Clinical assessment on application of Er:Cr:YSGG laser in dentinal hypersensitivity reduction

Copyright © 2013 by Journal of Korean Academy of Oral Health This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Objectives: We aimed to evaluate the effectiveness of Er:Cr:YSGG laser therapy on the reduction of dentinal hypersensitivity while taking into account the length and depth of the cervical abrasion. Methods: We included adults (age, 20-60 years) with at least 2 hypersensitive teeth. The hypersensitive teeth were stimulated with a pressure-indicating probe and an air syringe. The response of the subjects to this stimulation was quantified using a visual analog scale (VAS) and Schiff air sensitivity score. The patients were treated at baseline, immediately after laser treatment, and at 1, 2, and 4 weeks after the Er:Cr:YSGG laser therapy. The results were analyzed by repeated measure analysis of variance (ANOVA) and Bonferroni’s post hoc test. Results: The values of tactile test and air blast test showed statistically significant differences between the following time points: baseline and immediately after laser treatment, baseline and first week after treatment, and immediately after laser treatment and first week after treatment (P<0.05). No statistically significant differences were observed in the VAS values of the tactile test and Schiff air sensitivity score of the air blast test between the first and second, first and fourth, and second and fourth weeks after treatment (P>0.05). The depth and width of the cervical abrasion was not statistically significant in dentinal hypersensitivity reduction (P>0.05). Conclusions: The use of Er:Cr:YSGG laser therapy reduced dentinal hypersensitivity, especially immediately after laser treatment. The depth and width of the cervical abrasion is not statistically significant in dentinal hypersensitivity reduction.

[1]  C. Eduardo,et al.  In vitro effects of Er,Cr:YSGG laser on dentine hypersensitivity. Dentine permeability and scanning electron microscopy analysis , 2012, Lasers in Medical Science.

[2]  Sevcan Kurtulmus-Yilmaz,et al.  Effectiveness of Er,Cr:YSGG laser on dentine hypersensitivity: a controlled clinical trial. , 2011, Journal of clinical periodontology.

[3]  C. Chu,et al.  Dentin hypersensitivity and its management. , 2011, General dentistry.

[4]  R. Fekrazad,et al.  An evaluation of the occluding effects of Er;Cr:YSGG, Nd:YAG, CO₂ and diode lasers on dentinal tubules: a scanning electron microscope in vitro study. , 2011, Photomedicine and laser surgery.

[5]  T. Esan,et al.  Mechanisms and treatment approaches of dentine hypersensitivity: a literature review. , 2011, Oral health & preventive dentistry.

[6]  P. Bartold,et al.  Dentinal hypersensitivity: a review. , 2006, Australian dental journal.

[7]  R. Orchardson,et al.  Managing dentin hypersensitivity. , 2006, Journal of the American Dental Association.

[8]  T. He,et al.  Efficacy and safety of a novel stabilized stannous fluoride and sodium hexametaphosphate dentifrice for dentinal hypersensitivity. , 2006, The journal of contemporary dental practice.

[9]  Fatima Zanin,et al.  Morphological comparative study on ablation of dental hard tissues at cavity preparation by Er:YAG and Er,Cr:YSGG lasers. , 2005, Photomedicine and laser surgery.

[10]  D. Pashley,et al.  In vivo sensitivity of human root dentin to air blast and scratching. , 2003, Journal of periodontology.

[11]  E. Reich,et al.  Desensitizing effects of an Er:YAG laser on hypersensitive dentine. , 2002, Journal of clinical periodontology.

[12]  K. Matsumoto,et al.  Treatment of dentine hypersensitivity by lasers: a review. , 2000, Journal of clinical periodontology.

[13]  M. Addy,et al.  Dentine hypersensitivity - an enigma? A review of terminology, mechanisms, aetiology and management. , 1999 .

[14]  M. Addy,et al.  dentine hypersensitivity: Dentine hypersensitivity — an enigma? a review of terminology, mechanisms, aetiology and management , 1999, British Dental Journal.

[15]  P. McCusker,et al.  Prevalence of dentine hypersensitivity in a general dental population. , 1997, Journal of the Irish Dental Association.

[16]  I A Mjör,et al.  The density and branching of dentinal tubules in human teeth. , 1996, Archives of oral biology.

[17]  H. Newman,et al.  Assessment of pain in cervical dentinal sensitivity studies. A review. , 1993, Journal of clinical periodontology.

[18]  R. Orchardson,et al.  Clinical features of hypersensitive teeth , 1987, British Dental Journal.

[19]  M. Brännström,et al.  The Sensory Mechanism in Human Dentin as Revealed by Evaporation and Mechanical Removal of Dentin , 1978, Journal of dental research.

[20]  D. Weber The distribution of peritubular matrix in human coronal dentin , 1968, Journal of morphology.

[21]  The Human Teeth , 1860, The Dental register.