Evaluation of the efficacy of dentin hypersensitivity treatments - a systematic review and follow-up analysis.

@article{Marto2019EvaluationOT,
  title={Evaluation of the efficacy of dentin hypersensitivity treatments - a systematic review and follow-up analysis.},
  author={Carlos Miguel Marto and Anabela Baptista Paula and Tiago Nunes and Miguel Garcia Pimenta and Ana Margarida Abrantes and Ana Salom{\'e} Pires and Mafalda Laranjo and Ana Sofia Coelho and Helena Donato and Maria Filomena Botelho and Manuel Marques Ferreira and Eunice Carrilho},
  journal={Journal of oral rehabilitation},
  year={2019}
}
OBJECTIVES To compare the treatments used to treat dentin hypersensitivity (DH), based on its efficacy and effect duration. METHODS Medline/PubMed, Cochrane Library, EMBASE, and ClinicalTrials were searched for articles published between January 1st , 2008 and November 14th , 2018, in English, Portuguese or Spanish, reporting clinical trials, completed and with results. This systematic review protocol was registered in PROSPERO, number CRD42019121986. RESULTS 74 randomized clinical trials… 
Effects of low-level light therapy on dentin hypersensitivity: a systematic review and meta-analysis
TLDR
This systematic review shows that LLLT has positive immediate, interim, and persistent DH-treatment efficacies compared with placebo and no superior treatment effects of L LLT were observed except fluoride agent use.
Efficacy of near infrared dental lasers on dentinal hypersensitivity: a meta-analysis of randomized controlled clinical trials
TLDR
The findings suggest that near-infrared laser therapy does have a significant immediate effect in reducing dentine hypersensitivity compared to placebo/no treatment and this effect is not diminished and endured at 1-month follow-up.
Assessment of the Oral Health Impact Profile (OHIP-14) improvement of different treatments for dentin hypersensitivity in noncarious cervical lesions-a randomized clinical study.
TLDR
There was a reduction in the OHIP-14 score for all dimensions, indicating an improvement in patients' quality of life after the use of desensitizing therapies for CDH to improve patients' OHRQoL.
Photobiomodulation therapy and 3% potassium nitrate gel as treatment of cervical dentin hypersensitivity: a randomized clinical trial
TLDR
The proposed three-session protocol was effective in reducing dentin hypersensitivity after 3 months, regardless of the desensitization mechanism used.
Phototherapy Using Er,Cr:YSGG Laser as a Definitive Treatment for Dentin Hypersensitivity: A Systematic Review
TLDR
This systematic review suggests that the application of an Er,Cr:YSSG laser is effective in alleviating DH and may have limited adverse effects if adequate parameters are followed.
CLINICAL EFFICACY OF GIOMER VERSUS SODIUM FLUORIDE VARNISH FOR MANAGEMENT OF HYPERSENSITIVITY: RANDOMIZED CONTROL TRAIL
TLDR
Giomervarnish is a promising desensitizing agent, which can replace sodium fluoride varnish in management of hypersensitivity, and it exhibited a relative risk reduction by 83% at T3 and 24% atT4.
Treatment of dentin hypersensitivity by association of chemical desensitizing agents: a case report
TLDR
The patient was successfully treated by the associative technique through neural and blocker desensitizers obtaining effective pain control in a18-month follow-up, which can be confirmed in the present case report.
Clinical efficacy of nanohydroxyapatite-containing toothpaste at relieving dentin hypersensitivity: an 8 weeks randomized control trial
TLDR
Toothpaste containing nano-HAP (10 or 15%) alone or supplemented with KNO 3 was as effective as CSPS for relief of DHS symptoms when used at least twice daily.
Can Desensitizing Toothpastes Also Have an Effect on Gingival Inflammation? A Double-Blind, Three-Treatment Crossover Clinical Trial
TLDR
Despite the low VAS score, CSPS could be considered as a valid and effective toothpaste in subjects with both dentin hypersensitivity and inflamed gums, highlighting its utility in clinical practice.
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References

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Clinical efficacy of desensitizing mouthwashes for the control of dentin hypersensitivity and root sensitivity: a systematic review and meta‐analysis
TLDR
There exists a tendency towards a decrease in DH or RS scores with time in both treatment groups, with significant differences in favour of test group when sensitivity is evaluated in terms of patients' self-reported sensitivity symptoms.
Lasers for the Treatment of Dentin Hypersensitivity
TLDR
This systematic review and meta-analysis assessed the efficacy of lasers in reducing dentin hypersensitivity as compared with placebo or no treatment and found Er:YAG, Nd:Y AG, and GaAlAs lasers appear to be efficacious in reducing DH.
Arginine-containing desensitizing toothpaste for the treatment of dentin hypersensitivity: a meta-analysis
TLDR
The current evidence indicates that arginine-containing toothpaste is effective for DH, however, further high-quality, large-sample RCTs are needed.
Effectiveness of laser therapy and topical desensitising agents in treating dentine hypersensitivity: a systematic review.
TLDR
It is indicated that laser therapy has a slight clinical advantage over topical medicaments in the treatment of dentine hypersensitivity and more large sample-sized, high-quality randomised controlled clinical trials are needed before definitive conclusions were made.
In-office treatment for dentin hypersensitivity: a systematic review and network meta-analysis.
TLDR
Most active treatment options in resolving dentin hypersensitivity among different in-office desensitizing treatments had significantly better treatment outcome than placebo, according to a network meta-analysis.
Effects of desensitizing agents for cervical dentin hypersensitivity: A randomized clinical trial.
TLDR
The five tested desensitizing agents with different mechanisms were clinically effective in relieving dentin hypersensitivity up to 3 months and showed statistically significant pain reduction when compared to baseline scores.
In-office Treatments for Dentin Hypersensitivity: A Randomized Split-mouth Clinical Trial.
TLDR
F fluoride varnish and potassium oxalate should be used when an immediate desensitising effect is desired after one single application of dentin hypersensitiviy, and high-power diode laser and self-etching adhesive may not be clinically considered an appropriate desensitized therapy after oneSingle application.
The Effect of Calcium Sodium Phosphosilicate on Dentin Hypersensitivity: A Systematic Review and Meta-Analysis
TLDR
The majority of studies found that calcium sodium phosphosilicate was more effective than the negative control at alleviating DH, and high-quality, well-designed clinical trials are required in the future before definitive recommendations can be made.
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