牙本质过敏症不同诊室治疗方法的疗效:随机平行临床试验。

Brazilian dental journal Pub Date : 2024-06-24 eCollection Date: 2024-01-01 DOI:10.1590/0103-6440202405487
Fernanda de Souza E Silva Ramos, André Luiz Fraga Briso, Larissa Albertinazzi, Vitória Marega Marchetti, Marina Trevelin Souza, Ticiane Cestari Fagundes
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引用次数: 0

摘要

这项临床、前瞻性、随机和平行研究旨在评估牙本质过敏症(DH)的不同诊室治疗方法。研究人员使用不同的脱敏剂对192颗非凹陷性牙根暴露的牙齿进行了治疗:含氟清漆(Duraphat - FLU);生物活性陶瓷溶液(Biosilicate - BIOS);通用自酸蚀粘合剂(Single Bond Universal - SBU);生物活性光激活清漆(PRG填充剂 - SPRG)。在治疗前以及首次治疗后的 7 天、15 天和 30 天内,使用视觉模拟量表(VAS)和计算机视觉量表(CoVAS)对 DH 的程度进行了分析。不同脱敏剂之间的比较采用 Kruskal-Wallis 和 Dunn 检验。Friedman检验用于时间间的比较(P≤0.05)。在 7 天的 VAS 中,比较脱敏剂 FLU 的 DH 值高于 BIOS,但在 CoVAS 分析中未发现差异。通过时间比较,BIOS 和 SBU 在 7 天后的 DH 值有所下降,SBU 在 30 天后的 DH 值比 7 天前的 VAS 值有所下降。FLU 组和 SPRG 组在 15 天到 30 天之间使用 VAS 降低了 DH。FLU 组、BIOS 组和 SBU 组的 DH 在 7 天后有所减少,BIOS 组的 DH 在 30 天后也有所减少,与使用 CoVAS 的 15 天相比。SPRG 组的 DH 值在 15 天到 30 天之间都有所下降。所有测试过的脱敏剂都能降低初始敏感度。通过计算机分析,生物活性陶瓷溶液在 30 天后逐渐降低了 DH 值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of different in-office treatments for dentin hypersensitivity: randomized and parallel clinical trial.

The aim of this clinical, prospective, randomized, and parallel study was to evaluate different in-office treatments for dentin hypersensitivity (DH). One hundred ninety-two teeth with non-cavitated root exposures were treated using different desensitizers: fluoride varnish (Duraphat - FLU); bioactive ceramic solution (Biosilicate - BIOS); universal self-etching adhesive (Single Bond Universal - SBU); bioactive photoactivated varnish (PRG filler - SPRG). The degree of DH was analyzed using a visual analog scale (VAS) and computerized visual scale (CoVAS), before treatments and after 7, 15, and 30 days from the first session. Comparisons among desensitizers were performed using the Kruskal-Wallis and Dunn's tests. Friedman test was used to compare between times (p ≤ 0.05). Comparing desensitizers FLU presented a higher value of DH than BIOS using VAS at 7 days, however, no differences were found using CoVAS analysis. Comparing times, BIOS and SBU showed a reduction in DH after 7 days and SBU showed a reduction at 30 days compared to 7 days using VAS. FLU and SPRG groups reduced DH from 15 days to 30 days using VAS. There was a reduction in DH for FLU, BIOS, and SBU after 7 days and for BIOS this reduction also occurred at 30 days when compared to 15 days using CoVAS. SPRG group showed a reduction from 15 to 30 days. All desensitizers tested were able to reduce the initial sensitivity. The bioactive ceramic solution reduced the DH gradually after 30 days using computerized analysis.

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