| 刘智永,徐宁,耿宇峰,王征,张福国,熊世江.970 nm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[J].济宁医学院学报,2025,48(5):428-432 |
| 970 nm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 970 nm semiconductor laser combined with different types of fluoride in the treatment of dentin hypersensitivity in the elderly |
| 投稿时间：2025-03-16 |
| DOI：10.3969/j.issn.1000-9760.2025.05.009 |
| 中文关键词: 970 nm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: 970 nm semiconductor laser;Dentin hypersensitivity;Fluoride varnish;Duraphat fluoride gel;Desensitization |
| 基金项目:济宁市重点研发计划项目(2023YXNS119) |
| 作者 | 单位 | | 刘智永 | 济宁口腔医院牙体牙髓病科, 济宁 272100 | | 徐宁 | 济宁口腔医院口腔颌面外科, 济宁 272100 | | 耿宇峰 | 济宁口腔医院牙体牙髓病科, 济宁 272100 | | 王征 | 济宁口腔医院牙体牙髓病科, 济宁 272100 | | 张福国 | 济宁口腔医院正畸科, 济宁 272100 | | 熊世江 | 山东大学齐鲁医学院口腔医学院·口腔医院特诊科, 济南 250012 |
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| 中文摘要: |
| 目的 对比分析970 nm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岁)60例，共纳入121颗患牙，随机分为2组：氟保护漆组(运用970 nm半导体激光联合氟保护漆)，30例62颗患牙；氟凝胶组(运用970 nm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% vs 98.3%)、(96.8% vs 93.2%)、(93.5% vs 84.7%)、(91.9% vs 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% vs 96.6%)、(91.9% vs 86.4%)、(88.7% vs 84.7%)、(87.1% vs 71.2%)；机械刺激、吹气刺激时，治疗后即刻、1个月、3个月两组的成功率差异均无统计学意义(P＞0.05)；治疗后6个月，两种刺激方式下氟保护漆组的成功率均明显高于氟凝胶组，且差异具有统计学意义(P＜0.05)。结论 采用970 nm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: |
| Objective To compare the clinical efficacy of treating dentin hypersensitivity in elderly patients using 970nm semiconductor laser combined with different types of fluoride. Methods Sixty elderly patients with dentin hypersensitivity (aged 60-75 years) were selected, involving a total of 121 affected teeth. They were randomly divided into two groups: the fluoride varnish group (using 970 nm semiconductor laser combined with fluoride protective paint), 30 cases with 62 affected teeth; the fluoride gel group (using 970 nm semiconductor laser combined with Dentsu fluoride gel), 30 cases with 59 affected teeth. Visual Analog Scale (VAS) scores for mechanical stimulation and air blowing stimulation were recorded before treatment, immediately after treatment, 1 month, 3 months, and 6 months post-treatment.The success rates at these time points were compared. Results For mechanical stimulation, the success rates immediately after treatment, 1 month, 3 months, and 6 months for the fluoride varnish group and the fluoride gel group were: (96.8% vs 98.3%), (96.8% vs 93.2%), (93.5% vs 84.7%), (91.9% vs 76.3%). For air blowing stimulation, the success rates immediately after treatment, 1 month, 3 months, and 6 months for the fluoride varnish group and the fluoride gel group were: (96.8% vs 96.6%), (91.9% vs 86.4%), (88.7% vs 84.7%), (87.1% vs 71.2%); No statistically significant differences in success rates were observed between the two groups immediately after treatment, at 1 month, or at 3 months for both mechanical and air-blast stimuli (P > 0.05). At 6 months post-treatment, the success rate of the fluoride varnish group was significantly higher than that of the fluoride gel group under both stimulation methods, and the difference was statistically significant (P < 0.05). Conclusion Using 970 nm semiconductor laser combined with fluoride varnish to treat dentin hypersensitivity in elderly patients yields more durable and stable desensitization effects, making it worthy of clinical promotion and application. |
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