Comparison of the effectiveness of 4% sodium fluoride and low-power LASER in the treatment of cervical dentin hypersensitivity

Authors

DOI:

https://doi.org/10.33448/rsd-v9i10.9148

Keywords:

Fluorides; Sodium Fluoride; Dentin Sensibility; LASER.

Abstract

Objective: Evaluated the efficacy of 4% sodium fluoride solution for the treatment of DH, comparing it to low power LASER therapy. Methodology: A randomized controlled clinical trial was carried out, consisting of a test group (47 teeth) and a control group (47 teeth). For the test group, 4% sodium fluoride was applied, and the control group received low-power LASER irradiation. The therapies of the two groups were carried out in three sessions with an interval of one week between them. Before the treatment (T0), immediately after the application of therapies in each session (T1, T2 and T3), and at the times of 1 (T4), 3 (T5) and 6 (T6) months, the dental elements were submitted to the tactile and thermo-evaporative stimuli and responses were obtained using the Visual Numeric Scale (VNS). The statistical analysis of the data was performed using the non-parametric Wilcoxon, Friedman and Mann-Whitney tests. Results: In T6, the mean pain of the test group went from 5.93 to 1.73 (p <0.05) to the evaporative stimulus and from 3.63 to 0.804 to the tactile stimulus (p <0.05). For the control group, the mean pain increased from 6.020 to 1.854 (p <0.05) to the evaporative stimulus and from 3.50 to 0.937 (p <0.05) to the tactile stimulus. There was no difference between. the two treatment modalities in T6. Conclusion: Sodium fluoride at 4% was as effective as LASER in reducing HSDC.

References

Addy, M. (2009) Dentine hypersensitivity: New perspectives on an old problem. International Dental Journal, 52(5), 367-375. https://doi.org/10.1002/j.1875-595X.2002.tb00936.x

Alencar, C. M., De Paula, B., Araújo, J., Alves, E. B., De Albuquerque Jassé, F. F., & Silva, C. M. (2018). Effect of low-level laser therapy combined with 5000 parts per million fluoride dentifrice on postbleaching sensitivity: A clinical, randomized, and double-blind study. Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 30(4), 352–359. https://doi.org/10.1111/jerd.12386

Almeida-Lopes, L., Massini, R. J. Laseres e suas aplicações. (2001) São Carlos: DCM Equipamentos LTDA

Bartold P. M. (2006). Dentinal hypersensitivity: a review. Australian dental journal, 51(3), 212–276.

Basting, R. T., Silveira, A. P., & Batista, I. de O. (2016). Tratamento da hipersensibilidade dentinária com laser de baixa intensidade. Arquivos Em Odontologia, 44(2). Recuperado de https://periodicos.ufmg.br/index.php/arquivosemodontologia/article/view/3469

Biagi, R., Cossellu, G., Sarcina, M., Pizzamiglio, I. T., & Farronato, G. (2016). Laser-assisted treatment of dentinal hypersensitivity: a literature review. Annali di stomatologia, 6(3-4), 75–80. https://doi.org/10.11138/ads/2015.6.3.075

Brännström, M., Lindén, L. A., & Aström, A. (1967). The hydrodynamics of the dental tubule and of pulp fluid. A discussion of its significance in relation to dentinal sensitivity. Caries research, 1(4), 310–317. https://doi.org/10.1159/000259530

Corona, S. A., Nascimento, T. N., Catirse, A. B., Lizarelli, R. F., Dinelli, W., & Palma-Dibb, R. G. (2003). Clinical evaluation of low-level laser therapy and fluoride varnish for treating cervical dentinal hypersensitivity. Journal of oral rehabilitation, 30(12), 1183–1189. https://doi.org/10.1111/j.1365-2842.2003.01185.x

Dantas E. M., Menezes M. R. A., Dantas P. M. C. (2007) Avaliação clínica do efeito do fluoreto de sódio a 4% e do laser AsGaAl sobre a hipersensibilidade dentinária cervical. Revista da Faculdade de Odontologia (Universidade de Passo Fundo), 12 (1), 16-20.

Dantas, E. M., Amorim, F. K. O., Nóbrega, F. J. O., Dantas, P. M. C., Vasconcelos, R. G., & Queiroz, L. M. G. (2016). Clinical Efficacy of Fluoride Varnish and Low-Level Laser Radiation in Treating Dentin Hypersensitivity. Brazilian Dental Journal, 27(1), 79-82. https://doi.org/10.1590/0103-6440201602422

Faria, G. J. M., Villela, L. C.(2000) Etiologia e tratamento da hipersensibilidade dentinária em dentes com lesões cervicais não cariosas. Rev ista Biociênciencias, 6(1), 21-27.

Favaro Zeola, L., Soares, P. V., & Cunha-Cruz, J. (2019). Prevalence of dentin hypersensitivity: Systematic review and meta-analysis. Journal of dentistry, 81, 1–6. https://doi.org/10.1016/j.jdent.2018.12.015

Gentile, L. C., & Greghi, S. L. (2004). Clinical evaluation of dentin hypersensitivity treatment with the low intensity Gallium-Aluminum-Arsenide laser - AsGaAl. Journal of applied oral science : revista FOB, 12(4), 267–272. https://doi.org/10.1590/s1678-77572004000400003

Kimura, Y., Wilder-Smith, P., Yonaga, K., & Matsumoto, K. (2000). Treatment of dentine hypersensitivity by lasers: a review. Journal of clinical periodontology, 27(10), 715–721. https://doi.org/10.1034/j.1600-051x.2000.027010715.x

Lopes, A. O., Eduardo, C., & Aranha, A. C. (2015). Clinical evaluation of low-power laser and a desensitizing agent on dentin hypersensitivity. Lasers in medical science, 30(2), 823–829. https://doi.org/10.1007/s10103-013-1441-z

Mantzourani, M., & Sharma, D. (2013). Dentine sensitivity: past, present and future. Journal of dentistry, 41 Suppl 4, S3–S17. https://doi.org/10.1016/S0300-5712(13)70002-2

Marto, C. M., Baptista Paula, A., Nunes, T., Pimenta, M., Abrantes, A. M., Pires, A. S., Laranjo, M., Coelho, A., Donato, H., Botelho, M. F., Marques Ferreira, M., & Carrilho, E. (2019). Evaluation of the efficacy of dentin hypersensitivity treatments-A systematic review and follow-up analysis. Journal of oral rehabilitation, 46(10), 952–990. https://doi.org/10.1111/joor.12842

Pashley D. H. (1986). Dentin permeability, dentin sensitivity, and treatment through tubule occlusion. Journal of endodontics, 12(10), 465–474. https://doi.org/10.1016/S0099-2399(86)80201-1

Porto, I. C., Andrade, A. K., & Montes, M. A. (2009). Diagnosis and treatment of dentinal hypersensitivity. Journal of oral science, 51(3), 323–332. https://doi.org/10.2334/josnusd.51.323

Pourshahidi, S., Ebrahimi, H., Mansourian, A., Mousavi, Y., & Kharazifard, M. (2019). Comparison of Er,Cr:YSGG and diode laser effects on dentin hypersensitivity: a split-mouth randomized clinical trial. Clinical oral investigations, 23(11), 4051–4058. https://doi.org/10.1007/s00784-019-02841-z

Praveen, R., Thakur, S., Kirthiga, M., & Narmatha, M. (2018). Comparative evaluation of a low-level laser and topical desensitizing agent for treating dentinal hypersensitivity: A randomized controlled trial. Journal of conservative dentistry: JCD, 21(5), 495–499. https://doi.org/10.4103/JCD.JCD_197_18

Rezazadeh, F., Dehghanian, P., & Jafarpour, D. (2019). Laser Effects on the Prevention and Treatment of Dentinal Hypersensitivity: A Systematic Review. Journal of lasers in medical sciences, 10(1), 1–11. https://doi.org/10.15171/jlms.2019.01

Ribeiro, P. J. T., Araujo, A. M. P., Mafra, R. P., Vasconcelos, M. G., & Vasconcelos, R. G. (2016). Mecanismos de ação dos recursos terapeuticos disponiveis para o tratamento da hipersensibilidade dentinária cervical. Odontologia Clínico-Cientifica.15(2), 83-90.

Silva, N. M., CecchinI, R. C. M., Eduardo, C. P.(1992). Aplicações clínicas do soft laser em odontologia. Revista Pauistal Odontologia. 14( 4),. 30-32.

Tavares, M., DePaola, P. F., & Soparkar, P. (1994). Using a fluoride-releasing resin to reduce cervical sensitivity. Journal of the American Dental Association (1939), 125(10), 1337–1342. https://doi.org/10.14219/jada.archive.1994.0168

Vieira, A. H., Passos, V. F., de Assis, J. S., Mendonça, J. S., & Santiago, S. L. (2009). Clinical evaluation of a 3% potassium oxalate gel and a GaAlAs laser for the treatment of dentinal hypersensitivity. Photomedicine and laser surgery, 27(5), 807–812. https://doi.org/10.1089/pho.2008.2364

Published

18/10/2020

How to Cite

ALVES, K. R. de L. .; PAIVA, R. P. de .; MARTINS, A. R. L. de A. .; DANTAS, P. M. C. .; DANTAS, W. R. M. .; ALMEIDA NETO, L. F. de .; GONDIM, A. L. M. F. .; BARBOSA, G. A. S. .; DANTAS, E. M. . Comparison of the effectiveness of 4% sodium fluoride and low-power LASER in the treatment of cervical dentin hypersensitivity. Research, Society and Development, [S. l.], v. 9, n. 10, p. e7669109148, 2020. DOI: 10.33448/rsd-v9i10.9148. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/9148. Acesso em: 22 nov. 2024.

Issue

Section

Health Sciences