مجله دانشکده دندان‌پزشکی اصفهان

بررسی مقایسه‌ای تأثیر لیزر Diode 980 nmپرتوان و خمیر حاویCPP-ACP در درمان حساسیت عاجی

نوع مقاله : مقاله‌های پژوهشی

چکیده

مقدمه: روش‌های مختلفی برای درمان حساسیت عاجی پیشنهاد شده که لیزر درمانی و خمیر حاوی CPP-ACP(کازئین فسفوپپتید_آمورفوس کلسیم فسفات)  از جمله آنهاست. هدف از این مطالعه مقایسه  تاثیر لیزر Diode 980 nm پرتوان و خمیر حاوی CPP-ACP  در درمان  حساسیت عاجی بود.
مواد و روش ها: در این مطالعه کارآزمایی بالینی یک سو کور، 96دندان مبتلا به حساسیت عاجی به شکل تصادفی در سه گروه 32 تایی قرار گرفتند و گروه‌ها به ترتیب تحت درمان با لیزر پرتوان Diode 980 nm باتوان یک وات و زمان تابش 30 ثانیه، خمیر حاوی CPP-ACP و و گروه کنترل تحت تابش اشعه راهنما (بدون تابش لیزر) قرار گرفته و میزان حساسیت و درد، در قبل از درمان، 15 دقیقه بعد از درمان جلسه اول ودوم، یک هفته، یک ماه و دو ماه بعد از پایان درمان تعیین ومقایسه شد. داده‌ها با آزمون های آماری واریانس یک طرفه و آزمون تعقیبی توکی ارزیابی شدند(05/0=α)
یافته ها: در میانگین نمره شدت درد به  جز هفته هشتم در سایر زمان ها تفاوت معنی داری بین گروه ها مشاهده نشد.(P>0/05) در هفته هشتم میانگین نمره شدت درد در گروه لیزر دیود) 04/0= (P و خمیر حاویCPP-ACP )001/0>(P به طور معنا داری کمتر از گروه کنترل بود. هر چند بین این 2 گروه تست تفاوت معنی دار نبود(18/0=.(Pتغییرات میانگین شدت درد در هفته هشتم نشان داد که در گروه خمیر حاوی CPP-ACP کاهش شدت درد بیش از گروه درمان شده با لیزر(046/0 P=) و در گروه لیزر نیز بیش از گروه کنترل بود   (01/0=P).
نتیجه گیری: هر دو درمان انجام شده پس از دو ماه در کاهش حساسیت عاجی موثر بودند، هر چند تفاوت معناداری بین دو گروه لیزر Diode 980 پرتوان و خمیر CPP-ACP در رفع حساسیت عاجی وجود نداشت.

عنوان مقاله [English]

Comparative Evaluation of the Effects of High-Power Diode Laser 980 nm and CPP-ACP Paste on Treatment of Dentin Hypersensitivity

چکیده [English]

Introduction: Various methods have been recommended to treat dentin sensitivity, including Laser therapy and CPP-ACP (Casein phosphopeptide-amorphous calcium phosphate). The aim of this study was to compare the effect of high-power Diode laser 980 nm and CPP-ACP paste on the dentin hypersensitivity treatment (DH).
Materials and Methods: In this single-blind clinical trial study, 96 dentin-sensitive teeth were randomly divided into three groups of 32, and the groups were treated with Diode 980 nm laser, power 1 watt,30 seconds irridation, CPP-ACP paste and control group (guide radiation without laser irradiation). The level of sensitivity and pain were determined and compared before treatment, 15 minutes after the first and second sessions, one week, one month, and two months after the end of treatment. The data were evaluated with one-way variance statistical tests and Tukey's post hoc test (α = 0.05).
Results: There was no significant difference between the groups in the average score of DH except for the eighth week. (P>0.05) In the eighth week, the average score of DH in the diode laser group (p value = 0.04) and paste containing CPP ACP (p value > 0.001) was significantly lower than the control group. However, there was no significant difference between these two test groups (p value = 0.18). Changes in the average of DH in the eighth week showed that in the pasted group containing CPP-ACP, reduced pain was more than the laser-treated group (p value = 0.046) and in the laser group it was more than the control group (p value = 0.01).
Conclusion: Both treatments effectively reduced dentin sensitivity after two months, but there is no significant difference between high-power Diode laser 980 and CPP-ACP paste in the treatment of dentinal hypersensitivity.
Keywords: Dentin hypersensitivity; Laser; Casein phosphopeptide-amorphous calcium phosphate

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مجله دانشکده دندان‌پزشکی اصفهان
دوره 20، شماره 4 - شماره پیاپی 4
بهمن 1403