Effect of irradiation with the laser Therapy XT® and Clinpro White Varnish in the treatment of dentin hypersensitivity in cervical non-carious lesions: Case Report

Authors

DOI:

https://doi.org/10.33448/rsd-v10i16.23863

Keywords:

Dentin sensitivity; Dental abrasion; Dental friction; Laser therapy.

Abstract

Non-carious cervical lesions affect numerous people annually, causing pain and discomfort due to the presence of dental hypersensitivity. This study aimed to compare the effectiveness of laser therapy XT® irradiation with Clinpro White Varnish fluoride varnish, through a clinical trial in hemi-arches, based on the scores obtained by the visual analogue scale. The patient had intolerable pain (10) on teeth 14, 15, 45, 24, 25 and 34 and tolerable severe pain (8) on teeth 26, 27, 43 and 44, for the thermal, evaporative, and tactile tests. The varnish was applied once to teeth 14, 15, 43, 44 and 45. In the 1st week the scores 10 and 8 dropped to 3 (moderate/bearable pain). In the 2nd week, sensitivity remained between 3 and 1, with 1 being mild pain and in the 3rd week between 0 and 1, with 0 being no pain. Therapeutic laser was applied to teeth 24, 25, 26, 27 and 34. In the 1st week there was a decrease in the score 10 and 8 to 5 (moderate pain, but with discomfort). In the 2nd week, this score dropped to 3 (moderate/bearable pain) and remained in the 3rd week, with variations between 3 and 1 (presence of mild pain). Only in the 4th week there was a decrease in sensitivity, with a score between 1 and 0 (no pain) for the different stimuli. Both treatments were effective in reducing dentin sensitivity, however, with different action times between the two products, respecting their individual characteristics and properties.

References

Arends, J., Duschner, H., & Ruben, J. L. (1997). Penetration of varnishes into demineralized root dentine in vitro. Caries Res, 31(3), 201-205. https://doi.org/10.1159/000262399

Bhandary, S., & Hedge, M. N. (2012). A clinical comparison of in-office management of dentin hypersensitivity in a short term treatment period. Int J Biomed Adv Res, 3, 169-174. https://doi.org/ 10.7439/ijbar.v3i3.338

Brannstrom, M. (1986). The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. J Endod, 12(10), 453-457. https://doi.org/10.1016/S0099-2399(86)80198-4

Ding, Y. J., Yao, H., Wang, G. H., & Song, H. (2014). A randomized double-blind placebo-controlled study of the efficacy of Clinpro XT varnish and Gluma dentin desensitizer on dentin hypersensitivity. Am J Dent, 27(2), 79-83. https://www.ncbi.nlm.nih.gov/pubmed/25000665

Garofalo, S. A., Sakae, L. O., Machado, A. C., Cunha, S. R., Zezell, D. M., Scaramucci, T., & Aranha, A. C. (2019). In Vitro Effect of Innovative Desensitizing Agents on Dentin Tubule Occlusion and Erosive Wear. Oper Dent, 44(2), 168-177. https://doi.org/10.2341/17-284-L

Grippo, J. O., Simring, M., & Coleman, T. A. (2012). Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20-year perspective. J Esthet Restor Dent, 24(1), 10-23. https://doi.org/10.1111/j.1708-8240.2011.00487.x

Holland, G. R., Narhi, M. N., Addy, M., Gangarosa, L., & Orchardson, R. (1997). Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol, 24(11), 808-813. https://doi.org/10.1111/j.1600-051x.1997.tb01194.x

Kina, M., Vilas Boas, T. P., Tomo, S., Fabre, A. F., Simonato, L. E., Boer, N., & Kina, J. (2015). Lesões cervicais não cariosas: protocolo clínico. Health Invest, 4(4), 21-29.

Kumar, N. G., & Mehta, D. S. (2005). Short-term assessment of the Nd:YAG laser with and without sodium fluoride varnish in the treatment of dentin hypersensitivity--a clinical and scanning electron microscopy study. J Periodontol, 76(7), 1140-1147. https://doi.org/10.1902/jop.2005.76.7.1140

Magalhaes, A. C., Wiegand, A., Rios, D., Buzalaf, M. A. R., & Lussi, A. (2011). Fluoride in dental erosion. Monogr Oral Sci, 22, 158-170. https://doi.org/10.1159/000325167

Midda, M., & Renton-Harper, P. (1991). Lasers in dentistry. Br Dent J, 170(9), 343-346. https://doi.org/10.1038/sj.bdj.4807548

Mondelli, R. F., Azevedo, J. F., Francisconi, A. C., Almeida, C. M., & Ishikiriama, S. K. (2012). Comparative clinical study of the effectiveness of different dental bleaching methods - two year follow-up. J Appl Oral Sci, 20(4), 435-443. https://doi.org/10.1590/s1678-77572012000400008

Orchardson, R., Collins, W. J., & Gilmour, W. H. (1993). Pilot clinical study of a fluoride resin and conditioning paste for desensitising dentine. J Clin Periodontol, 20(7), 509-513. https://doi.org/10.1111/j.1600-051x.1993.tb00399.x

Picos, A., Chisnoiu, A., & Dumitrasc, D. L. (2013). Dental erosion in patients with gastroesophageal reflux disease. Adv Clin Exp Med, 22(3), 303-307. https://www.ncbi.nlm.nih.gov/pubmed/23828670

Ritter, A. V., de, L. D. W., Miguez, P., Caplan, D. J., & Swift, E. J., Jr. (2006). Treating cervical dentin hypersensitivity with fluoride varnish: a randomized clinical study. J Am Dent Assoc, 137(7), 1013-1020; quiz 1029. https://doi.org/10.14219/jada.archive.2006.0324

Rochkind, S., Nissan, M., Razon, N., Schwartz, M., & Bartal, A. (1986). Electrophysiological effect of HeNe laser on normal and injured sciatic nerve in the rat. Acta Neurochir (Wien), 83(3-4), 125-130. https://doi.org/10.1007/BF01402391

Silva, A. G., Martins, C. C., Zina, L. G., Moreira, A. N., Paiva, S. M., Pordeus, I. A., & Magalhaes, C. S. (2013). The association between occlusal factors and noncarious cervical lesions: a systematic review. J Dent, 41(1), 9-16. https://doi.org/10.1016/j.jdent.2012.10.018

Sohn, S., Yi, K., Son, H. H., & Chang, J. (2012). Caries-preventive activity of fluoride-containing resin-based desensitizers. Oper Dent, 37(3), 306-315. https://doi.org/10.2341/11-007-L

Sousa, C. V. A., Maia, K. D., Passos, M., Weyne, S. C., & Tuñas, I. C. (2010). Erosão dentária causada por ácidos intrínsecos. Rev Bras Odont, 67(1), 28-22.

Tosun, S., Culha, E., Aydin, U., & Ozsevik, A. S. (2016). The combined occluding effect of sodium fluoride varnish and Nd:YAG laser irradiation on dentinal tubules-A CLSM and SEM study. Scanning, 38(6), 619-624. https://doi.org/10.1002/sca.21309

Wakabayashi, H., Hamba, M., Matsumoto, K., & Tachibana, H. (1993). Effect of irradiation by semiconductor laser on responses evoked in trigeminal caudal neurons by tooth pulp stimulation. Lasers Surg Med, 13(6), 605-610. https://doi.org/10.1002/lsm.1900130603

West, N. X., & Joiner, A. (2014). Enamel mineral loss. J Dent, 42 Suppl 1, S2-11. https://doi.org/10.1016/S0300-5712(14)50002-4

Wichgers, T. G., & Emert, R. L. (1996). Dentin hypersensitivity. Gen Dent, 44(3), 225-230; quiz 231-222. https://www.ncbi.nlm.nih.gov/pubmed/8957816

Published

16/12/2021

How to Cite

FELIZARDO, K. R. .; FÁVARO, B. R. R. .; SANTOS, L. A. .; RAMOS, N. B. P. .; LOPES, M. B. Effect of irradiation with the laser Therapy XT® and Clinpro White Varnish in the treatment of dentin hypersensitivity in cervical non-carious lesions: Case Report. Research, Society and Development, [S. l.], v. 10, n. 16, p. e424101623863, 2021. DOI: 10.33448/rsd-v10i16.23863. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/23863. Acesso em: 28 apr. 2024.

Issue

Section

Health Sciences