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PICO Research Question on Dental Hygiene
My PICO RESEARCH QUESTION: Is topical fluoride as effective in managing and reducing dentinal hypersensitivity, in comparison to the application of fluoride iontophoresis?
> 1. You must research 3 articles that pertain to the topic.
2. MUST FOLLOW THE PICO FORMATTING!
3. For each article, you must follow the attached outline. Attached is a sample of the outline to be followed for the assignment. It should be followed exactly as shown, however, it should pertain to my topic. You must reference ALL work throughout the paper and at the end of the assignment.
4. Each article must contain/discuss: the title, the purpose, methods, results, critique, and conclusion (please do not go off-topic, the goal is to answer the PICO question designed by the end of the assignment)
This article is an analytical essay that looks at whether topical fluoride may help with dental hypersensitivity control and decrease. The purpose of this article is to see whether applying topical fluoride is more successful than utilizing fluoride iontophoresis. Three research articles pertaining to this issue will be analyzed using the PICO format.
a) The First Article.
Botzenhart, U.,Braun, A., & Frentzen, M. (2012). Laser treatment of dentine hypersensitivity : An overview Part I
ii) The Purpose
The purpose of this research, according to the authors, was to examine the efficacy of topical fluoride and laser methods in the treatment of dental sensitivity (Botzenhart et al, 2012). This article discusses the advantages of fluoride therapy by topical application, as well as how this method is preferable and efficient when compared to low laser radiation. At the same time, the effectiveness of these two strategies in the management and treatment of dental hypersensitivity is compared (Botzenhart et al, 2012).
The usage of comparison in this research study was used to compare traditional approaches to the use of laser technology. These two treatments were evaluated in terms of how well they controlled and decreased hypersensitivity in the teeth. The methodological aspect of review from previous research was mostly used in the research piece (Botzenhart et al, 2012).
As a result, it supplied secondary data on selected individuals who had previously been treated with a low-energy diode laser on each side. These diodes were designed to track the extent of hypersensitivity in a person’s teeth following a root canal, root planing, and scaling procedure.
The technique also demonstrated how control groups were employed and treated with a different therapy, such as topical fluoride administration. The latter had a fluoride-based protective varnish that was supposed to desensitize the teeth. All of the participants or patients in this study were given a baseline visit, following which the pain and hypersensitivity of their teeth were assessed every two days. Each of the individuals who took part in this research assessed their pain as low, medium, or high.
According to the results of this research, the incidence of dental hypersensitivity decreased by a greater proportion. These findings were obtained only a few days after the patients were given the therapy. This is in contrast to the control group, which received topical fluoride for the treatment of teeth hypersensitivity and reported no reduction or alterations after taking the medicine (Botzenhart et al, 2012).
Only when individuals had low laser therapy did they experience the full absence of tooth hypersensitivity. In fact, the findings revealed that the majority of patients who underwent diode laser therapy had less tooth hypersensitivity than a small number of patients who had topical fluoride treatment.
This study used a tiny sample size that may not reflect the full human population with tooth hypersensitivity issues. As a result, the results could not be graphically shown to show that the treatment regimen evaluated is conclusive given the sample size. To make the research more representative and increase the validity of the results, bigger sample size may have been used.
vi) Final Thoughts
The authors of this article came to the conclusion that low-energy diode laser therapy is one of the most effective approaches to managing and curing dental hypersensitivity (Pesevska et al, 2010). This is in contrast to the use of topical fluoride, which has a lower success rate since it does not totally eliminate tooth discomfort or sensitivity concerns.
b) The Second Article
Hashim, N. T., Gasmalla, B. G., Sabahelkheir, A. H., & Awooda, A. M. (2014). Effect of the clinical application of the diode laser (810 nm) in the treatment of dentine hypersensitivity. BMC Research Notes, 7(1), 1-9. doi:10.1186/1756-0500-7-31
ii) The goal
Hashim et al (2014) conducted this research to assess and determine the effectiveness of diode lasers as a fluoride iontophoresis approach for minimizing dental hypersensitivity. The purpose of this procedure was to determine the tensile strength of bindings between the coronal dentine and two additional adhesive systems. In addition, the tubule occlusion was quantified in terms of its effect in reducing tooth sensitivity.
The researchers used twelve teeth taken from interested participants who were informed about the study (Hashim et al, 2014). These teeth were the third molars, which were separated into four groups. The first group received merely a whole adhesive system, whereas the second group received the same adhesive after receiving fluoride iontophoresis therapy (Hashim et al, 2014).
A new adhesive, known as a self-etching method, was used on the third set. Finally, following fluoride iontophoresis, the fourth group was treated with the same adhesive. These four groups were additionally fixed using a resin composite that was supposed to form more beams and increase their tensile strength.
The findings of this study were obtained after each test was given a distinct fluoride iontophoresis treatment. Scanning electron microscopes, or SEMs, were used to examine the four groups, and the pictures were captured and evaluated using statistical software (Hashim et al, 2014). Analysis of variance (ANOVA), probability, and significant difference tests were used to examine the findings.
There was a significant difference (P 0.002) between the groups treated with fluoride iontophoresis, according to the findings (Hashim et al, 2014). In terms of lowering tooth sensitivity, the other groups that did not undergo the latter treatment showed no significant difference (P=1.000).
This experimental study used a variety of statistical approaches that failed to adequately capture the efficacy of fluoride iontophoresis as a treatment for tooth hypersensitivity (Hashim et al, 2014). Furthermore, the use of removed molar teeth from patients could not be considered a credible method of measuring pain reduction. The alternate method of assessing tubule occlusion is ineffective in the treatment of this dental problem.
vi) Final Thoughts
The use of fluoride iontophoresis is an efficient means of treating hypersensitivity in the teeth, according to the findings of this study (Hashim et al, 2014). The degree of efficiency of this approach was determined by the large rise in tubule blockage. As a result, dentists may advise their patients that fluoride iontophoresis can dramatically decrease and control hypersensitivity in the teeth.
c) The third article
Hosoki, M., Bando, E., Asaoka, K., Takeuchi, H., & Nishigawa, K. (2009). Assessment of allergic hypersensitivity to dental materials. Bio-Medical Materials & Engineering, 19(1), 53-61. doi:10.3233/BME-2009-056
ii) The goal
This study used a long-term study to examine the efficacy of both topical fluoride usage and fluoride iontophoresis therapy by looking at whether patients had any allergies to specific dental materials. The goal of the research was to see how bad oral hypersensitivity may be and what kind of therapy would be most effective (Hosoki et al, 2009).
A total of 212 individuals (n=212) were included in the research, all of whom were given various treatments (Hosoki et al, 2009). The patients were split into male and female groups, with 45 men and 167 females participating in the research. The patients were subsequently put through thirteen different treatments, each of which tested for the severity of dental hypersensitivity (Hosoki et al, 2009). The prevalence and severity of allergic responses to teeth were then documented and calculated.
The efficiency of topical fluoride treatment in treating dental hypersensitivity was strongly connected to the level of tooth damage as well as the makeup of the allergens utilized in the research procedure, according to the findings. Furthermore, when the therapy was closely connected to the allergen the patient was allergic to, individuals with severe or acute teeth hypersensitivity had their discomfort greatly decreased by using suitable fluoride treatments.
The length of this research study was too protracted, causing the patients and participants to get fatigued or weary. Furthermore, given the lengthy time span used to compare the performance of these two approaches, the cost ramifications of this research were excessive.
vi) Final Thoughts
This study was able to show that fluoride iontophoresis is highly efficient in the treatment and decrease of hypersensitivity concerns in the teeth (Hosoki et al, 2009). However, owing to the technical difficulties involved, the procedure may be rather pricey. Topical fluoride application, on the other hand, is less effective but more cost-effective. For persons with a recurring issue in their dental region, fluoride iontophoresis should be the suggested regimen for decreasing teeth hypersensitivity.
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Frequently Asked Questions (FAQs)
1. What is PICO in dental hygiene?
PICO is a straightforward approach for dental hygienists to get solutions to clinical issues. Patient or problem, intervention, comparison, and outcomes are all abbreviated as PICO. Almost all of our practice-related questions begin with a patient.
2. What are the six types of PICO questions?
Clinical evidence, diagnosis, prognosis, treatment, prevention, and education are six components of clinical practice that raise questions.
3. What is an example of a clinical question?
These inquiries usually address who, what, where, when, how, and why concerning a condition, test, or therapy, or any other area of healthcare. For instance: What are the signs and symptoms of menopause? What triggers migraine attacks?
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- Additional content on the topic.
- Botzenhart, U., Braun, A., & Frentzen, M. (2012). Laser treatment of dentine hypersensitivity: An overview Part I
- Hashim, N. T., Gasmalla, B. G., Sabahelkheir, A. H., & Awooda, A. M. (2014). Effect of the clinical application of the diode laser (810 nm) in the treatment of dentine hypersensitivity. BMC Research Notes, 7(1), 1-9. doi:10.1186/1756-0500-7-31
- Hosoki, M., Bando, E., Asaoka, K., Takeuchi, H., & Nishigawa, K. (2009). Assessment of allergic hypersensitivity to dental materials. Bio-Medical Materials & Engineering, 19(1), 53-61. doi:10.3233/BME-2009-056