The aim of this study was to evaluate low-level laser therapy in cervical dentin hypersensitivity. A randomized controlled clinical trial was conducted with a total of 64 teeth. Dentin desensitizer and diode laser were applied on the cervical dentin surfaces. Distilled water and placebo laser was used as the placebo groups. The irradiance used was 4 J/cm(2) per treatment site. The baseline measurement of hypersensitivity was made by using visual analog scale (VAS). Twenty-four hours and 7 days after the application of desensitizer, diode laser and placebo groups, a new VAS analysis was conducted for the patients' sensitivity level. The mean pain scores of placebo groups were significantly higher than the desensitizer's and diode laser's mean scores (ANOVA, p < 0.05). The VAS analysis revealed a significant decrease in dentin hypersensitivity in 7 days with the use of the desensitizer and low-level laser therapy and no statistically significant difference was observed between these two treatments (p > 0.05). Although low-level laser and glutaraldehyde containing desensitizer present distinct modes of action, experimental agents caused a significant reduction of dentin hypersensitivity without showing secondary effects, not irritating the pulp or causing pain, not discoloring or staining the teeth, and not irritating the soft tissues at least for a period of 1 week with no drawbacks regarding handling and/or ease of application. Low-level laser therapy and desensitizer application had displayed similar effectiveness in reducing moderate dentin hypersensitivity.
A time interval should be allowed between the application of silorane-based or methacrylate-based restorations and activated hydrogen peroxide bleaching systems.
There was a statistically significant relationship between the presence of oral inclusion cysts with the congenital diabetes and also insulin treatment and cigarette consumption during pregnancy. Moreover, a significant relationship was found between the presence of oral inclusion cysts and gestational diabetes and with the presence of consanguinity between the parents (P=0.004).
ObjectivesFirst to compare different dentin bonding agents’ shear bond strength to primary and permanent dentin. Secondly to compare the fracture failure modes and making an attempt to develop a statistical model that could be helpful in predicting them.MethodsExtracted human primary and permanent molars were used as substrates (dentin). The shear bond strength of composite to substrate was measured and fracture surfaces were evaluated visually and with stereomicroscope. Using the data obtained, a statistical model was built in order to predict the failure modes.ResultsHigher bond strength values were obtained for permanent dentin. Total-etch adhesives displayed higher shear bond strength values than the self-etch adhesive. Adhesive failures were more frequently seen in primary dentin. Self-etch adhesive system displayed more adhesive failures. Prepared model confirmed the negative relationship between shear bond strength and the probability of observing adhesive failure.ConclusionsThere should be an application protocol for the usage of dentin bonding agents in primary dentin. Further development of statistical and fuzzy models for failure modes can be supportive alternatives for microscopic evaluations and also be helpful in understanding and eliminating the factors which are responsible for the formation of adhesive failures and for achieving clinically more successful adhesive restorations.
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