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Desensitizing Effects of a Nd:YAG Laser Irradiation on Hypersensitive Dentine  

Jung, Sung-Yong (Department of Oral Medicine, College of Dentistry, Pusan National University)
Kim, Kyoung-Hee (Department of Oral Medicine, College of Dentistry, Pusan National University)
Ko, Myong-Yun (Department of Oral Medicine, College of Dentistry, Pusan National University)
Ahn, Yong-Woo (Department of Oral Medicine, College of Dentistry, Pusan National University)
Park, Jun-Sang (Department of Oral Medicine, College of Dentistry, Pusan National University)
Publication Information
Journal of Oral Medicine and Pain / v.30, no.4, 2005 , pp. 465-473 More about this Journal
Abstract
The purpose of this study was to evaluate the desensitizing effects of a Nd:YAG laser (Sunlase, SUNRISE Technologies, Inc., USA) irradiation on cervically exposed hypersensitive dentine. 45 patients was irradiated with pulsed Nd:YAG laser (1.5 W, 20 Hz, 75 mJ/pulse, 4 minutes) as the experimental group, 27 patients was mock irradiated as the control group. The degree of sensitivity to the thermal and tactile stimuli were determined qualitatively with an evaporative stimulus defined as two times air blast at a distance of 3 mm from each site to be tested and with a mechanical stimulus as a slightly scratching the cervical site with a dental explorer. A qualitative registration of the degree of discomfort was determined according to a numerical pain scale(NPS) in an 11-point scale in which 0= "no pain" and 10="most excruciating pain imaginable". Recordings were assessed before treatment, immediately after, 1 and 2 weeks after treatment. Pain tolerance threshold and pulp vitality were evaluated with electric pulp tester before and immediately after treatment. 1. Desensitizing of hypersensitive dentine with Nd:YAG laser irradiation was more effective than that with mock irradiation. 2. The placebo effect of mock irradiation was recognized for severe sensitive teeth($NPS\;{\geqq}\;6$), but not for moderate sensitive teeth(NPS < 6). 3. Laser irradiation did not affect the pain tolerance threshold and pulp vitality of the hypersensitive teeth. 4. Desensitizing effect of laser irradiation for the hypersensitive teeth had been continuing at least 2 weeks. It was concluded that desensitizing of hypersensitive dentine with a Nd:YAG laser is effective and the maintenance of the positive result was more prolonged than the placebo effect.
Keywords
Hypersensitive dentine; Pulsed Nd:YAG; Placebo effect;
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