them displaying a tendency to aggregation. The particle size and the percentage weight of particles are also important parameters to analyze.…”

Section: Discussionmentioning

confidence: 99%

Effects of 1450-ppm Fluoride-containing Toothpastes Associated with Boosters on the Enamel Remineralization and Surface Roughness after Cariogenic Challenge

et al. 2020

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Objectives This in vitro study investigated the remineralization potential of 1450 ppm, fluoride-containing toothpastes containing different active remineralization agents after cariogenic challenge with pH cycling. The enamel surface roughness after brushing and the chemical and physical characteristics of the toothpastes tested were also analyzed. Materials and Methods Fifty-six bovine enamel blocks were obtained (4 × 4 × 6 mm) and divided into three thirds: intact (untreated), demineralized (artificial caries lesion), and treated (caries lesion, pH cycling, and brushing with dentifrices). Seven commercially available fluoride toothpastes (1450 ppm F): three with anti-erosion claims ( Candida Professional [CPP], Colgate Total 12 Daily Repair [CDR], Regenerate Enamel Science [RES]); three with desensitizing claims (Bianco Pro Clinical [BPP], Elmex Sensitive [ESS], and Regenerador Diário DentalClean [RDC]); and one standard regular-fluoride toothpaste Colgate Total 12 (CTT) were selected. During pH cycling (demineralization 6 h/remineralization 18 h) for 7 days, the treated third was brushed with the different dentifrices for 10 minutes in a brushing machine before immersion in a remineralizing solution. The Knoop hardness (25 g, 10 second of the surface, and longitudinal section were then evaluated at eight depths (10 to 330 μm). Mean and percentage of surface hardness recovery (% SHR) were calculated. Surface enamel roughness (Ra) was also evaluated. The pH, %weight of particles, zeta potential, and polydispersity index of toothpaste slurries were also evaluated. Statistical Analysis Data were statistically analyzed (ANOVA/Tukey, 5%). Results The %SHR of CPP was significantly lower than the others (p < 0.05). The enamel subsurface was more effectively remineralized when treated with BPP, ESS, and RDC. The surface roughness was higher when the demineralized third was treated with CTT, RDC, and RES and after the cariogenic challenge (p < 0.05). For some of the products tested, there was no relationship between surface remineralization and subsurface remineralization. Although toothpastes CPP and RDC present the lowest %SHR Abstract Keywords ► enamel ► hardness ► roughness ► toothpaste ► tooth remineralization

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Section: Discussionmentioning

confidence: 99%

Effects of 1450-ppm Fluoride-containing Toothpastes Associated with Boosters on the Enamel Remineralization and Surface Roughness after Cariogenic Challenge

et al. 2020

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“…30 Different action mechanisms of desensitizers have been identified; their overall aim is to reduce the fluid flow within dentinal tubules by obliterating them or blocking the neural responses triggering the pain response. 15 However, there is no desensitizing agent or management strategy that can be currently deemed as ideal for all patients in reducing or eliminating DH, and used as the gold standard treatment. 32 This being the case, clinicians are still uncertain as to what products can offer their patients clinical benefits.…”

Section: Discussionmentioning

confidence: 99%

“…1,14 A large number of in-office DH treatment options have been reported to date, such as fluoride cavity varnishes, potassium-based agents, glutaraldehyde-based agents, oxalates, calcium phosphates, strontium or acetate chlorides, resinbased sealants and laser therapy. 15 However, despite the wide-ranging agents available and approaches described in the literature, surveys worldwide 16,17,18,19,20,21 suggest knowledge gaps and failing confidence by dental professionals in managing DH.…”

Section: Introductionmentioning

confidence: 99%

Brazilian dentists' perception of dentin hypersensitivity management

et al. 2019

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The aim of this study was to investigate how Brazilian dentists perceive and manage dentin hypersensitivity (DH) in their clinical routine. A 13-item questionnaire-based survey was developed and sent electronically to a convenience sample of dentists. The questionnaire assessed the personal and dental practice characteristics of the sample, the occurrence of DH in their daily clinical practice, and management strategies. The data were analyzed descriptively and together with the chi-square test (a = 0.05). A total of 353 responses were obtained from September 2017 to March 2018. Of all the respondents, 62% were females, 49.9% reported fewer than five years of dental practice, and 70.5% were self-identified as private practitioners. Most of the dentists reported an estimated frequency (30-60%) of patients with DH in their practice. The most frequently cited (91.79%) trigger of DH was air blast and/or scratching with a probe. The first-choice strategy to manage DH was a dentin desensitizer (48.16%). The number of years in clinical practice did not influence DH relapse frequency (p = 0.76) significantly, or consider DH treatment as a problem (p = 0.22). The present findings indicate that, regardless of clinical experience, dentists in Brazil still consider DH management a challenge in their daily dental practice. In addition, the results suggest that guidelines should be developed to disseminate the available knowledge regarding this condition in ways that may influence decision-making processes among practitioners.

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“…No entanto, com a remoção do estímulo a dor tende a desaparecer. Dentre os estímulos que podem desencadear a hipersensibilidade dentinária, exemplificam-se os térmicos, táteis, osmósticos ou químicos 1 .…”

Section: Introductionunclassified

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

Silva¹,

Vasconcelos²,

Vasconcelos³

2020

Arch Health Invest

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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.

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Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis

Cited by 70 publications

References 65 publications

Effects of 1450-ppm Fluoride-containing Toothpastes Associated with Boosters on the Enamel Remineralization and Surface Roughness after Cariogenic Challenge

Effects of 1450-ppm Fluoride-containing Toothpastes Associated with Boosters on the Enamel Remineralization and Surface Roughness after Cariogenic Challenge

Brazilian dentists' perception of dentin hypersensitivity management

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

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