使用光生物调节剂和密封剂治疗儿童磨牙切牙低矿化过敏：一项随机临床试验

IF 4.1 4区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Evidence-Based Dental Practice Pub Date : 2025-04-19 DOI:10.1016/j.jebdp.2025.102159

MARWA BARAKA, GHADA ELWARDANI, HAMS HAMED, SARAH I. ZEITOUN

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引用次数: 0

摘要

背景：磨牙切牙低矿化（MIH）引起的过敏会对儿童口腔健康相关生活质量（OHRQoL）产生负面影响。目的评价和比较低功率激光光生物调节（PBM）、树脂基（Fisseal）和玻璃离子基（Fuji TRIAGE）密封剂治疗MIH患儿超敏反应的效果及其对OHRQoL的影响。设计将45名6-10岁的第一恒磨牙受MIH和过敏影响的儿童随机分为3组：1组（n = 15）PBM， 2组（n = 15）Fuji TRIAGE和3组（n = 15）Fisseal。在干预前和干预后15分钟评估过敏反应，并在1周、1、3和6个月进行随访。疼痛和敏感性采用Wong-Baker面部疼痛评定量表（FPS）和Schiff冷空气敏感性量表（SCASS）进行测量。使用儿童认知问卷（CPQ8-10）评估OHRQoL。结果两组间SCASS、FPS评分差异无统计学意义。随着时间的推移，观察到SCASS和FPS显著降低（P <； .001），PBM和Fisseal在6个月时显示FPS显著改善。所有组的OHRQoL均有显著改善（P <； .001），尤其是Fisseal。结论玻璃离子、树脂基密封剂和PBM均能有效降低MIH相关的超敏反应。临床意义epbm是一种治疗MIH患儿超敏反应的无创治疗方法，为忧虑患者提供了另一种选择。

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MANAGEMENT OF HYPERSENSITIVITY IN MOLAR INCISOR HYPOMINERALISATION USING PHOTOBIOMODULATION AND SEALANTS IN CHILDREN: A RANDOMIZED CLINICAL TRIAL

Background

Hypersensitivity from Molar Incisor Hypomineralisation (MIH) negatively affects children's oral health-related quality of life (OHRQoL).

Aim

To evaluate and compare the effectiveness of photobiomodulation (PBM) by low-power laser, resin-based (Fisseal), and glass ionomer (Fuji TRIAGE) sealants on hypersensitivity in children with MIH and their impact on OHRQoL.

Design

Forty-five children aged 6-10 with one first permanent molar affected by MIH and hypersensitivity were randomly assigned to 3 groups: Group 1 (n = 15) PBM, Group 2 (n = 15) Fuji TRIAGE, and Group 3 (n = 15) Fisseal. Hypersensitivity was assessed before and 15 minutes postintervention, with follow-ups at 1 week, and 1, 3, and 6 months. Pain and sensitivity were measured using the Wong-Baker Faces Pain Rating Scale (FPS) and the Schiff Cold Air Sensitivity Scale (SCASS). OHRQoL was evaluated with the Child Perceptions Questionnaire (CPQ8-10).

Results

No significant differences in SCASS or FPS scores were found between groups. Significant reductions in SCASS and FPS were observed over time (P < .001), with PBM and Fisseal showing notable FPS improvements at 6 months. All groups showed significant OHRQoL improvements (P < .001), particularly Fisseal.

Conclusion

Both glass ionomer and resin-based sealants and PBM are effective in reducing hypersensitivity associated with MIH.

Clinical Significance

PBM is a noninvasive therapy for managing hypersensitivity in children with MIH offering an alternative for apprehensive patients.

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来源期刊

Journal of Evidence-Based Dental Practice DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

6.00

自引率

16.70%

发文量

105

审稿时长

28 days

期刊介绍： The Journal of Evidence-Based Dental Practice presents timely original articles, as well as reviews of articles on the results and outcomes of clinical procedures and treatment. The Journal advocates the use or rejection of a procedure based on solid, clinical evidence found in literature. The Journal''s dynamic operating principles are explicitness in process and objectives, publication of the highest-quality reviews and original articles, and an emphasis on objectivity.