口腔医学研究

口腔医学研究 ›› 2017, Vol. 33 ›› Issue (1): 90-94.DOI: 10.13701/j.cnki.kqyxyj.2017.01.021

• 临床研究论著 • 上一篇    下一篇

奥敏清牙齿脱敏剂联合Er:YAG激光治疗青少年牙本质
敏感症的临床观察及实验研究

刘子晗,周淑*,郑红,汤根兄   

  1. 南京医科大学附属儿童医院口腔科 江苏 南京 210008
  • 收稿日期:2016-08-10 出版日期:2017-01-25 发布日期:2017-01-22
  • 通讯作者: 周淑,E-mail:13951878582@163.com
  • 作者简介:刘子晗(1987~ ),女,江苏连云港人,硕士,住院医师,主要从事口腔科的临床治疗工作。
  • 基金资助:
    江苏省卫生厅预防医学科研课题基金资助项目(编号:Y2013003)

Clinical Observation and Experimental Study of Minqing Ao Dental Desensitizer Combined with Er:YAG Laser on the Treatment of Dentine Hypersensitivity in Teenagers.

LIU Zi-han, ZHOU Shu*, ZHENG Hong, TANG Gen-xiong   

  1. Children's Hospital of Nanjing Medical University, Nanjing 210008, China
  • Received:2016-08-10 Online:2017-01-25 Published:2017-01-22

PDF (PC)

367

摘要： 目的:对奥敏清牙齿脱敏剂联合Er:YAG激光治疗青少年牙本质敏感症的疗效进行研究。方法:78例(共163颗患牙)青少年牙本质敏感症患者随机分为奥敏清组(n=54)、激光组(n=55)和联合组(n=54),奥敏清组患者给予单一奥敏清牙齿脱敏剂涂布治疗,激光组患者给予单一的Er:YAG激光照射治疗,联合组患者在Er:YAG激光照射后再涂布奥敏清牙齿脱敏剂治疗,比较治疗前、治疗即刻和治疗后1周、1月、3月、6月VAS值、总有效率。另将20颗新鲜离体牙随机分为4组,分别用生理盐水、奥敏清牙齿脱敏剂、Er:YAG激光及奥敏清联合Er:YAG激光处理,扫描电镜观察各模型样本形态。 结果:联合组在治疗即刻及治疗后各时间点的VAS值均显著低于奥敏清组和激光组(P<0.05);总有效率均显著高于奥敏清组和激光组(P<0.05);奥敏清组和激光组在治疗即刻、治疗后1周、1月、3月时的总有效率差异无统计学意义,但激光组在治疗后6月的总有效率却显著高于奥敏清组(P<0.05)。扫描电镜结果显示奥敏清、Er:YAG激光及奥敏清联合Er :YAG激光处理均可封闭牙本质小管,且奥敏清联合Er:YAG激光的封闭效果最佳。结论:奥敏清牙齿脱敏剂联合Er:YAG激光治疗青少年牙本质敏感症具有较好的临床效果。

关键词: 奥敏清牙齿脱敏剂, Er:YAG激光, 青少年, 牙本质敏感症

Abstract: Objective: To study the clinical effect of Minqing Ao dental desensitizer combined with Er : YAG laser on the treatment of dentine hypersensitivity in teenagers. Methods: Seventy-eight cases (163 teeth) of dentine hypersensitivity in teenagers were randomly divided into the Minqing Ao group (n=54), the laser group (n=55) and the combined group (n=54). The Minqing Ao group was treated with Minqing Ao dental desensitizer alone, the laser group was treated with Er:YAG laser irradiation, and the combined group was treated with Er:YAG laser irradiation combined with the later Minqing Ao dental desensitizer. The visual analog scale (VAS) and total effective rate of the Minqing Ao group, the laser group and the combined group were compared before, immediately after, and 1 week, 1, 3, 6 months after treatment. Another 20 fresh teeth were selected and randomly divided into four groups. The dentin hypersensitivity model samples of four groups were treated by using normal saline, Minqing Ao dental desensitizer, Er:YAG laser, Minqing Ao dental desensitizer combined with Er:YAG laser respectively. Sample morphology of all 20 specimens was observed under scanning electron microscope. Results: The VAS of the combined group was significantly lower than that in the Minqing Ao group and in the laser group (P<0.05). Total effective rate of the combined group was significantly lower than that in the Minqing Ao group and the laser group immediately after and 1 week, 1, 3, 6 months after treatment (P<0.05). Total effective rate of the Minqing Ao



基金项目 江苏省卫生厅预防医学科研课题基金资助项目(编号:Y2013003)
作者简介 刘子晗(1987~ ),女,江苏连云港人,硕士,住院医师,主要从事口腔科的临床治疗工作。
*通讯作者 周淑,E-mail:13951878582@163.com
group and the laser group immediate after and 1 week, 1 month, 3 months after treatment showed no statistical significance. Conclusion: Minqing Ao dental desensitizer combined with Er:YAG laser in the treatment of dentine hypersensitivity in teenagers has better clinical effects.

Key words: Minqing, Ao, dental, desensitizer
Er:YAG, laser, Teenagers, Dentine, hypersensitivity

中图分类号: