COMPARISON OF VARIOUS DESENSITIZING TOOTHPASTE – A CLINICAL STUDY

Dr. Ria Susan George, Dr. Jenny Susan Roy, Dr. Suneethi Margaret Dey, Dr. Nandini Manjunath

Abstract


Background: Dentine hypersensitivity is a commonly encountered problem that is triggered by an external stimuli. Various treatment modalities have been proposed, amongst them desensitizing paste is used extensively.

Objective:  Main objective of the study was to compare the efficacy of three commercially available desensitizing tooth paste-Sequel F (R),Hiora  k (RVantej(R).

Materials and Methods:  30 subjects of dentin hypersensitivity were randomly selected  and  divided  into 3 groups ,desensitizing pastes were prescribed. Baseline values were recorded by tactile method and air blast test using visual analogue scale rating from 0-10. Efficacy was compared on baseline, 10 days and after 30 days.

Statistical  analysis: Wilcoxon singed rank test and  Kruskall  Wallis test was done to compare the efficacy  of sensitivity  reduction between the three groups  and during  different time interval (P value  was set at 0.05).

Results: Comparison of all the three pastes showed positive results within 30 days but Vantej (R) showed statistically significant changes within 10 days indicating that it had rapid action.

Conclusion: All the tooth paste have convincing evidence in reducing dentinal hypersensitivity. Long term studies to facilitate better understanding can be advocated in the future.


Keywords


dentinal hypersensitivity, tooth paste, periodontal therapy, visual analogue scale, hydrodynamic theory.

Full Text:

PDF

References


Canadian Advisory Board on Dentinal Hypersensitivity (2003); Consensus based recommendations for diagnosis and management of dentin Hypersensitivity. J Can Dent Assoc 69:221-226.

Markowitz K,Pashley DH(2007);Personal reflections on a sensitive subject. J Dent Res 86,292 -295.

Addy M,,Embery WM,Orchardson Reds,Martin Dunitz.Dentine hypersensitivity ;definition ,prevalence,distribution and etiology.In :Tooth wear and sensitivity.Clinical advances in restorative dentistry.2000;239-248.

Barldt DW,Shaw P.A ;Critical review of non carious cervical (wear) lesions and the role of abfraction, erosion and abrasion. J Dent Res 2006 86:306-312.

Que K, Guo B, Jia Z, Chen Z, Yang J, Gao P.;A cross-sectional study: non-carious cervical lesions, cervical dentine hypersensitivity and related risk factors. J Oral Rehabil. 2013(40)24–32.

Arhana AC,Pimenta LA,Marchi GM;Clinical evulation of desensitizing treatment for cervical dentin hypersensitivity. Braz.Oral.Res.2009(23): 333-339.

Chuch Lo ;ECM Dentin Hypersensitivity:a review Hong Kong Dent J 2010;(7)15-22.

Brannstrom MA.;Hydrodynamic mechanism in the transmission of pain producing stimuli through the dentine. Sensory Mechanism in Dentine. 1st ed. Oxford: Pergamon Press; 1962. p. 73-9.

Schiff T,Dotson M.Cohen S,De vizio W,McCool J,Volpe ;A.Efficacy of a dentrifice containing potassium nitrate,soluble pyrophosphate,PVM/MA copolymer ,and sodium fluride on dentinal hypersensitivity:A twelve week clinical study. J Clin Dent 1994;5:87-92.

Zhong JP,Greenspan DC,Feng JW;A microstructural examination of apatite induced by bioglass in vitro. J Mater Sci Mater Med.2002;(13):321-6

Salian S,Thakur S,Klkarni S,LaTorre G.A; Randomized controlled clinical study evaluating the efficacy of two desensitizing dentrifices. J Clin Dent 2010 ;(21):82-7.

Tarbet WJ,Buckner A,Stark MM ,Fratarcangelo PA, Augsburger R; The pulpal effects of brushing with a 5 percent potassium nitrate toothpaste used for desensitization .Oral Surg Oral MedOralPath 1981 Jun ;51(6):600-602.

Knight NN,Lie T,Clark SM, Adams DF;Hypersensitive dentin:testing of procedures for mechanical and chemical obliteration of dentinal tubuli. J Periodontol.1993 May ;64(5):366-73.

Poulsen S,Errboe M,Lescay MY,Glenny A.M;Potassium containing toothpastes for dentine hypersensitivity, Cochrane Database Syst Rev .2006 Jul 19;(3):CD001476.

Nagata T,Ishida H,Shinohara H , Kasahara S, Wakano Y, Daigen S, Troullos ES;Clinical evulation of a potassium nitrate dentrifice for the treatment of dentinal hypersensitivity. J Clin Periodontol.1994 Mar;21(3)217-21.

Schiff T,Dotson M,CohenS, De Vizio W, Mc Cool J, Volpe A ;Efficacy of a dentrifice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer,and sodium fluoride on dentinal hypersensitivity: a twelve –week clinical study. J Clin dent.1994;5 Spec No:87-92.

Asnaashari M, Moeini M;Effectiveness of laser in the treatment of dentin hypersensitivity .J Lasers Med Sci 2013;4(1):1-7.

Isabel ,Andrade,Marcos; Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci 2009;51(3)323-332.

Walter PA;Dentinal hypersensitivity :A Review.The J Contemp Dent Pract 2005;6(2)107-117.

Kim S (1986)Hypersensitive teeth:desensitization of pulpal sensory nerves.J Endod 12,482-485.

Markowitz K,kim S; The role of selected cations in the desensitization of intradental nerves.Proc Finn Dent Soc 1992;88(suppl 1):39-54

Shreya S, Ramesh K, Ram reddy Y, Karunakar S (2013); Comparative Evaluation of Hydroxyapatite, Potassium Nitrate and Sodium Monofluorophosphate as in Office Desensitising Agents–A Double Blinded Randomized Controlled Clinical Trial. Oral Hyg Health 1: 104.

Sukumaran V.G,Vivekanandhan P,Amutha D;An Open clinical study to evulate the efficacy and safety of Hiora-K toothpaste in the management of sensitive tooth.The Antiseptic.August 2010;(107)379-382.

Rajesh KS,Hedge S,Arun Kumar Ms,Shetty DG;Evulation of efficicacy of 5% calicium sodium phoshosilicate (Novamin) containing dentrifice for relief of dentinal hypersensitivity: a clinical study. Indian J Dent Res 2012(23)363-7.

Gendreau L , Barlow AP, Mason SC; Overview of the clinical evidence for the use of NovaMin in providing relief from the pain of dentin hypersensitivity. J Clin Dent.2011(22)90-5.

Parkinson CR,Willson RJ;A comparative in vitro study investigating the occlusion and mineralization properties of commercial tooth pastes in a four day dentin disc model.J Clin Dent.2011(22)74-81.

Rao A,Mitra D,Prabhakar AK,Soni S,Ahmed S;The reduction of efficacy of dentinal hypersensitivity by two commercially available desensitizing toothpastes:Vantej and Colgate Pro- Argin.Saudi Emdod J 2014(4)7-12.

Narongdej T, Sakoolnamarka, Boonroung T. The effectiveness of a calcium sodium phosphosilicate desensitizer in reducing cervical dentin hypersensitivity : a pilot study .J Am Dent Assoc.2010(141)995-9.

Morris MF,Davis RD,Richardson BW;Clinical efficacy of two desensitizing agents. Am J Dent 1999(12)72-6.


Refbacks

  • There are currently no refbacks.