Effectiveness of Lasers in the Treatment of Dentin Hypersensitivity

Mohammad Asnaashari--- Department of Endodontic, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran,
Masoumeh Moeini--- Laser Application in Medical Sciences Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract


573

Dentin hypersensitivity (DH) is a relatively common painful condition among dental problems. Although many studies have been performed regarding the diagnosis and treatment of DH, dental practitioners are still confused about the definite diagnosis and treatment.The use of lasers as a treatment for dentin hypersensitivity was first introduced in 1985. Laser treatment in dentin hypersensitivity is an interesting and controversial issue and many investigations have been done on its mechanism of action, advantages, and unclear points. The present literature review tries to go over the definition, diagnosis, etiology, predisposing factors, various laser types in the treatment of DH alone or in combination with topical desensitizing agents. Since a certain treatment has not yet introduced for dentin hypersensitivity, a combination of laser therapy and topical desensitizing factors, can increase the success of the treatment compared with either treatments alone.


Keywords


dentine hypersensitivity; laser therapies; Nd-YAG lasers; dentin desensitizing agents

Full Text:

PDF

137

References


Stephen Cohen, Richard C. Burns. Pathways of the pulp.8th Edition, Mosby, 2002: 36, 593.

Trushkowsky R, Oquendo A. Treatment of dentine hypersensitivity. Dental Clinics of North America July 2011; 55(3): 599-608

Irwin CR, McCusker P. Prevalence of dentine hypersensitivity in a general dental population. J Ir Dent Assoc 1997;43(1):7-9.

Smith WA, Marchan S, Rafeek RN. The prevalence and severity of non-carious cervical lesions in a group of patients attending a university hospital in Trinidad. J Oral Rehabil 2008; 35(2):128-134.

Roberson T, Heymann H, Swift E. Art and science of operative dentistry. 8th Edition, 2006: 268, 292.

Addy M. Dentine hypersensitivity: Definition, prevalence, distribution and etiology. In: Addy M, Embery G, Edgar WM, Orchardson R, eds. Tooth wear and sensitivity: Clinical advances in restorative dentistry. London: Martin Dunitz; 2000:239-248.

Chu CH, Pang KL, Yip HK. Dietary behavior and dental erosion symptoms of Hong Kong people. J Dent Res 2008;87(spec issue C):41.

Brännström M, Linden LA, Aström A. The hydrodynamics of dental tubule and pulp fluid. Caries Research (1967) 1; 310-317

Närhi M, Kontturi-Närhi V, Hirvonen T, Ngassapa D. Neurophysiological mechanisms of dentin hypersensitivity. Proc Finn Dent Soc 1992; 88:15-22.

Irvine JH Root surface sensitivity: a review of aetiology and management. J N Z Soc Periodontol (1988) 66; 15-18.

Rapp R, Avery JK, Strachan DS possible role of the acetylcholinesterase in neural conduction within the dental pulp. In: Biology of the dental pulp organ, Finn SB ed, University of Alabama Press, Birmingham, (1968); 309-331.

Absi EG, Addy M, Adams D. Dentine hypersensitivity. A study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. J Clin Periodontol 1987;14(5):280–4.

Porto I, Andrade A, Montes M. Diagnosis and treatment of dentinal hypersensitivity. Journal of Oral Science 51 (2009);(3):323-332

Grossman L A systematic method for the treatment of hypersensitive dentine. J Am Dent Assoc (1935) 22; 592-598.

Matsumoto K, Funai H, Shirasuka T, Wakabayashi H. Effects of Nd:YAG-laser in treatment of cervical hypersensitive dentine. Jpn J Conserv Dent (1985) 28:760–5.

Orchardson R, Gillam DR. Managing dentin hypersensitivity. J Am Dent Assoc 2006; 137:990–8.

Sgolastra F, Petrucci A, Gatto R, Monaco A. Effectiveness of laser in dentinal hypersensitivity treatment: a systematic review. J Endod. 2011 Mar; 37(3):297-303.

Kimura Y, Wilder-Smith P, Yonaga K, Matsumoto K.Treatment of dentine hypersensitivity by lasers: a review. J Clin Periodontol. 2000 Oct; 27(10):715-21.

Orchardson R, Gangarosa LP, Holland GR, Pashley DH, Trowbridge HO, Ashley FP, et al. Dentine hypersensitivity—into the 21st century. Arch Oral Biol 1994; 39(Suppl):113S–9S.

Grag N, Grag A. Text book of endodontics. 1st Edition, 2007: 421

Matsumoto K, Kimura Y. Laser Therapy of Dentin Hypersensitivity. J Oral Laser Application 2007; 7: 7-25.

Ladalardo TC, Pinheiro A, Campos RA, Brugnera Júnior A, Zanin F, Albernaz PL, Laser therapy in the treatment of dentine hypersensitivity. Braz. Dent. J. 2004; 15 (2): 144-150.

Jarvis, D, Bruce MacIver, M. & Tanelian, D. L. Electrophysiologic recording and thermodynamic modeling demonstrate that helium-neon laser irradiation does not affect peripheral AÐ- or C-fiber nociceptors. Pain (1990) 43: 235–242.

Moritz A, Gutknecht N, Schoop U, Goharkhay K, Ebrahim D, Wernisch J & Sperr W. The advantage of CO2- treated dental necks, in comparison with a standard method: Results of an in vivo study. Journal of Clinical Laser Medicine & Surgery (1996) 14; 27–32.

Matsumoto K, Funai H, Shirasuka T & Wakabayashi H. Effects of Nd:YAG- laser in treatment of cervical hypersensitive dentine. Japanese Journal of Conservative Dentistry (1985) 28; 760–765.

Lan WH & Liu HC. Sealing of human dentinal tubules by Nd:YAG laser. Journal of Clinical Laser Medicine & Surgery (1995) 13: 329–333.

Lan WH & Lui HC. Treatment of dentin hypersensitivity by Nd: YAG Laser. Journal of Clinical Laser Medicine & surgery (1996) 14: 89-92

Whitters CJ, Hall A, Creanor SL, Moseley H, Gilmour W H, Strang R, Saunders WP & Orchardson R. A clinical study of pulsed Nd:YAG laser induced pulpal analgesia. Journal of Dentistry (1995) 23: 145–150.

Birang R, Poursamimi J, Gutknecht N, Lampert F, Mir M. Comparative evaluation of the effects of Nd:YAG and Er:YAG laser in dentin hypersensitivity treatment. Lasers Med Sci. 2007; 22:21-24.

Borges A, Barcellos D, Gomes C. Dentin Hypersensitivity— Etiology, Treatment Possibilities and Other Related Factors: A Literature review. World Journal of Dentistry, January-March 2012; 3(1):60-67. 61.

Liu HC & Lan WH. The combined effectiveness of the semiconductor lasers with Duraphat in the treatment of dentin hypersensitivity. Journal of Clinical Laser Medicine & Surgery (1994) 12: 315-319

Moritz A, Schoop U, Goharkhay K, Aoid, M, Reichenbach P, Lothaller M. A, Wernisch J, Sperr. Long term effects of CO2 laser irradiation on treatment of hypersensitive dental necks: Results of an in vivo study. Journal of Clinical Laser Medicine and Surgery (1998) 16: 211–215.

Lan WH, Liu HC & Lin CP. The combined occluding effect of sodium fluoride varnish and Nd: YAG laser irradiation on human dentinal tubules. Journal of Endodontics (1999) 25: 424-426

Kumar NG, Mehta DS. 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. Journal of Periodontology. 2005; 76(7):1140–1147.

Hsu PJ, Chen JH, Chuang FH, Roan RT. The combined occluding effects of fluoride-containing dentin desensitizer and Nd-Yag laser irradiation on human dentinal tubules: an in vitro study. Kaohsiung J Med Sci. 2006 Jan; 22(1):24-9.

Goharkhay K, Wernisch J, Schoop U, Moritz A. Laser Treatment of Hypersensitive Dentin: Comparative ESEM investigations, J Oral Laser Applications. 2007; 7: 211-223

Kuo TC, Lee BS, Kang SH, Lin FH, Lin CP. Cytotoxicity of DP-bioglass paste used for the treatment of dentin hypersensitivity. J Endod 2007; 33:451–4.

HE S, WANG Y, LI X, HU D. Effectiveness of laser therapy and topical desensitising agents in treating dentine hypersensitivity: a systematic review. Journal of Oral Rehabilitation 2011; 38:348–358.

Aranha A, Eduardo C. Effects of Er:YAG and Er,Cr:YSGG lasers on dentine hypersensitivity. Short-term clinical evaluation. Lasers Med Sci 2012; 27:813–818.

Yilmaz HG, Cengiz E, Kurtulmus-Yilmaz S, Leblebicioglu B. Effectiveness of Er,Cr:YSGG laser on dentine hypersensitivity: a controlled clinical trial. J Clin Periodontol 2011; 38: 341–346.

McCarthy D, Gillam DG, Parson DJ (1997) In vitro effects of laser radiation on dentine surfaces. J Dent Res 76, Special issue, 233.

Gomi A, Kamiya K, Yamashita H, Ban Y, Senda A, Hara G, Yamaguchi M, Narita T & Hasegawa J. (1986) A clinical study on ‘‘Soft Laser 632’’, a He- Ne low energy medical laser. Aichi-Gakuin Journal of Dental Science 24, 390–399.

Matsumoto K, Funai H, Wakabayashi H & Oyama T. (1985b) Study on the treatment of hypersensitive dentine by GaAlAs laser diode. Japanese Journal of Conservative Dentistry 28, 766–771.

Schwarz F, Arweiler N, Georg T, Reich E. Desensitizing effects of an Er:YAG laser on hypersensitive dentine. A controlled, prospective clinical study. J Clin Periodontol 2002;29:211-215.

Myers TD & McDaniel JD. (1991) The pulsed Nd:YAG dental laser: review of clinical applications. Journal of California Dental Association 19, 25–30.

Brugnera Júnior A, Zanin F, Pinheiro A, Pécora J, Ladalardo TC, Campos D, Garrini, A, Donamaria E, Cruz F, Takamoto M. LLLT in treating dentinary hypersensibility: a histologic study and clinical application. Second International Conference on Near-Field Optical Analysis: Photodynamic Therapy & Photobiology Effects Houston, Texas, USA, May 31 – June 1, 2001. Proceedings of the Second International Conference on NOA, 2002. p 23-31.




DOI: http://dx.doi.org/10.22037/2010.v4i1.3868

Copyright © 2012 J Lasers Med Sci "Powered by Open Journal Systems"

 

Site Map | Privacy Statement | About JLMS | Contact | Search| Current | Archives | Open Access

ISSN: 2008-9783/E.ISSN: 2228-6721. Published quarterly by: Laser Application in Medical Sciences Research Center