Objectives: To quantitatively evaluate the effects of two traditional desensitizing agents [5% so... more Objectives: To quantitatively evaluate the effects of two traditional desensitizing agents [5% sodium fluoride (Duraphat fluoride varnish), 5% glutaraldehyde-35% hydroxyethyl methacrylate (Gluma desensitizer)], an effective new agent [8% arginine and calcium carbonate-containing desensitizing paste (Pro-Argin)], and erbium-doped yttrium aluminum garnet (Er:YAG) laser on dentinal tubule occlusion by scanning electron microscopy (SEM). Materials and Methods: A total of fifty dentin specimens were obtained from freshly extracted, non-caries, sound human third molars and randomly divided into five groups (n = 10): Group 1: Control (No treatment), Group 2: Duraphat Fluoride Varnish, Group 3: Pro-Argin Desensitizing Paste, Group 4: Gluma Desensitizer, Group 5: Er:YAG laser. All specimens evaluated under the SEM and 10 photographs were taken from each sample at 2000× magnification. The number of open, partially occluded, and visible (open + partially occluded) dentinal tubules in each photograph was calculated. SPSS (Statistical package for the social sciences) 21.0 software was used for statistical analysis. The data were analyzed by One-way ANOVA, Dunnett C, and Tukey tests. The significant value for all tests was accepted as 0.05. Results: No significant difference was observed in the number of open, partially occluded, and visible dentinal tubules between the Pro-Argin Desensitizing Paste and Er:YAG laser groups, but fewer open, partially occluded, and visible dentinal tubules were observed in these groups than in the other groups. That is, Er:YAG laser and Pro-Argin Desensitizing Paste groups showed significantly more tubule occlusion than the other groups (p < 0.05). Conclusions: Er:YAG laser and Pro-Argin Desensitizing Paste groups were found to be more effective than the other groups in occluding the dentinal tubules.
Objectives: Elimination of etiological factors is great importance in the treatment of dentin hyp... more Objectives: Elimination of etiological factors is great importance in the treatment of dentin hypersensitivity (DH). The aim of this study is to compare the effect of DH etiology and risk factors on different treatment methods [5% sodium fluoride (Duraphat fluoride varnish), 5% glutaraldehyde-35% hydroxyethyl methacrylate (Gluma desensitizer), 8% arginine and calcium carbonate-containing desensitizing paste (Pro-Argin) and erbium-doped yttrium aluminum garnet (Er:YAG) laser]. Methods: 40 patients (16 male and 24 females) with 200 teeth affected by DH and bruxism were included in this study. The patients were divided into two main groups. In the first group, there were patients who could not regularly use the night guard for bruxism due to individual reasons, and who could not complied advices on nutrition and oral hygiene habits (Group-A). The second group consisted of patients who could regularly use the night guard and could complied advices (Group-B). Then, both groups were divided into five subgroups: Group 1: Duraphat fluoride varnish, Group 2: Gluma desensitizer, Group 3: Pro-Argin, Group 4: Er:YAG laser Group 5: Control. DH was assessed with a visual analog scale (VAS); before the treatment, immediately, 1, 4, and 12 weeks after the treatment. The obtained data were evaluated statistically. Results: In both groups, it was seen that the most effective treatment methods were the Er:YAG laser and Pro-Argin. Gluma desensitizer and Duraphat fluoride varnish were also found to be effective in DH compared with control group, but they were not found to be as successful as the Er:YAG laser and Pro-Argin in the long term. It was found that all treatment methods, including the control group, applied to Group-B significantly increased their activities compared to Group-A in the 4 and 12 weeks (p<0.05). Conclusions: It has been found that the success rates of all treatment methods are increased when the etiological factor can be eliminated. It was also observed that Er:YAG laser and Pro-Argin demonstrated statistically similar success rates in both groups. It was seen that Er:YAG laser and Pro-Argin could have hope for long-term DH treatment.
Objectives: To quantitatively evaluate the effects of two traditional desensitizing agents [5% so... more Objectives: To quantitatively evaluate the effects of two traditional desensitizing agents [5% sodium fluoride (Duraphat fluoride varnish), 5% glutaraldehyde-35% hydroxyethyl methacrylate (Gluma desensitizer)], an effective new agent [8% arginine and calcium carbonate-containing desensitizing paste (Pro-Argin)], and erbium-doped yttrium aluminum garnet (Er:YAG) laser on dentinal tubule occlusion by scanning electron microscopy (SEM). Materials and Methods: A total of fifty dentin specimens were obtained from freshly extracted, non-caries, sound human third molars and randomly divided into five groups (n = 10): Group 1: Control (No treatment), Group 2: Duraphat Fluoride Varnish, Group 3: Pro-Argin Desensitizing Paste, Group 4: Gluma Desensitizer, Group 5: Er:YAG laser. All specimens evaluated under the SEM and 10 photographs were taken from each sample at 2000× magnification. The number of open, partially occluded, and visible (open + partially occluded) dentinal tubules in each photograph was calculated. SPSS (Statistical package for the social sciences) 21.0 software was used for statistical analysis. The data were analyzed by One-way ANOVA, Dunnett C, and Tukey tests. The significant value for all tests was accepted as 0.05. Results: No significant difference was observed in the number of open, partially occluded, and visible dentinal tubules between the Pro-Argin Desensitizing Paste and Er:YAG laser groups, but fewer open, partially occluded, and visible dentinal tubules were observed in these groups than in the other groups. That is, Er:YAG laser and Pro-Argin Desensitizing Paste groups showed significantly more tubule occlusion than the other groups (p < 0.05). Conclusions: Er:YAG laser and Pro-Argin Desensitizing Paste groups were found to be more effective than the other groups in occluding the dentinal tubules.
Objectives: Elimination of etiological factors is great importance in the treatment of dentin hyp... more Objectives: Elimination of etiological factors is great importance in the treatment of dentin hypersensitivity (DH). The aim of this study is to compare the effect of DH etiology and risk factors on different treatment methods [5% sodium fluoride (Duraphat fluoride varnish), 5% glutaraldehyde-35% hydroxyethyl methacrylate (Gluma desensitizer), 8% arginine and calcium carbonate-containing desensitizing paste (Pro-Argin) and erbium-doped yttrium aluminum garnet (Er:YAG) laser]. Methods: 40 patients (16 male and 24 females) with 200 teeth affected by DH and bruxism were included in this study. The patients were divided into two main groups. In the first group, there were patients who could not regularly use the night guard for bruxism due to individual reasons, and who could not complied advices on nutrition and oral hygiene habits (Group-A). The second group consisted of patients who could regularly use the night guard and could complied advices (Group-B). Then, both groups were divided into five subgroups: Group 1: Duraphat fluoride varnish, Group 2: Gluma desensitizer, Group 3: Pro-Argin, Group 4: Er:YAG laser Group 5: Control. DH was assessed with a visual analog scale (VAS); before the treatment, immediately, 1, 4, and 12 weeks after the treatment. The obtained data were evaluated statistically. Results: In both groups, it was seen that the most effective treatment methods were the Er:YAG laser and Pro-Argin. Gluma desensitizer and Duraphat fluoride varnish were also found to be effective in DH compared with control group, but they were not found to be as successful as the Er:YAG laser and Pro-Argin in the long term. It was found that all treatment methods, including the control group, applied to Group-B significantly increased their activities compared to Group-A in the 4 and 12 weeks (p<0.05). Conclusions: It has been found that the success rates of all treatment methods are increased when the etiological factor can be eliminated. It was also observed that Er:YAG laser and Pro-Argin demonstrated statistically similar success rates in both groups. It was seen that Er:YAG laser and Pro-Argin could have hope for long-term DH treatment.
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