中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
4期
430-432
,共3页
牙本质敏感%磷硅酸钙钠%视觉模拟量表
牙本質敏感%燐硅痠鈣鈉%視覺模擬量錶
아본질민감%린규산개납%시각모의량표
Dentin hypersensitivity%Calcium sodium phosphosilicate%Visual analogue scale
目的 观察磷硅酸钙钠脱敏剂治疗老年人根面牙本质敏感的临床疗效. 方法 采用随机对照单盲的试验方法,135例患者共215颗患牙分为3组,联合组给予100％磷硅酸钙钠糊剂和7％磷硅酸钙钠脱敏牙膏治疗；磷硅酸钙钠组给予安慰剂糊和7％磷硅酸钙钠脱敏牙膏治疗；氟化钠组给予安慰剂糊和0.11％氟化钠牙膏治疗.采用视觉模拟量表(VAS)评价脱敏治疗前后根面对冷风和冰水刺激的敏感度,观察治疗后即刻、2周、4周、6周的疗效. 结果 联合组治疗后各时段根面对两种刺激的VAS值与治疗前比较差异有统计学意义(均P＜0.05).联合组对冷气刺激VAS值治疗后即刻、治疗后2周、治疗后4周、治疗后6周分别为(4.87±1.98)分、(3.85±1.09)分、(2.03±1.16)分、(0.59±0.51)分,磷硅酸钙钠组(6.35±1.84)分、(4.83±0.75)分、(3.17±1.12)分、(1.45±0.91)分,氟化钠组(6.83±0.78)分、(6.73±1.54)分、(5.44±1.58)分、(4.18±0.98)分；对冰水刺激VAS值治疗后即刻、治疗后2周、治疗后4周、治疗后6周分别为(6.43±1.01)分、(4.95±1.21)分、(3.06±0.86)分、(1.38±0.92)分,磷硅酸钙钠组(7.72±0.56)分、(5.65±0.69)分、(3.81±0.41)分、(2.17±0.58)分,氟化钠组(8.38±0.89)分、(8.17±1.02)分、(7.99±0.74)分、(6.46±0.77)分.磷硅酸钙钠组治疗后2、4、6周牙齿根面对两种刺激的VAS值与治疗前比较差异有统计学意义(均P ＜0.05).氟化钠组治疗后4周根面对冷气刺激的VAS值与治疗前比较差异有统计学意义(P＜0.05),治疗后6周根面对冰水刺激的VAS值与治疗前比较差异有统计学意义(P＜0.05).治疗后即刻、2周、4周、6周两种刺激VAS变化值联合组与磷硅酸钙钠组比较差异均有统计学意义(P＜0.05). 结论 7％磷硅酸钙钠在短期内可有效地治疗根面牙本质敏感,配合局部应用100％磷硅酸钙钠的脱敏效果更强.
目的 觀察燐硅痠鈣鈉脫敏劑治療老年人根麵牙本質敏感的臨床療效. 方法 採用隨機對照單盲的試驗方法,135例患者共215顆患牙分為3組,聯閤組給予100％燐硅痠鈣鈉糊劑和7％燐硅痠鈣鈉脫敏牙膏治療；燐硅痠鈣鈉組給予安慰劑糊和7％燐硅痠鈣鈉脫敏牙膏治療；氟化鈉組給予安慰劑糊和0.11％氟化鈉牙膏治療.採用視覺模擬量錶(VAS)評價脫敏治療前後根麵對冷風和冰水刺激的敏感度,觀察治療後即刻、2週、4週、6週的療效. 結果 聯閤組治療後各時段根麵對兩種刺激的VAS值與治療前比較差異有統計學意義(均P＜0.05).聯閤組對冷氣刺激VAS值治療後即刻、治療後2週、治療後4週、治療後6週分彆為(4.87±1.98)分、(3.85±1.09)分、(2.03±1.16)分、(0.59±0.51)分,燐硅痠鈣鈉組(6.35±1.84)分、(4.83±0.75)分、(3.17±1.12)分、(1.45±0.91)分,氟化鈉組(6.83±0.78)分、(6.73±1.54)分、(5.44±1.58)分、(4.18±0.98)分；對冰水刺激VAS值治療後即刻、治療後2週、治療後4週、治療後6週分彆為(6.43±1.01)分、(4.95±1.21)分、(3.06±0.86)分、(1.38±0.92)分,燐硅痠鈣鈉組(7.72±0.56)分、(5.65±0.69)分、(3.81±0.41)分、(2.17±0.58)分,氟化鈉組(8.38±0.89)分、(8.17±1.02)分、(7.99±0.74)分、(6.46±0.77)分.燐硅痠鈣鈉組治療後2、4、6週牙齒根麵對兩種刺激的VAS值與治療前比較差異有統計學意義(均P ＜0.05).氟化鈉組治療後4週根麵對冷氣刺激的VAS值與治療前比較差異有統計學意義(P＜0.05),治療後6週根麵對冰水刺激的VAS值與治療前比較差異有統計學意義(P＜0.05).治療後即刻、2週、4週、6週兩種刺激VAS變化值聯閤組與燐硅痠鈣鈉組比較差異均有統計學意義(P＜0.05). 結論 7％燐硅痠鈣鈉在短期內可有效地治療根麵牙本質敏感,配閤跼部應用100％燐硅痠鈣鈉的脫敏效果更彊.
목적 관찰린규산개납탈민제치료노년인근면아본질민감적림상료효. 방법 채용수궤대조단맹적시험방법,135례환자공215과환아분위3조,연합조급여100％린규산개납호제화7％린규산개납탈민아고치료；린규산개납조급여안위제호화7％린규산개납탈민아고치료；불화납조급여안위제호화0.11％불화납아고치료.채용시각모의량표(VAS)평개탈민치료전후근면대랭풍화빙수자격적민감도,관찰치료후즉각、2주、4주、6주적료효. 결과 연합조치료후각시단근면대량충자격적VAS치여치료전비교차이유통계학의의(균P＜0.05).연합조대랭기자격VAS치치료후즉각、치료후2주、치료후4주、치료후6주분별위(4.87±1.98)분、(3.85±1.09)분、(2.03±1.16)분、(0.59±0.51)분,린규산개납조(6.35±1.84)분、(4.83±0.75)분、(3.17±1.12)분、(1.45±0.91)분,불화납조(6.83±0.78)분、(6.73±1.54)분、(5.44±1.58)분、(4.18±0.98)분；대빙수자격VAS치치료후즉각、치료후2주、치료후4주、치료후6주분별위(6.43±1.01)분、(4.95±1.21)분、(3.06±0.86)분、(1.38±0.92)분,린규산개납조(7.72±0.56)분、(5.65±0.69)분、(3.81±0.41)분、(2.17±0.58)분,불화납조(8.38±0.89)분、(8.17±1.02)분、(7.99±0.74)분、(6.46±0.77)분.린규산개납조치료후2、4、6주아치근면대량충자격적VAS치여치료전비교차이유통계학의의(균P ＜0.05).불화납조치료후4주근면대랭기자격적VAS치여치료전비교차이유통계학의의(P＜0.05),치료후6주근면대빙수자격적VAS치여치료전비교차이유통계학의의(P＜0.05).치료후즉각、2주、4주、6주량충자격VAS변화치연합조여린규산개납조비교차이균유통계학의의(P＜0.05). 결론 7％린규산개납재단기내가유효지치료근면아본질민감,배합국부응용100％린규산개납적탈민효과경강.
Objective To observe the clinical effectiveness of calcium sodium phosphosilicate desensitizer for the treatment of root-dentin hypersensitivity.Methods This was a randomized,single-blind,placebo controlled pilot study.135 subjects,a total of 215 teeth with a confirmed diagnosis of root-dentin hypersensitivity were randomly divided into three groups:group 1 (patients treated with 100％ calcium sodium phosphosilicate powder with 7％ calcium sodium phosphosilicate toothpaste),group 2 (patients treated with a placebo powder with 7 ％ calcium sodium phosphosilicate toothpaste),group 3 (patients treated with a placebo powder vith 0.11％ NaF toothpaste).Two standard test stimuli,cool air and cold water,were applied to sensitive root surfaces.Subjects recorded the intensity of sensitivity in response to each stimulus on a visual analogue scale (VAS) at baseline,immediately after powder application and after 2,4 and 6 weeks of twice-daily product use.Results The VAS values stimulated by cool air immediately,and 2,4 and 6 weeks after the treatment were [[(4.87±1.98),(3.85±1.09),(2.03±1.16),(0.59±0.51),respectivly] in Group 1; [(6.35±1.84),(4.83±0.75),(3.17±1.12),(1.45±0.91),respectively] in Group 2; [(6.83±0.78),(6.73±1.54),(5.441.58),(4.18±0.98),respectively] in Group 3.The VAS values stimulated by cold water immediately,and after 2,4 and 6 of treatment were [(6.43±1.01),(4.95±1.21),(3.06±0.86),(1.38±0.92),respectively] in Group 1; [(7.72±0.56),(5.65±0.69),(3.81±0.41),(2.17±0.58),respectively] inGroup2; [(8.380.89),(8.17±1.02),(7.99±0.74),(6.46±0.77),respectively] in Group 3.Compared with before treatment,there were significant differences in VAS values stimulated by the two tests at all time points in Group 1,and after 2,4 and 6 weeks of treatment in Group 2 (all P ＜0.05).Group 3 had significant differences in VAS values stimulated by cool air after 4 and 6 weeks of treatment,and had a significant difference in VAS values stimulated by cold water after 6 weeks of treatment (all P＜0.05).There were significant differences between group 1 and group 2 in the hypersensitivity reduction over baseline by two stimuli at all time point.Conclusions The 7％ calcium sodium phosphosilicate toothpaste shows a good performance in relieving the root dentin hypersensitivity.Moreover,the 100％ calcium sodium phosphosilicate powder can enhance the effectiveness of the 7％ calcium sodium phosphosilicate toothpaste.
