IADR Abstract Archives
Management of Hypersensitivity in Molar Incisor Hypomineralisation Using Sealants or Laser Photobiomudulation Therapy (Randomized Clinical Trial)
Objectives: To evaluate the effectiveness of photobiomodulation (PBM) with low-level laser therapy (LLLT) in the management of hypersensitivity in children diagnosed with MIH in comparison to resin-based fissure sealant (Fissured Novo Plus) and glass ionomer sealant (Fuji triage).
Methods: A sample of children with an age range of 8-10 years old, having a first permanent molar erupted with MIH and suffering of dentin hypersensitivity (DH), were selected from the outpatient clinic of Pediatric Dentistry and Public Health Department, Faculty of Dentistry, Alexandria University after securing necessary consents. All selected 45 first permanent molars were randomly equally allocated into three groups. Group 1(n=15): PBM with LLLT, Group 2 (n=15): Fissured Nova Plus and Group 3 (n=15): Fuji triage. DH was evaluated 15 min after the application of the treatments and the patients were reevaluated 1 week, 1 month, 3 months and 6 months after the treatments. The primary outcome of this study was change in pain/sensitivity, when evaluated through a Visual Analogue Scale and Schiff to determine the effectiveness of the proposed treatments. Secondary outcomes assessed was sealant’s retention.
Results: Thirty-nine molars were included for final analysis. Fuji triage showed the greatest percentage change and improvement in Schiff values (38.33%) followed by LLLT (35.00%) and Fissure Nova Plus (26.67%) and this change was significant only for Fuji triage (p=0.02). There were no significant differences between the groups at six months for either VAS or Schiff scores with p=0.19 and 0.80 respectively. Sealants’ retention scores at 6 months were 33.33% retained, 44.44% partially lost and 22.22% completely lost.
Conclusions: Fuji triage was the most effective among the three treatment modalities in hypersensitivity reduction.
Methods: A sample of children with an age range of 8-10 years old, having a first permanent molar erupted with MIH and suffering of dentin hypersensitivity (DH), were selected from the outpatient clinic of Pediatric Dentistry and Public Health Department, Faculty of Dentistry, Alexandria University after securing necessary consents. All selected 45 first permanent molars were randomly equally allocated into three groups. Group 1(n=15): PBM with LLLT, Group 2 (n=15): Fissured Nova Plus and Group 3 (n=15): Fuji triage. DH was evaluated 15 min after the application of the treatments and the patients were reevaluated 1 week, 1 month, 3 months and 6 months after the treatments. The primary outcome of this study was change in pain/sensitivity, when evaluated through a Visual Analogue Scale and Schiff to determine the effectiveness of the proposed treatments. Secondary outcomes assessed was sealant’s retention.
Results: Thirty-nine molars were included for final analysis. Fuji triage showed the greatest percentage change and improvement in Schiff values (38.33%) followed by LLLT (35.00%) and Fissure Nova Plus (26.67%) and this change was significant only for Fuji triage (p=0.02). There were no significant differences between the groups at six months for either VAS or Schiff scores with p=0.19 and 0.80 respectively. Sealants’ retention scores at 6 months were 33.33% retained, 44.44% partially lost and 22.22% completely lost.
Conclusions: Fuji triage was the most effective among the three treatment modalities in hypersensitivity reduction.