Effectiveness on oral pain of 808-nm diode laser used prior to composite restoration for symptomatic non-carious cervical lesions unresponsive to desensitizing agents

This study compares sensitivity reduction after dental restoration with and without prior diode laser (DL) irradiation for cervical dentine hypersensitivity (CDH) from non-carious cervical lesions (NCCLs) unresponsive to desensitizing agents. Eighty-eight teeth of 28 subjects (21 females; age 23–64 ...

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Bibliographic Details
Published in:Lasers in medical science 2017-01, Vol.32 (1), p.67-71
Main Authors: Femiano, Felice, Femiano, Rossella, Lanza, Alessandro, Lanza, Michele, Perillo, Letizia
Format: Article
Language:English
Subjects:
Adult
Dentin Desensitizing Agents - therapeutic use
Dentin Sensitivity - complications
Dentin Sensitivity - drug therapy
Dentin Sensitivity - surgery
Dentistry
Desensitizing
Diode lasers
Effectiveness studies
Female
Humans
Irradiation
Laser surgery
Lasers
Lasers, Semiconductor - therapeutic use
Lesions
Light emitting diodes
Male
Medicine
Medicine & Public Health
Middle Aged
Optical Devices
Optics
Original Article
Pain - complications
Pain - surgery
Pain Measurement
Photonics
Quantum Optics
Reduction
Restoration
Sensitivity
Sensitivity analysis
Teeth
Tooth Cervix - pathology
Tooth Cervix - radiation effects
Tooth Cervix - surgery
Treatment Outcome
Young Adult
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Summary:This study compares sensitivity reduction after dental restoration with and without prior diode laser (DL) irradiation for cervical dentine hypersensitivity (CDH) from non-carious cervical lesions (NCCLs) unresponsive to desensitizing agents. Eighty-eight teeth of 28 subjects (21 females; age 23–64 years), with CDH from NCCL were included in this study. NCCLs of each oral quadrant were randomized in two groups (study group (SG)) to estimate the sensitivity reduction after dental restoration (SG-1) compared with the DL irradiation used prior to restoration placement (SG-2). The subjects were asked to rate the sensitivity experienced during air stimulation using a visual analog scale before (baseline), immediately after, and at 6 and 12 months from restoration. The outcomes showed a significant reduction of discomfort compared to baseline for NCCLs of SG-2 with the decrease of 78.5, 78.9, and 78.1 % immediately and at 6 and 12 months after restoration, respectively; in comparison with the decrease of 70.1, 67, and 65.3 % for NCCLs of SG-1 immediately and at 6 and 12 months after restoration, respectively; and compared to baseline. The DL irradiation prior to dental restoration can further improve the painful symptomatology of CDH from NCCL unresponsive to desensitizing agents.
ISSN:0268-8921
1435-604X
DOI:10.1007/s10103-016-2087-4