The effects of photobiomodulation therapy for the treatment of dentin hypersensitivity

  • Erika Michele dos Santos Araújo Universidade de São Paulo
  • Bárbara Fávero Araújo Lima Universidade Cruzeiro do Sul
  • Júlia Gomes Lúcio de Araújo Universidade de São Paulo
  • Fernanda Cristina Nogueira Rodrigues Universidade de São Paulo
  • Stella Ferreira do Amaral Universidade Cruzeiro do Sul
  • Andréa Dias Neves Lago Universidade Federal do Maranhão
Keywords: Dentin Sensitivity, Laser Therapy, Lasers

Abstract

Objective: This case report proposes a treatment for dentin hypersensitivity (DH) using photobiomodulation (PBT) with low power diode laser. Methods and Results: Male patient, 28 years old, reporting “dental sensitivity,” diagnosed by anamnesis and intraoral examination, with non-carious cervical lesions (NCCL) and DH on teeth 15 to 25, with different pain intensities, measured with visual analogue scale (VAS). For DH treatment, a PBT was proposed, with 808nm, 100mW, 20s and 2J of energy, applied during 3 sessions, with one-week interval and reevaluation after 30 days. After the first session, the patient reported improvement of sensitivity in all teeth, except for 15, that remained sensitive even during the reevaluation. Conclusion: PBT was effective in DH treatment, with desensitization being observed for 30 days in 90% of treated teeth.

Downloads

Download data is not yet available.

Author Biographies

Erika Michele dos Santos Araújo, Universidade de São Paulo

Restorative Dentistry Department, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil

Bárbara Fávero Araújo Lima, Universidade Cruzeiro do Sul

Universidade Cruzeiro do Sul, São Paulo, SP, Brazil

Júlia Gomes Lúcio de Araújo, Universidade de São Paulo

Departament of Maxilofacial Surgery, Prosthesis and Traumatology, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil

Fernanda Cristina Nogueira Rodrigues, Universidade de São Paulo

Restorative Dentistry Department, School of Dentistry, University of São Paulo, São Paulo, SP, Brazil

Stella Ferreira do Amaral, Universidade Cruzeiro do Sul

Universidade Cruzeiro do Sul, São Paulo, SP, Brazil

Andréa Dias Neves Lago, Universidade Federal do Maranhão

Dentistry Department I, Federal University of Maranhão, São Luís, MA, Brazil

References

Cartwright RB. Dentinal hypersensitivity: a narrative review. Community Dent Health. 2014;31(1):15-20.

West NX, Seong J, Davies M. Management of dentine hypersensitivity: efficacy of professionally and self-administered agents. J Clin Periodontol. 2015;42 Suppl 16:S256-302. doi: 10.1111/jcpe.12336

Kopycka-Kedzierawski DT, Meyerowitz C, Litaker MS, Chonowski S, Heft MW, Gordan VV, et al. Management of dentin hypersensitivity by National Dental Practice-Based Research Network practitioners: results from a questionnaire administered prior to initiation of a clinical study on this topic. BMC Oral Health. 2017;17:41. doi: 10.1186/s12903-017-0334-0

Walters PA. Dentinal hypersensitivity: a review. J Contemp Dent Pract. 2005;6(2):107-17.

Goh V, Corbet EF, Leung WK. Impact of dentine hypersensitivityonoralhealth-relatedqualityoflifeinindividualsreceiving supportive periodontal care. J Clin Periodontol. 2016;43(7):595-602. doi: 10.1111/jcpe.12552

Brännström M, Aström A. The hydrodynamics of the dentine: its possible relationship to dentinal pain. Int Dent J. 1972;22(2):219-27.

Asnaashari M, Moeini M. Effectiveness of lasers in the treatment of dentin hypersensitivity. J Lasers Med Sci. 2013;4(1):1-7.

Vano M, Derchi G, Barone A, Pinna R, Usai P, Covani U. Reducing dentine hypersensitivity withnano-hydroxyapatite toothpaste: a double-blind randomized controlled trial. Clin Oral Investig. 2018;22(1):313-20. doi: 10.1007/s00784-017-2113-3

Heft MW, Litaker MS, Kopycka-Kedzierawski DT, Meyerowitz C, Chonowski S, Yardic RL, et al. Patient-centered dentinal hypersensitivity treatment outcomes: results from the National Dental PBRN. JDR Clin Trans Res. 2018;3(1):76-82. doi: 10.1177/2380084417742099

Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Lasers for the treatment of dentin hypersensitivity: a meta-analysis. J Dent Res. 2013;92(6):492-9. doi: 10.1177/0022034513487212

Anhesini BH, Mayer-Santos E, Francisconi-dos-Rios LF, Freitas PM, Eduardo CP, Aranha ACC. Photobiomodulation versus direct restoration in a patient presenting with dentinal hypersensitivity: a 6-month follow-up. Gen Dent. 2018;66(2):69-73.

Machado AC, Viana ÍEL, Farias-Neto AM, Braga MM, Paula Eduardo C, Freitas PM, Aranha ACC. Is photobiomodulation (PBM) effective for the treatment of dentin hypersensitivity? A systematic review. Lasers Med Sci. 2018;33(4):745-53. doi: 10.1007/s10103-017-2403-7

Yui KCK, Cervantes-Jorge AL, Gonçalves SEP, Rodrigues JR, Di Nicoló R. Terapia do laser de GaAlAs na hipersensibilidade dentinária. Ciênc Odontol Bras. 2003;6(4):17-24.

Karu T. The science of low power laser therapy. New York: Gordon and Breach Science Publishers; 1998.

Dantas EM, Amorim FK, Nóbrega FJ, Dantas PM, Vasconcelos RG, Queiroz LM. Clinical efficacy of fluoride varnish and low-level laser radiation in treating dentin hypersensitivity. Braz Dent J. 2016;27(1):79-82. doi: 10.1590/0103-6440201602422

Scaramucci T, Almeida Anfe TE, Silva Ferreira S, Frias AC, Sobral MA. Investigation of the prevalence, clinical features, and risk factors of dentin hypersensitivity in a selected Brazilian population. Clin Oral Investig. 2014;18(2):651-7. doi: 10.1007/s00784-013-1008-1

Romeo U, Russo C, Palaia G, Tenore G, Del Vecchio A. Treatment of dentine hypersensitivity by diode laser: a clinical study. Int J Dent. 2012;858950.

Bader JD, Levitch LC, Shugars DA, Heymann HO, McClure F. How dentists classified and treated non-carious cervical lesions. J Am Dent Assoc. 1993;124(5):46-54. doi: 10.14219/jada.archive.1993.0112

Colak H, Demirer S, Hamidi M, Uzgur R, Köseoğlu S. Prevalence of dentine hypersensitivity among adult patients attending a dental hospital clinic in Turkey. West Indian Med J. 2012;61(2):174-9.

Moraschini V, Barboza Edos S. Use of platelet-rich fibrin membrane in the treatment of gingival recession: a systematic review and meta-analysis. J Periodontol. 2016;87(3):281-90. doi: 10.1902/jop.2015.150420

Liang X, Wei Z, Hu D, Ruan J. Prevalence of dentin hypersensitivity among the residents of Xi’an city, China. Acta Odontol Scand. 2017;75(6):387-93. doi: 10.1080/00016357.2017.1323348

Porto IC, Andrade AK, Montes MA. Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci. 2009;51(3):323-32. doi: 10.2334/josnusd.51.323

West NX, Sanz M, Lussi A, Bartlett D, Bouchard P, Bourgeois D. Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. J Dent. 2013;41(1):841-51. doi: 10.1016/j.jdent.2013.07.017

Asnaashari M, Moeini M. Effectiveness of lasers in the treatment of dentin hypersensitivity. J Lasers Med Sci. 2013;4(1):1-7.

Davari AR, Ataei E, Assarzadeh H. Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review. J Dent (Shiraz). 2013;14(3):136-45.

Machado AC, Viana ÍEL, Farias-Neto AM, Braga MM, Paula Eduardo C, Freitas PM, Aranha ACC. Is photobiomodulation (PBM) effective for the treatment of dentin hypersensitivity? A systematic review. Lasers Med Sci. 2018;33(4):745-53. Epub 2017 Dec 5. doi: 10.1007/s10103-017-2403-7

Biagi R, Cossellu G, Sarcina M, Pizzamiglio IT, Farronato G. Laser-assisted treatment of dentinal hypersensitivity: a literature review. Ann Stomatol (Roma). 2015;6(3-4):75-80. doi: 10.11138/ads/2015.6.3.075

Rosa RR, Calazans FK, Nogueira RD, Lancellotti AC, Gonçalves LS, Geraldo-Martins VR. Effects of different desensitizing treatments on root dentin permeability. Braz Oral Res. 2016;30(1):e111. doi: 10.1590/1807-3107BOR-2016.vol30.0111

Soares ML, Porciúncula GB, Lucena MI, Gueiros LA, Leão JC, Carvalho AA. Efficacy of Nd:YAG and GaAlAs lasers in comparison to 2% fluoride gel for the treatment of dentinal hypersensitivity. Gen Dent. 2016;64(6):66-70.

Rizzante FA, Maenosono RM, Duarte MA, Furuse AY, Palma-Dibb RG, Ishikiriama SK. In Vitro Evaluation of Dentin Hydraulic Conductance After 980 nm Diode Laser Irradiation. J Periodontol. 2016;87(3):320-6. doi: 10.1902/jop.2015.150444

Brignardello-Petersen R. Low-level laser therapy may reduce dentin hypersensitivity after scaling and root planing. J Am Dent Assoc. 2017;148(9):e126. doi: 10.1016/j.adaj.2017.06.022

Femiano F, Femiano R, Lanza A, Lanza M, Perillo L. Effectiveness on oral pain of 808-nm diode laser used prior to composite restoration for symptomatic non-carious cervical lesions unresponsive to desensitizing agents. Lasers Med Sci. 2017;32(1):67-71. doi: 10.1007/s10103-016-2087-4

García-Delaney C, Abad-Sánchez D, Arnabat-Domínguez J, Valmaseda-Castellón E, Gay-Escoda C. Evaluation of the effectiveness of the photobiomodulation in the treatment of dentin hypersensitivity after basic therapy: a randomized clinical trial. J Clin Exp Dent. 2017;9(5):e694-e702. doi: 10.4317/jced.53635

Lima TC, Vieira-Barbosa NM, Grasielle de Sá Azevedo C, Matos FR, Douglas de Oliveira DW, Oliveira ES, et al. Oral health-related quality of life before and after treatment of dentin hypersensitivity with cyanoacrylate and laser. J Periodontol. 2017;88(2):166-72. doi: 10.1902/jop.2016.160216

Hashim NT, Gasmalla BG, Sabahelkheir AH, Awooda AM. Effect of the clinical application of the diode laser (810 nm) in the treatment of dentine hypersensitivity. BMC Res Notes. 2014;7:31. doi: 10.1186/1756-0500-7-31

Lopes AO, Aranha ACC. Comparative evaluation of the effects of Nd:YAG Laser and a desensitizer agent on the treatment of dentin hypersensitivity: a clinical study. Photomed Laser Surg. 2013;31(3):132-8. doi: 10.1089/pho.2012.3386

Wakabayashi H, Hamba M, Matsumoto K, Tachibana H. Effect of irradiation by semiconductor laser on responses evoked in trigeminal caudal neurons by tooth pulp stimulation. Lasers Surg Med. 1993;13(6):605-10. doi: 10.1002/lsm.1900130603

Yilmaz HG, Kurtulmus-Yilmaz S, Cengiz E, Bayindir H, Aykac Y. Clinical evaluation of Er,Cr:YSGG and GaAlAs laser therapy for treating dentine hypersensitivity: a randomized controlled clinical trial. J Dent. 2011;39(3);249-54. doi: 10.1016/j.jdent.2011.01.003

Lopes AO, Eduardo CP, Aranha AC. Clinical evaluation of low-power laser and a desensitizing agent on dentin hypersensitivity. Lasers Med Sci. 2015;30(2):823-9. doi: 10.1007/s10103-013-1441-z

Lopes AO, Paula Eduardo C, Aranha ACC. Evaluation of different treatment protocols for dentin hypersensitivity: an 18-month randomized clinical trial. Lasers Med Sci. 2017;32(5):1023-30. doi: 10.1007/s10103-017-2203-0

Aranha ACC, Pimenta LAF, Marchi GM. Clinical evaluation of desensitizing treatments for cervical dentin hypersensitivity. Braz Oral Res. 2009;23(3):333-9. doi: 10.1590/S1806-83242009000300018

Vieira AH, Passos VF, Assis JS, Mendonça JS, Santiago SL. Clinical evaluation of a 3% potassium oxalate gel and a GaAlAs laser for the treatment of dentinal hypersensitivity. Photomed Laser Surg. 2009;27(5):807-12. doi: 10.1089/pho.2008.2364

Published
2020-04-02
Issue
Section
Case report or technical report