Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity
Context: Dentinal hypersensitivity (DH) is a chronic disorder in which patients report sharp and acute pain to a variety of stimuli. Till date, a standardized procedure to treat DH is missing, though several alternative treatment strategies have been designed, including laser therapies. Aim: The aim...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
| Series: | Journal of Indian Society of Periodontology |
| Subjects: | |
| Online Access: | http://www.jisponline.com/article.asp?issn=0972-124X;year=2017;volume=21;issue=5;spage=391;epage=397;aulast=Tevatia |
| _version_ | 1830305830979764224 |
|---|---|
| author | Siddharth Tevatia Vivek Khatri Nikhil Sharma Vidya Dodwad |
| author_facet | Siddharth Tevatia Vivek Khatri Nikhil Sharma Vidya Dodwad |
| author_sort | Siddharth Tevatia |
| collection | DOAJ |
| description | Context: Dentinal hypersensitivity (DH) is a chronic disorder in which patients report sharp and acute pain to a variety of stimuli. Till date, a standardized procedure to treat DH is missing, though several alternative treatment strategies have been designed, including laser therapies. Aim: The aim of the study was to treat DH with minimum chemical concentration and least laser energy level with longer follow-up period. Materials and Methods: One hundred and twenty patients were randomly divided into four groups: (i) Group 1-5% potassium nitrate (KNO3); (ii) Group 2 - gallium-aluminum-arsenide diode laser (62.2 J/cm2, wavelength - 980 nm, noncontact pulse mode, and power wattage - 0.5 W); (iii) Group 3 - combined 5% KNO3and the diode laser; and (iv) Group 4 - placebo (control). The visual analog scale (VAS) scores were recorded, analyzed, and compared to tactile stimuli, cold water, and air blast tests at different intervals for 6 weeks. Results: Synergistic use of 5% KNO3and diode laser (Group 3) significantly reduced the DH pain, which was almost negligible after 6th week (97%–99% of the pain was reported to be relieved) and showed promising results than any other studied groups. Further, the diode laser (Group 2) showed better results than 5% KNO3 (Group 1). One-way ANOVA and Bonferroni correction post hoc test revealed the combination of groups with significant differences in the mean VAS scores at the different interval of time (P < 0.01). Conclusions: Convincingly, the combined application of 5% KNO3with the diode laser can be recommended for treating DH patients. |
| first_indexed | 2024-12-19T10:02:32Z |
| format | Article |
| id | doaj.art-cbc6a6c49d8946239ea535da01b71035 |
| institution | Directory Open Access Journal |
| issn | 0972-124X |
| language | English |
| last_indexed | 2024-12-19T10:02:32Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj.art-cbc6a6c49d8946239ea535da01b710352022-12-21T20:26:37ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2017-01-0121539139710.4103/jisp.jisp_310_16Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivitySiddharth TevatiaVivek KhatriNikhil SharmaVidya DodwadContext: Dentinal hypersensitivity (DH) is a chronic disorder in which patients report sharp and acute pain to a variety of stimuli. Till date, a standardized procedure to treat DH is missing, though several alternative treatment strategies have been designed, including laser therapies. Aim: The aim of the study was to treat DH with minimum chemical concentration and least laser energy level with longer follow-up period. Materials and Methods: One hundred and twenty patients were randomly divided into four groups: (i) Group 1-5% potassium nitrate (KNO3); (ii) Group 2 - gallium-aluminum-arsenide diode laser (62.2 J/cm2, wavelength - 980 nm, noncontact pulse mode, and power wattage - 0.5 W); (iii) Group 3 - combined 5% KNO3and the diode laser; and (iv) Group 4 - placebo (control). The visual analog scale (VAS) scores were recorded, analyzed, and compared to tactile stimuli, cold water, and air blast tests at different intervals for 6 weeks. Results: Synergistic use of 5% KNO3and diode laser (Group 3) significantly reduced the DH pain, which was almost negligible after 6th week (97%–99% of the pain was reported to be relieved) and showed promising results than any other studied groups. Further, the diode laser (Group 2) showed better results than 5% KNO3 (Group 1). One-way ANOVA and Bonferroni correction post hoc test revealed the combination of groups with significant differences in the mean VAS scores at the different interval of time (P < 0.01). Conclusions: Convincingly, the combined application of 5% KNO3with the diode laser can be recommended for treating DH patients.http://www.jisponline.com/article.asp?issn=0972-124X;year=2017;volume=21;issue=5;spage=391;epage=397;aulast=TevatiaDentinal hypersensitive patientsdiode and chemical agent synergismrandomized clinical studyvisual analog scale |
| spellingShingle | Siddharth Tevatia Vivek Khatri Nikhil Sharma Vidya Dodwad Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity Journal of Indian Society of Periodontology Dentinal hypersensitive patients diode and chemical agent synergism randomized clinical study visual analog scale |
| title | Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity |
| title_full | Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity |
| title_fullStr | Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity |
| title_full_unstemmed | Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity |
| title_short | Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity |
| title_sort | comparative clinical evaluation of gallium aluminum arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity |
| topic | Dentinal hypersensitive patients diode and chemical agent synergism randomized clinical study visual analog scale |
| url | http://www.jisponline.com/article.asp?issn=0972-124X;year=2017;volume=21;issue=5;spage=391;epage=397;aulast=Tevatia |
| work_keys_str_mv | AT siddharthtevatia comparativeclinicalevaluationofgalliumaluminumarsenidediodelaserandpotassiumnitrateintreatingdentinalhypersensitivity AT vivekkhatri comparativeclinicalevaluationofgalliumaluminumarsenidediodelaserandpotassiumnitrateintreatingdentinalhypersensitivity AT nikhilsharma comparativeclinicalevaluationofgalliumaluminumarsenidediodelaserandpotassiumnitrateintreatingdentinalhypersensitivity AT vidyadodwad comparativeclinicalevaluationofgalliumaluminumarsenidediodelaserandpotassiumnitrateintreatingdentinalhypersensitivity |