Abstract
Objectives
The aim of the present study was to compare the clinical efficacy of diode laser and Er,Cr:YSGG lasers in the treatment of dentin hypersensitivity.
Materials and methods
Thirty-four teeth from 17 patients with dentin hypersensitivity were divided into two groups. In group D, the teeth were irradiated with diode laser beams with a wavelength of 940 nm for 1 min, and in group E, the teeth were irradiated with Er,Cr:YSGG laser beams with a wavelength of 2780 nm and a pulse width of 140–200 μs. Treatments with laser beams were carried out in 1 session. Sensitivity was assessed with air spray and a dental explorer. Pain severity was measured with the use of visual analog scale (VAS) before and after laser application.
Results
A decrease in dentin hypersensitivity was observed in both groups immediately, 1 week, and 1 month after laser irradiation. Statistically significant differences were found between the two groups in dentin hypersensitivity severity only 1 month after laser application. The decrease in dentin hypersensitivity by Er,Cr:YSGG laser was significantly higher than that by diode laser at this time interval.
Conclusion
The decrease in dentin hypersensitivity after application of Er,Cr:YSGG laser was significantly higher than that after the application of diode laser at 1-month postoperative interval.
Clinical relevance
Er,Cr:YSGG laser is a better choice than diode laser for the treatment of dentin hypersensitivity in the short term.
Similar content being viewed by others
References
Holland G, Narhi M, Addy M, Gangarosa L, Orchardson R (1997) Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 24(11):808–813. https://doi.org/10.1111/j.1600-051x.1997.tb01194.x
Pashley DH (1991) Clinical correlations of dentin structure and function. J Prosthet Dent 66(6):777–781. https://doi.org/10.1016/0022-3913(91)90414-r
Irwin C, McCusker P (1996) Prevalence of dentine hypersensitivity in a general dental population. J Ir Dent Assoc 43(1):7–9
Chabanski M, Gillam D, Bulman J, Newman H (1996) Prevalence of cervical dentine sensitivity in a population of patients referred to a specialist Periodontology Department. J Clin Periodontol 23(11):989–992. https://doi.org/10.1111/j.1600-051x.1996.tb00525.x
Flynn J, Galloway R, Orchardson R (1985) The incidence of ‘hypersensitive’ teeth in the West of Scotland. J Dent 13(3):230–236. https://doi.org/10.1016/0300-5712(85)90004-1
Kleinberg I, Kaufman H, Confessore F (1990) Methods of measuring tooth hypersensitivity. Dent Clin N Am 34(3):515–529
Pashley DH (1986) Dentin permeability, dentin sensitivity, and treatment through tubule occlusion. J Endod 12(10):465–474. https://doi.org/10.1016/s0099-2399(86)80201-1
Pashley DH (1990) Mechanisms of dentin sensitivity. Dent Clin N Am 34(3):449–473
Fekrazd R, Lotfi G, Gholami G, Kalhori K (2009) Lasers in dental hypersensitivity. Sci Res J Army Univ Med Sci:39–45
Whitters C, Hall A, Creanor S, Moseley H, Gilmour W, Strang R et al (1995) A clinical study of pulsed Nd: YAG laser-induced pulpal analgesia. J Dent 23(3):145–150. https://doi.org/10.1016/0300-5712(95)93571-i
Lan W-H, Liu H-C (1996) Treatment of dentin hypersensitivity by Nd: YAG laser. J Clin Laser Med Surg 14(2):89–92. https://doi.org/10.1089/clm.1996.14.89
West NX (2008) Dentine hypersensitivity: preventive and therapeutic approaches to treatment. Periodontology 2000 48(1):31–41. https://doi.org/10.1111/j.1600-0757.2008.00262.x
Lier B, Rösing C, Aass A, Gjermo P (2002) Treatment of dentin hypersensitivity by Nd: YAG laser. J Clin Periodontol 29(6):501–506. https://doi.org/10.1034/j.1600-051x.2002.290605.x
Sgolastra F, Petrucci A, Gatto R, Monaco A (2011) Effectiveness of laser in dentinal hypersensitivity treatment: a systematic review. J Endod 37(3):297–303. https://doi.org/10.1016/j.joen.2010.11.034
Kimura Y, Wilder-Smith P, Yonaga K, Matsumoto K (2000) Treatment of dentine hypersensitivity by lasers: a review. J Clin Periodontol 27(10):715–721. https://doi.org/10.1034/j.1600-051x
Aranha ACC, de Paula Eduardo C (2012) Effects of Er: YAG and Er, Cr: YSGG lasers on dentine hypersensitivity. Short-term clinical evaluation. Lasers Med Sci 27(4):813–818. https://doi.org/10.1007/s10103-011-0988-9
Tevatia S, Khatri V, Sharma N, Dodwad V (2017) Comparative clinical evaluation of gallium-aluminum-arsenide diode laser and potassium nitrate in treating dentinal hypersensitivity. J Indian Soc Periodontol 21(5):391–397. https://doi.org/10.4103/jisp.jisp_310_16.
Lima TC, Vieira-Barbosa NM, Grasielle de Sá Azevedo C, Matos FR, de Oliveira D, Willya D et al (2017) Oral health-related quality of life before and after treatment of dentin hypersensitivity with cyanoacrylate and laser. J Periodontol 88(2):166–172. https://doi.org/10.1902/jop.2016.160216
Raut CP, Sethi KS, Kohale B, Mamajiwala A, Warang A (2018) Evaluation of diode laser and stannous fluoride in the treatment of root sensitivity after access flap surgery: randomized controlled clinical trial. J Indian Soc Periodontol 22(2):158–163. https://doi.org/10.4103/jisp.jisp_2_18
Birang R, Poursamimi J, Gutknecht N, Lampert F, Mir M (2007) Comparative evaluation of the effects of Nd: YAG and Er: YAG laser in dentin hypersensitivity treatment. Lasers Med Sci 22(1):21–24. https://doi.org/10.1007/s10103-006-0412-z
Ciaramicoli MT, Carvalho RC, Eduardo CP (2003) Treatment of cervical dentin hypersensitivity using neodymium: yttrium–aluminum–garnet laser. Clinical evaluation. Lasers Surg Med 33(5):358–362. https://doi.org/10.1002/lsm.10232
Kumar NG, Mehta D (2005) Short-term assessment of the Nd: YAG laser with and without sodium fluoride varnish in the treatment of dentin hypersensitivity–a clinical and scanning electron microscopy study. J Periodontol 76(7):1140–1147. https://doi.org/10.1902/jop.2005.76.7.1140
Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A (2013) Lasers for the treatment of dentin hypersensitivity: a meta-analysis. J Dent Res 92(6):492–499. https://doi.org/10.1177/0022034513487212
Lee B-S, Chang C-W, Chen W-P, Lan W-H, Lin C-P (2005) In vitro study of dentin hypersensitivity treated by Nd: YAP laser and bioglass. Dent Mater 21(6):511–519. https://doi.org/10.1016/j.dental.2004.08.002
Talesara K, Kulloli A, Shetty S, Kathariya R (2014) Evaluation of potassium binoxalate gel and Nd: YAG laser in the management of dentinal hypersensitivity: a split-mouth clinical and ESEM study. Lasers Med Sci 29(1):61–68. https://doi.org/10.1007/s10103-012-1239-4
Belal MH, Yassin A (2014) A comparative evaluation of CO2 and erbium-doped yttrium aluminium garnet laser therapy in the management of dentin hypersensitivity and assessment of mineral content. J Periodontal Implant Sci 44(5):227–234. https://doi.org/10.5051/jpis.2014.44.5.227
Tunar OL, Gürsoy H, Çakar G, Kuru B, Ipci SD, Yılmaz S (2014) Evaluation of the effects of Er: YAG laser and desensitizing paste containing 8% arginine and calcium carbonate, and their combinations on human dentine tubules: a scanning electron microscopic analysis. Photomed Laser Surg 32(10):540–545. https://doi.org/10.1089/pho.2014.3779
Myers TD (1991) Lasers in dentistry. J Am Dent Assoc 122(1):46–50
Yilmaz HG, Kurtulmus-Yilmaz S, Cengiz E, Bayindir H, Aykac Y (2011) Clinical evaluation of Er, Cr: YSGG and GaAlAs laser therapy for treating dentine hypersensitivity: a randomized controlled clinical trial. J Dent 39(3):249–254. https://doi.org/10.1016/j.jdent.2011.01.003
Ladalardo TCCGP, Pinheiro A, Campos RAC, Brugnera Júnior A, Zanin F, Albernaz PLM et al (2004) Laser therapy in the treatment of dentine hypersensitivity. Braz Dent J 15(2):144–150
Jacobsen PL, Bruce G (2001) Clinical dentin hypersensitivity: understanding the causes and prescribing a treatment. J Contemp Dent Pract 2(1):1–12
Miglani S, Aggarwal V, Ahuja B (2010) Dentin hypersensitivity: recent trends in management. J Conserv Dent 13(4):218–224. https://doi.org/10.4103/0972-0707.73385
Fischer C, Fischer R, Wennberg A (1992) Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro, Brazil. J Dent 20(5):272–276
Fried D (ed) (2000) IR laser ablation of dental enamel. Proc SPIE. https://doi.org/10.1117/12.380820
Shahabi S, Chiniforoush N, Fekrazad R, Fatemi S (2010) Comparison of tensile bond strength of composite to dentin in conventional or laser-prepared cavities (Er; Cr: YSGG). J Oral Laser Appl 10(2):107
Koort H (ed) (1995) Laser effects on dental hard tissue. Lasers in dentistry. Quintessence Publishing Co, Inc
Ekworapoj P, Sidhu SK, McCabe JF (2007) Effect of different power parameters of Er, Cr: YSGG laser on human dentine. Lasers Med Sci 22(3):175–182. https://doi.org/10.1007/s10103-006-0426-6
Ting C-C, Fukuda M, Watanabe T, Aoki T, Sanaoka A, Noguchi T (2007) Effects of Er, Cr: YSGG laser irradiation on the root surface: morphologic analysis and efficiency of calculus removal. J Periodontol 78(11):2156–2164. https://doi.org/10.1902/jop.2007.070160
Yilmaz H, Bayindir H (2014) Clinical and scanning electron microscopy evaluation of the Er, Cr: YSGG laser therapy for treating dentine hypersensitivity: short-term, randomised, controlled study. J Oral Rehabil 41(5):392–398. https://doi.org/10.1111/joor.12156
Gholami GA, Fekrazad R, Esmaiel-Nejad A, Kalhori KA (2011) An evaluation of the occluding effects of Er; Cr: YSGG, Nd: YAG, CO2 and diode lasers on dentinal tubules: a scanning electron microscope in vitro study. Photomed Laser Surg 29(2):115–121. https://doi.org/10.1089/pho.2009.2628
Hashim NT, Gasmalla BG, Sabahelkheir AH, Awooda AM (2014) Effect of the clinical application of the diode laser (810 nm) in the treatment of dentine hypersensitivity. BMC Res Notes 7(1):31. https://doi.org/10.1186/1756-0500-7-31
Liu Y, Gao J, Gao Y, XU S, Zhan X, Wu B (2013) In vitro study of dentin hypersensitivity treated by 980-nm diode laser. J Lasers Med Sci 4(3):111–119
Mittal R, Singla MG, Sood A, Dua A, Sodhi PS (2014) Clinical evaluation of middle power output 810 nm GaAIAs diode laser for treating severe dentin hypersensitivity: a randomized clinical trial. Int J Laser Dent 4:20–25
Ranjan R, Yadwad KJ, Patil SR, Mahantesha S, Rahman AA, Bhatia VB (2013) Efficacy of 980 nm diode laser as an adjunct to Snf 2 in the management of dentinal hypersensitivity: a controlled, prospective clinical study. J Dent Lasers 7(2):66. https://doi.org/10.4103/0976-2868.124267
George VT, Mathew TA, George N, John S, Prakash SM, Vaseem M (2016) Efficacy of diode laser in the management of dentin hypersensitivity following periodontal surgery. J Int Oral Health 8(1):103
Raichur PS, Setty SB, Thakur SL (2013) Comparative evaluation of diode laser, stannous fluoride gel, and potassium nitrate gel in the treatment of dentinal hypersensitivity. Gen Dent 61(3):66–71
Junior AB, Garrini AE, Pinheiro A, Campos DHS, Donamaria E, Magalhães F, Zanin F, Pécora JD, Takamoto M, Ladalardo TC (2000) Laser therapy in the treatment of dental hypersensitivity ∼ a histologic study and clinical application. Laser Ther 12(1):16–21. https://doi.org/10.5978/islsm.12.16
Tengrungsun T, Sangkla W (2008) Comparative study in desensitizing efficacy using the GaAlAs laser and dentin bonding agent. J Dent 36(6):392–395. https://doi.org/10.1016/j.jdent.2008.02.012
Marsilio AL, Rodrigues JR, Borges AB (2003) Effect of the clinical application of the GaAlAs laser in the treatment of dentine hypersensitivity. J Clin Laser Med Surg 21(5):291–296. https://doi.org/10.1089/104454703322564505
Matsumoto K, Funai H, Shirasuka T, Wakabayashi H (1985) Effects of Nd: YAG-laser in treatment of cervical hypersensitive dentine. Jpn J Conserv Dent 28:760–765
Lee S-Y, Jung H-I, Jung B-Y, Cho Y-S, Kwon H-K, Kim B-I (2015) Desensitizing efficacy of nano-carbonate apatite dentifrice and Er, Cr: YSGG laser: a randomized clinical trial. Photomed Laser Surg 33(1):9–14. https://doi.org/10.1089/pho.2014.3787
Chaudhry S, Yadav S, Talwar S, Verma M (2018) A comparative evaluation of erbium, chromium: yttrium-scandium-gallium-garnet laser with three other desensitizing agents for the management of dentinal hypersensitivity: a hospital-based study. J Dent Lasers 12(1):18. https://doi.org/10.4103/jdl.jdl_5_18
Ozlem K, Esad G, Ayse A, Aslihan U (2018) Efficiency of lasers and a desensitizer agent on dentin hypersensitivity treatment: a clinical study. Niger J Clin Pract 21(2):225–230. https://doi.org/10.4103/njcp.njcp_411_16.
Olivi G, Angiero F, Benedicenti S, Iaria G, Signore A, Kaitsas V (2010) Use of the erbium, chromium: yttrium–scandium–gallium–garnet laser on human enamel tissues. Influence of the air–water spray on the laser–tissue interaction: scanning electron microscope evaluations. Lasers Med Sci 25(6):793–797. https://doi.org/10.1007/s10103-009-0689-9
Funding
Tehran University of Medical Science Research Center supported this study financially.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
Tehran University of Medical Sciences Ethics Committee approved the protocol of this study under the code ir.tums.rec1394.1559.
Informed consent
Informed consent was obtained from all the participants included in the study.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Pourshahidi, S., Ebrahimi, H., Mansourian, A. et al. Comparison of Er,Cr:YSGG and diode laser effects on dentin hypersensitivity: a split-mouth randomized clinical trial. Clin Oral Invest 23, 4051–4058 (2019). https://doi.org/10.1007/s00784-019-02841-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00784-019-02841-z