Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Effects of GaAs (904 nm) Low Level Laser Therapy on Dentin Hypersensitivity

과민치아에 대한 904nm GaAs 반도체레이저의 효과

  • Won, Tae-Hee (Department of Oral Medicine, School of Dentistry, Dankook University) ;
  • Kim, Ki-Suk (Department of Oral Medicine, School of Dentistry, Dankook University)
  • 원태희 (단국대학교 치과대학 구강내과학 교실) ;
  • 김기석 (단국대학교 치과대학 구강내과학 교실)
  • Received : 2011.09.05
  • Accepted : 2011.11.11
  • Published : 2011.12.30
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Abstract

The aim of the study was to investigate the effects of 904 nm GaAs laser irradiation for patients with hypersensitive teeth and to find the possibility of clinical use of this Low Level Laser Therapy (LLLT) for the control of hypersensitive teeth. Eleven patients visited Dept. of Oral Medicine, Dankook University participated in this study. Each patient contributed at least two or more contralateral pairs of hypersensitive teeth with exposed dentine at cervical surfaces. Total number of teeth used from subjects participated in this study was 50: 25 experimental and control teeth respectively. All participants were treated with 904 nm GaAs diode laser every week during 4 weeks. Tactile and cold (ice stick) tests were carried out before LLLT every week during 4 weeks and 1 week later after the last LLLT by measuring visual analogue scale (VAS) of patients and by measuring a score of electrical pulp tester (EPT) simultaneously. The VAS score in tactile test decreased significantly with time, but there was not statistically difference between those of groups. The score of EPT in the experimental group was significantly higher than that of control group, although there was no change with time. In cold test, there was significant difference between two groups and cold sensitivity of the experimental group significantly decreased with time after every LLL irradiation, compared with that of control group. Based on the results, it is suggested that the 904 nm GaAs laser irradiation could be positively used as an effective, reversible method in treating cervical dentine hypersensitivity.

본 연구의 목적은 과민치아에 904 nm GaAs 다이오드 레이저를 조사하여 치료효과를 연구하여 과민 치아의 치료에 이러한 저수준 레이저 요법을 임상적으로 사용할 수 있는지 가능성을 파악하는 데 있다. 단국대학교 치과대학 부속치과병원 안면 동통 구강내과에 내원한 환자를 대상으로 하였으며, 각 환자는 치경부에 사아질이 노출된 치아가 적어도 좌우로 2개 이상의 짝이 되는 치아를 소유하였다. 본 연구에 사용된 치아는 모두 50 개로써 실험군 25개, 대조군 25 이었다. Tactile test, cold(ice stick) test, electrical pulp test 를 실험전, 실험 1주후, 2주후, 3주후, 4주후 모두 5회 시행하였다. 레이저조사는 첫방문시, 1주후, 2주후, 3주후 등 4회하되 모두 세가지 검사를 마친 후 시행하였다. 전기치수 검사 외 Tactile test와 cold test는 주관적 평가인 visual analogue scale을 사용하였다. 실험 결과, Tactile test에서 VAS 수치는 시간 경과에 따라 유의하게 감소하였으나 실험군과 대조군간에는 유의한 차이가 없었다. 전기치수 검사에서는 실험군의 과민도가 대조군에 비해 유의하게 높았으나 (높은 역치를 의미) 시간 경과시 유의한 변화는 볼 수 없었다. 온도 (cold) 검사에서는 레이저 조사후 실험군과 대조군 간의 차이뿐 만 아니라 시간 경과 시에도 유의하게 감소하였다. 이러한 결과를 보아 904 nm GaAs 레이저는 과민치아의 치료에 비가역적인 방법으로서 효과적으로 사용할 수 있으리라 사료된다.

Keywords

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