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1、牙本質(zhì)過敏癥三種治療方法療效對比研究【摘要】目的:觀察氟化鈉、Nd:YAG和GLUMA脫敏劑局部治療牙木質(zhì)過敏的臨床療效。方法:臨床收集127例才木質(zhì)過敏的患者,隨機數(shù)字表法分為三組,分別采用氟化鈉甘油、Nd:YAG激光、GLUMA脫敏劑進行治療,觀察對比其治療后即刻效果和6個月后效果。結(jié)果:Nd:YAG激光,GLUMA脫敏劑方法的即刻療效比較差異無統(tǒng)計學意義,氟化鈉甘油即刻療效較前兩者的療效差;6個月后,Nd:YAG激光療效優(yōu)于GLUMA組和氟化鈉甘油組。結(jié)論:対于牙木質(zhì)過敏癥患者,Nd:YAG激光治療近期與遠期效果滿意,GLUMA脫敏劑方法近期療效
2、滿意,75%氟化鈉甘油治療效果不理想?!娟P(guān)鍵詞】牙本質(zhì)過敏癥;氟化鈉;Nd:YAG激光;GLUMA脫敏劑ComparativeStudyontheClinicalEffectiveofThreeKindsofMethodsofTreatingDentinIlypersensitivity/SUIlong-liang,LIUHong-wei.//MedicalInnovationofChina,2014,11(28):114-116【Abstract]Objective:Tocomparetheclinicalcurativeeffectofdentin
3、ehypersensitivitybeingtreatedbysodiumfluoride,Nd:YAGlaserirradiationandGlumaDesensitize?Method:127patientswithdentinehypersensitivitywerecollectedandrandomlydividedintothreegroups:sodiumfluoridetreatment,laserirradiationtreatmentandGlumaDesensiti刁etreatment,comparedtoitsimmediat
4、eeffectaftertreatmentand6monthsaftertheeffect.Result:TherewerenosignificantdifferencebetweenGlumaDesensiti刁egroupsandlaserirradiationgroupsafterimmediatetreatment,sodiumfluoridegroupsshowedpooreffectsbyimmediatetreatment.Bysixmonthstreatment,laserirradiationgroupswerebetterthans
5、odiumfluoridegroupsandGlumaDesensitizegroups?Conclusion:Laserirradiationtotreatdentinehypersensitivitylocallyhassignificantlyclinicalcurativeeffect,GlumaDesensitizetotreatdentinehypersensitivitylocallyhasrecentcurativeeffectsatisfaction,sodiumfluoridetotreatdentinehypersensitivi
6、tylocallyhasnoeffect?[Keywords]Dentinehypersensitivity;Sodiumfluoride;Nd:YAGlaser;GlumaDesensitizeFirst-authorsaddress:TheThirdHospitalofYankuangGroupCO.LTD,Jining272072,Chinadoi:10.3969/j.issn.1674-4985.2014.28.039牙本質(zhì)過敏癥又稱牙齒敏感癥或牙齒感覺過敏癥,是口腔科常見病[llo其癥狀為牙齒受到外界各種刺激時,如機械性刺激(摩擦、咬碩物等)
7、、溫度刺激(冷、熱)、化學刺激(酸、甜),所產(chǎn)生的尖銳的異常酸痛感覺。凡使牙本質(zhì)暴露的各種牙體病、牙周病或牙體牙周病治療術(shù)后,均可產(chǎn)生牙本質(zhì)過敏癥[2]。有些患者,牙本質(zhì)未暴露,但全身處于應激性增高狀態(tài),神經(jīng)末梢敏感性增強,如頭頸部人劑量放療后、產(chǎn)褥期等也可能出現(xiàn)牙齒敏感癥。除去刺激物,酸痛感即消失[3]。許多牙體病都可產(chǎn)生此癥狀,有時牙體組織無病變,全身狀態(tài)異常時,牙齒也會出現(xiàn)敏感癥狀[4]。牙木質(zhì)過敏癥通??梢允褂妹撁糁委?,木實驗通過對牙木質(zhì)過敏癥患者分別采用Nd:YAG激光、GLUMA脫敏劑、75%氟化鈉甘油進行治療,以期探討牙本質(zhì)過敏癥的最佳治
8、療方法,現(xiàn)總結(jié)如下。1資料與方法1.1一般資料選取2011年1月-2012年12月筆者所在醫(yī)院