治疗牙本质过敏症的单疗程关联方案:为期一年的随机、盲法临床研究。

Restorative Dentistry & Endodontics Pub Date : 2024-03-20 eCollection Date: 2024-05-01 DOI:10.5395/rde.2024.49.e15
Thayna Carolina Zeni, Poliana Maria de Faveri Cardoso, Rafael da Silva Vanolli, Márcio José Mendonça, Julio Katuhide Ueda, Veridiana Camilotti
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引用次数: 0

摘要

研究目的本研究旨在为牙本质过敏症(DH)的非修复治疗制定一个单疗程联合方案:研究选取了 24 名牙本质过敏症患者,他们的敏感度至少达到视觉模拟量表(VAS)上的 4 级。研究采用分口设计,每个参与者(n = 20)在所有象限都至少有一颗受影响的牙齿。管理方案包括对照组:通用粘合剂;神经脱敏方案组:5%硝酸钾;混合脱敏方案组:5%硝酸钾:5%硝酸钾组;混合脱敏方案(PAM)组:再矿化脱敏方案(PDR)组:表面部分反应的玻璃技术光聚合清漆。采用 VAS 敏感度测试法对涂抹后立即、1 周、1 个月、2 个月和 12 个月进行评估:采用 Friedman 检验(P < 0.05)、Durbin-Conover 检验(P < 0.05)和 Wilcoxon 检验(P < 0.05)对评分进行统计分析。在 12 个月的评估中,所有组别与初次评估相比都有显著的统计学差异。在 12 个月后的评估中,PAM 组、对照组和 PDR 组之间的差异有统计学意义:结论:可以得出结论,所有组别都能有效控制 DH,但对照组和 PDR 组效果显著。这项研究的临床意义在于证明,应用单次脱敏方案可有效控制 DH 长达 12 个月:试验注册:巴西临床试验注册标识符:RBR-4r63d7s.
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Single-session associative protocol for dentin hypersensitivity management: a 1-year randomized, blinded clinical study.

Objectives: This study aimed to establish a single-session associative protocol for non-restorative management of dentin hypersensitivity (DH).

Materials and methods: Twenty-four individuals with DH and a minimum sensitivity level of 4 on the visual analog scale (VAS) were selected. The study was conducted in a split-mouth design, with each participant (n = 20) having at least 1 affected tooth in all quadrants. The management protocols consisted of control group: universal adhesive, Neural Desensitizing Protocol group: 5% potassium nitrate, Mixed Desensitizing Protocol (PAM) group: 5% sodium fluoride and 5% potassium nitrate, Remineralizing Desensitizing Protocol (PDR) group: surface-partially reacted glass technology photopolymerizable varnish. Evaluations were performed immediately after application, at 1 week, 1 month, 2 months, and 12 months using the VAS sensitivity test.

Results: The scores were subjected to statistical analysis using the Friedman test (p < 0.05), Durbin-Conover test (p < 0.05), and Wilcoxon test (p < 0.05). At the 12-month evaluation, all groups showed statistically significant differences compared to the initial assessment. For the evaluation after 12 months, there was a statistically significant difference between the PAM group, the control group, and the PDR group.

Conclusions: It can be concluded that all groups were effective in controlling DH, but there were significant results in the control group and PDR group. The clinical relevance of this study is to demonstrate that the application of single-session desensitizing protocols can be effective in controlling DH for up to 12 months.

Trial registration: Brazilian Clinical Trials Registry Identifier: RBR-4r63d7s.

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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
35
审稿时长
12 weeks
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