对比观察脉冲Nd:YAG激光联合3M.ESPE粘结剂对牙本质过敏症的临床疗效

摘要/Abstract

摘要： 目的：3种方法对比观察Nd：YAG激光联合3M.ESPE粘结剂对牙本质过敏症的治疗效果。方法：选取2016年4月至2017年4月我院口腔门诊治疗过的牙本质过敏症患者160例、240颗患牙作为研究对象，依照试验目的，随机有序分成3组，分别是自酸蚀树脂粘结剂组（A组）、Nd：YAG激光照射组（B组）和Nd：YAG激光联合3M.ESPE粘结剂组（C组），每组患牙各80颗。对比观察即刻、6个月、1年的临床疗效。结果：与A组、B组相比，C组治疗有效率较高；3组平均治疗有效率分别为86.25%、67.50%、98.75%，组间两两相比，差异均有统计学意义（P均<0.05）。结论：脉冲Nd：YAG激光联合3M.ESPE粘结剂对牙本质过敏症的治疗有效率高。

Abstract: Objective：To investigate the therapeutic effects of Nd：YAG laser combined with 3M.ESPE adhesive on dentin hypersensitivity by compared observations. Methods：From April 2016 to April 2017， 160 patients with dentin hypersensitivity who were treated in the outpatient department 240 teeth were selected. According to the experimental purpose，randomly divided into three groups (n=80)， A group was self etching resin adhesive group，B group was Nd：YAG laser irradiation group， C group was Nd：YAG laser combined with 3M.ESPE adhesive group.The clinical effects of immediate， 6 months， 1 year were compared. Results：Compared with A group and B group， C group had higher effective rate.The effective rates of three groups were 86.25%， 67.50% and 98.75% respectively，and compared between each two groups，there were significant differences(P<0.05). Conclusion：Pulsed Nd：YAG laser combined with 3M.ESPE adhesive is effective in the treatment of dentin hypersensitivity.

李菁. 对比观察脉冲Nd:YAG激光联合3M.ESPE粘结剂对牙本质过敏症的临床疗效[J]. .

Li Jing. The Clinical Efficacy of Pulsed Nd：YAG Laser Combined with 3M.ESPE Adhesive in the Treatment of Dentin Hypersensitivity[J]. .

参考文献

[1] 樊明文，牙体牙髓学[M]，北京：人民卫生出版社，2000：156-157
[2] 刘昭娜，张惠敏，申丽丽等，Nd:YAG激光对3种树脂水门汀与牙本质粘结强度的影响[J].华西口腔医学杂志，2012，30(5):509-513。
[3] 孙海燕，仇丽鸿，李子木，激光加粘结剂处理硬化牙本质表面超微形态比较观察[J].中国实用口腔科杂志，2012，3(5):306-307。
[4] 李萍，张清，王佳德等，楔状缺损修复治疗的远期临床疗效及其影响因素[J].中华口腔医学杂志，2001，36(6):437-439。
[5] Goracci C,Sadek FT,Monticelli F,et al.Microtensile bond strength of sel-etching adlhesives to enamel and dentin [J].J Adhes Dent,2004,6(4):313-318.
[6] Pashley DH Carvalho RM. Dentin permeability and dentin ad-hesion [J].J Dent,1997,25(5):355-372.
[7] Mena-Serrano A, Costa TR,Patzlaff RT, et al. Effect of Sonic Application Mode on the Resin-Dentin Bond Strength and Den-tin Permeability of Self-etching Systems [J].J Adhes Dent,2014,16(5):435-440.
[8] 刘宝娟，李文曦，自酸蚀粘结剂涂布方式对树脂充填物修复效果的影响。[J].牙体牙髓牙周病学杂志，2015，11(25):685-687.
[9] 刘智永，熊伯刚，熊世江，自酸蚀粘结剂XenoⅢ在不同涂擦方式下对人牙本质通透性影响的试验研究[J] .牙体牙髓牙周病学杂志，2010，20(1):21-23,31.
[10] 杨宾，王彬娉等，脉冲Nd:YAG激光联合3M.ESPE粘结剂对牙本质小管封闭作用的体外研究。[J].牙体牙髓牙周病学杂志，2015，9(25):538-540.
[11] 王彬娉，杨宾，吴卓骏等，脉冲Nd:YAG激光联合3M.ESPE粘结剂对牙本质小管封闭作用的体外研究。[J].口腔医学研究，2014，30(8):722-723，727。
[12] Lan WH,Liu HC. Treatment of dentin hypersensitivity by ND:YAG laser [J].J Clin Laser Med Surg,1996,14(2):89-82.
[13] Zapletalova Z,Perina JJ, Novotny R,et al.Suitable conditions for sealing of open dentinal tubules using a pulsed ND:YAG laser [J].Photomed Laser Surg,2007,25(6)495-499.
[1] 樊明文，牙体牙髓学[M]，北京：人民卫生出版社，2000：156-157
[2] 刘昭娜，张惠敏，申丽丽等，Nd:YAG激光对3种树脂水门汀与牙本质粘结强度的影响[J].华西口腔医学杂志，2012，30(5):509-513。
[3] 孙海燕，仇丽鸿，李子木，激光加粘结剂处理硬化牙本质表面超微形态比较观察[J].中国实用口腔科杂志，2012，3(5):306-307。
[4] 李萍，张清，王佳德等，楔状缺损修复治疗的远期临床疗效及其影响因素[J].中华口腔医学杂志，2001，36(6):437-439。
[5] Goracci C,Sadek FT,Monticelli F,et al.Microtensile bond strength of sel-etching adlhesives to enamel and dentin [J].J Adhes Dent,2004,6(4):313-318.
[6] Pashley DH Carvalho RM. Dentin permeability and dentin ad-hesion [J].J Dent,1997,25(5):355-372.
[7] Mena-Serrano A, Costa TR,Patzlaff RT, et al. Effect of Sonic Application Mode on the Resin-Dentin Bond Strength and Den-tin Permeability of Self-etching Systems [J].J Adhes Dent,2014,16(5):435-440.
[8] 刘宝娟，李文曦，自酸蚀粘结剂涂布方式对树脂充填物修复效果的影响。[J].牙体牙髓牙周病学杂志，2015，11(25):685-687.
[9] 刘智永，熊伯刚，熊世江，自酸蚀粘结剂XenoⅢ在不同涂擦方式下对人牙本质通透性影响的试验研究[J] .牙体牙髓牙周病学杂志，2010，20(1):21-23,31.
[10] 杨宾，王彬娉等，脉冲Nd:YAG激光联合3M.ESPE粘结剂对牙本质小管封闭作用的体外研究。[J].牙体牙髓牙周病学杂志，2015，9(25):538-540.
[11] 王彬娉，杨宾，吴卓骏等，脉冲Nd:YAG激光联合3M.ESPE粘结剂对牙本质小管封闭作用的体外研究。[J].口腔医学研究，2014，30(8):722-723，727。
[12] Lan WH,Liu HC. Treatment of dentin hypersensitivity by ND:YAG laser [J].J Clin Laser Med Surg,1996,14(2):89-82.
[13] Zapletalova Z,Perina JJ, Novotny R,et al.Suitable conditions for sealing of open dentinal tubules using a pulsed ND:YAG laser [J].Photomed Laser Surg,2007,25(6)495-499.

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