970nm半导体激光联合不同类型氟化物治疗老年人 牙本质敏感症的疗效观察

刘智永; 徐宁; 耿宇峰; 王征; 张福国; 熊世江

文章摘要

970nm半导体激光联合不同类型氟化物治疗老年人牙本质敏感症的疗效观察

Clinical efficacy of 970nm semiconductor laser combined with different types of fluoride in the treatment of dentin hypersensitivity in the elderly

投稿时间：2025-03-16 修订日期：2025-06-22

DOI：

中文关键词: 970nm半导体激光牙本质敏感症氟保护漆多乐氟凝胶脱敏

英文关键词: 970nm semiconductor laser; dentin hypersensitivity; fluoride varnish; Duraphat fluoride gel; desensitization

基金项目:基金项目：济宁市重点研发计划项目，项目编号：2023YXNS119。

作者	单位	邮编
刘智永^*	济宁口腔医院	272100
徐宁	济宁口腔医院
耿宇峰	济宁口腔医院
王征	济宁口腔医院
张福国	济宁口腔医院
熊世江	山东大学口腔医学院

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中文摘要:

摘要：目的对比分析970nm半导体激光联合不同类型氟化物治疗老年人牙本质敏感症的临床疗效。方法选择牙本质敏感症的老年患者（年龄60~75周岁）60例共121颗患牙，按就诊顺序随机分为2组：氟保护漆组（运用970nm半导体激光联合氟保护漆），30例62颗患牙；氟凝胶组（运用970nm半导体激光联合多乐氟凝胶），30例59颗患牙。记录两组治疗前、治疗后即刻、1个月、3个月、6个月机械刺激和吹气刺激的视觉模拟量表（VAS）评分，对比分析两组治疗后即刻、1个月、3个月、6个月的成功率。结果机械刺激时氟保护漆组和氟凝胶组的治疗后即刻、1个月、3个月、6个月的成功率分别为：（96.8%，98.3%）、（96.8%，93.2%）、（93.5%，84.7%）、（91.9%，76.3%），吹风刺激时氟保护漆组和氟凝胶组的治疗后即刻、1个月、3个月、6个月的成功率分别为：（96.8%，96.6%）、（91.9%，86.4%）、（88.7%，84.7%）、（87.1%，71.2%）；除机械刺激时治疗后即刻氟凝胶组的成功率高于氟保护漆组外，无论机械刺激还是吹风刺激，氟保护漆组治疗后即刻、1个月、3个月的成功率均高于氟凝胶组，但差异无统计学意义（P>0.05）；治疗后6个月的成功率，氟保护漆组高于氟凝胶组，且差异具有统计学意义（P<0.05）。结论　采用970nm半导体激光联合氟保护漆治疗老年人牙本质敏感症，脱敏效果更持久稳定，值得在临床上推广应用。

英文摘要:

Abstract: Objective To compare and analyze the clinical efficacy of 970nm semiconductor laser combined with different types of fluoride in the treatment of dentin sensitivity in the elderly. Methods A total of 121 teeth were selected for elderly patients with dentin sensitivity (ages 60 to 75 years old) and 121 affected teeth were randomly divided into 2 groups according to the order of treatment: fluorine-protective paint group (using 970nm semiconductor laser combined with fluorine-protective paint), 30 cases 62 affected teeth; fluorine-gel group (using 970nm semiconductor laser combined with dole fluorine-gel), and 30 cases 59 affected teeth. The visual analog scale (VAS) scores of mechanical stimulation and blowing stimulation before and after treatment were recorded in the two groups, and the success rates of instant, 1 month, 3 month and 6 months after treatment were compared and analyzed. Results The success rates of the fluorine protective paint group and the fluorogel group immediately after treatment, 1 month, 3 months and 6 months after treatment were: (96.8%, 98.3%), (96.8%, 93.2%), (93.5%, 84.7%), and (91.9%, 76.3%). The success rates of the fluorine protective paint group and the fluorogel group immediately after treatment were: (96.8%, 96.6%), and (91.9%, 86 .4%), (88.7%, 84.7%), (87.1%, 71.2%); except for the success rate of the fluorogel group immediately after treatment during mechanical stimulation was higher than that of the fluorogel group, whether mechanical stimulation or blow-blown stimulation, the success rate of the fluorogel group immediately, 1 month and 3 months after treatment was higher than that of the fluorogel group, but there was no statistically significant difference (P>0.05); the success rate of the fluorogel group 6 months after treatment was higher than that of the fluorogel group, and the difference was statistically significant (P<0.05). Conclusion The use of 970nm semiconductor laser combined with fluorine protective paint to treat dentin sensitivity in the elderly, and the desensitization effect is more lasting and stable, and it is worth promoting and applying in clinical practice.

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