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Li R, Yang W, Grimaldi R, Zeng P, Smith G, Chen X. Efficacy of a stannous fluoride dentifrice for relieving dentinal hypersensitivity in Chinese population: an 8-week randomized clinical trial. Clin Oral Investig 2024; 28:230. [PMID: 38530474 PMCID: PMC10965716 DOI: 10.1007/s00784-024-05610-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 03/09/2024] [Indexed: 03/28/2024]
Abstract
OBJECTIVES To compare the effectiveness of using a 0.454% stannous fluoride-containing dentifrice twice daily in relieving dentinal hypersensitivity (DH) in a Chinese population. MATERIALS AND METHODS This was a single-centre, randomized, controlled, examiner-blind, three-treatment-arm, parallel-group study in participants with clinically diagnosed DH. Subjects who met inclusion criteria (n = 197) were randomly allocated into 3 groups: test group (n = 66)-using a 0.454% stannous fluoride-containing dentifrice twice daily; positive control group (n = 64)-using a 5.0% calcium sodium phosphosilicate-containing dentifrice twice daily; negative control group (n = 67)-using a 1150 ppm of NaF dentifrice twice daily. Status of DH was assessed at week 4 and week 8 by the same independent examiner. Changes from baseline in Schiff sensitivity score, tactile threshold and Dentine Hypersensitivity Experience Questionnaire (DHEQ) score were analysed using analysis of covariance models. The DHEQ evaluated subject-perceived oral health-related quality of life (OHRQoL). RESULTS Statistically significant improvements in mean Schiff scores (p < 0.0001 for all products at Weeks 4 and 8), tactile threshold (p < 0.0001 for test and negative control at Weeks 4 and 8: Week 4 p = 0.0040 and Week 8 p < 0.0001 for positive control) and all DHEQ scores (p < 0.01 for all groups) were observed. No statistically significant differences were observed in the adjusted mean between all dentifrices at both timepoints, potentially driven by a placebo effect. Forty-two treatment-emergent adverse events (TEAEs) were reported (n = 32 subjects), with 2 serious AEs (n = 1) in the test group. TEAEs were not considered treatment-related. CONCLUSIONS All groups demonstrated statistically significant improvements in Schiff score, tactile threshold and OHRQoL. However, due to a possible placebo effect in the negative control, there were no statistically significant differences between the dentifrices. CLINICAL RELEVANCE This study adds to the growing research exploring why the placebo effect is a common phenomenon in DH studies. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT04950465.
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Affiliation(s)
- Rui Li
- Department of Preventive Dentistry, Shanghai Ninth People's Hospital, No. 639 Zhizaoju Road, Shanghai, China
- Shanghai Jiao Tong University School of Medicine, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Wenjie Yang
- Department of Preventive Dentistry, Shanghai Ninth People's Hospital, No. 639 Zhizaoju Road, Shanghai, China
- Shanghai Jiao Tong University School of Medicine, Shanghai, China
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China
- National Center for Stomatology, Shanghai, China
- National Clinical Research Center for Oral Diseases, Shanghai, China
- Shanghai Key Laboratory of Stomatology, Shanghai, China
- Shanghai Research Institute of Stomatology, Shanghai, China
| | - Roberta Grimaldi
- Haleon (Formerly Known As GSK Consumer Healthcare), Weybridge, UK
| | - Peter Zeng
- Haleon (Formerly Known As GSK Consumer Healthcare), Shanghai, China
| | - Gary Smith
- Haleon (Formerly Known As GSK Consumer Healthcare), Weybridge, UK
| | - Xi Chen
- Department of Preventive Dentistry, Shanghai Ninth People's Hospital, No. 639 Zhizaoju Road, Shanghai, China.
- Shanghai Jiao Tong University School of Medicine, Shanghai, China.
- College of Stomatology, Shanghai Jiao Tong University, Shanghai, China.
- National Center for Stomatology, Shanghai, China.
- National Clinical Research Center for Oral Diseases, Shanghai, China.
- Shanghai Key Laboratory of Stomatology, Shanghai, China.
- Shanghai Research Institute of Stomatology, Shanghai, China.
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Al-Nerabieah Z, AlKhouli M, Dashash M. Preventive efficacy of 38% silver diamine fluoride and CPP-ACP fluoride varnish on molars affected by molar incisor hypomineralization in children: A randomized controlled trial. F1000Res 2024; 12:1052. [PMID: 38778809 PMCID: PMC11109571 DOI: 10.12688/f1000research.136653.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/13/2024] [Indexed: 05/25/2024] Open
Abstract
Background This randomized controlled trial aimed to compare the efficacy of silver diamine fluoride (SDF) and Casein Phosphopeptide-Amorphous Calcium Phosphate fluoride Varnish (CPP-ACPFV) in preventing caries development, enamel breakdown, and sensitivity on molars affected by molar incisor hypomineralization (MIH) in children. Methods A total of 100 children aged 6 to 9 years were enrolled in the study with two contralateral permanent molars mildly affected by MIH. Affected molars were randomly and equally assigned to receive either SDF or CPP-ACPFV treatment. The interventions were applied at four different time points (baseline, 3, 6, 9 months), and the incidence of caries, caries progression, enamel breakdown, and sensitivity were assessed. Results The findings of this study revealed significant differences in the incidence of caries between the groups treated with SDF and CPP-ACPFV ( P-value < 0.05). Similarly, there was a significant difference in caries progression between the two groups ( P-value < 0.05). However, no significant differences were observed in enamel breakdown scores between the treatment groups, as the majority of teeth in both groups exhibited a score of 0. Furthermore, there were no significant differences in sensitivity between the treatment groups throughout the study period. Conclusions In conclusion, the results of this study provide evidence that molars treated with SDF demonstrated a lower incidence of caries and a higher rate of caries arrest compared to those treated with CPP-ACPFV. Both interventions showed promise in preventing enamel breakdown and improving sensitivity. These findings highlight the potential of SDF and CPP-ACPFV as effective treatments for caries prevention and management, emphasizing the importance of early intervention and appropriate dental care strategies in maintaining oral health. Trial registration ISRCTN54243749 (13/01/2022).
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Affiliation(s)
- Zuhair Al-Nerabieah
- Pediatric Dentistry, Damascus University, Damascus, Damascus Governorate, Syria
| | - Muaaz AlKhouli
- Pediatric Dentistry, Damascus University, Damascus, Damascus Governorate, Syria
| | - Mayssoon Dashash
- Pediatric Dentistry, Damascus University, Damascus, Damascus Governorate, Syria
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Dalmolin AC, Finkler BC, Almeida CV, Bechtold LB, Silva KR, Centenaro GG, Coelho U, Pochapski MT, Dos Santos FA. Prevalence of dentin hypersensitivity after orthodontic treatment: A cross-sectional study. Am J Orthod Dentofacial Orthop 2023; 164:431-440. [PMID: 37086249 DOI: 10.1016/j.ajodo.2023.02.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Revised: 02/01/2023] [Accepted: 02/01/2023] [Indexed: 04/23/2023]
Abstract
INTRODUCTION The prevalence of cervical dentin hypersensitivity in patients after corrective orthodontic treatment has been poorly studied, although such hypersensitivity is very common. This study aimed to assess the prevalence of dentin hypersensitivity in patients who received corrective orthodontic treatment, the impact of general oral problems on quality of life, and the impact of hypersensitivity on the quality of life of this population. METHODS This observational, cross-sectional study evaluated 232 patients who finished orthodontic treatment between 2000 and 2020 for self-reported hypersensitivity and clinically diagnosed hypersensitivity. The following tests were used: tactile, evaporative (bellows), evaporative (triple syringe), and thermal. The patients were also evaluated regarding their quality of life using questionnaires (Oral Health Impact Profile-14 and Dentine Hypersensitivity Experience Questionnaire). We evaluated data with nonparametric statistics. RESULTS The prevalence of hypersensitivity was higher in women and in those aged <30 years; the most affected teeth were the mandibular incisors and premolars; different diagnostic tests for hypersensitivity may indicate different prevalence values; patients with hypersensitivity had a lower quality of life in most of the domains of both of the tests that were used. CONCLUSIONS The prevalence of hypersensitivity among patients after orthodontic treatment may be higher than in the general population. Further investigation is needed to indicate the possible factors associated with orthodontic tooth movement.
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Affiliation(s)
- Ana Cláudia Dalmolin
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Bruna Caroline Finkler
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Camila Vieira Almeida
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Laura Borato Bechtold
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Kellen Rutes Silva
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Gabrielle Gomes Centenaro
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Ulisses Coelho
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Márcia Thaís Pochapski
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil
| | - Fábio André Dos Santos
- Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
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Effectiveness of Two Different Fluoride-Based Agents in the Treatment of Dentin Hypersensitivity: A Prospective Clinical Trial. MATERIALS 2022; 15:ma15031266. [PMID: 35161211 PMCID: PMC8837978 DOI: 10.3390/ma15031266] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 02/01/2022] [Accepted: 02/04/2022] [Indexed: 11/17/2022]
Abstract
Hyperesthesia is related to increased sensitivity of dental tissues to mechanical, chemical and thermal stimuli. The aim of this prospective clinical trial was to compare the effectiveness of a calcium-fluoride-forming agent (Tiefenfluorid®, Humanchemie GmbH, Alfeld, Germany) with that of a fluoride varnish (EnamelastTM, Ultradent Inc., Cologne, Germany) in the treatment of dental hyperesthesia in adult patients. In total, 176 individuals (106 females and 70 males, aged 18-59 years old) diagnosed with dental hyperesthesia (DH) were enrolled. The main clinical symptoms were hyperesthesia from coldness and sweetness during chewing; the types of clinical lesions were also determined and recorded. The patients were selected randomly and divided into two groups: (i) the first group of 96 patients was treated with Tiefenfluorid® applied in three appointments at 7-day intervals; (ii) the second group of 80 patients was treated with EnamelastTM, applied seven times at 7-day intervals. All the patients were recalled 7 days, 14 days, 1 month, 3 months, and 6 months from the last application. At the baseline and during every follow-up visit, the DH was measured with a pulp tester. A random intercept/random slope model was used to evaluate the effect of the treatment, at various times with respect to the initial diagnosis. Within the limits of the present study, Tiefenfluorid® was more effective than EnamelastTM against DH in that it provided long-lasting results, with a significant improvement still detected at the latest 6-month follow-up.
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Naseri S, Cooke ME, Rosenzweig DH, Tabrizian M. 3D Printed In Vitro Dentin Model to Investigate Occlusive Agents against Tooth Sensitivity. MATERIALS (BASEL, SWITZERLAND) 2021; 14:7255. [PMID: 34885408 PMCID: PMC8658150 DOI: 10.3390/ma14237255] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 11/18/2021] [Accepted: 11/24/2021] [Indexed: 11/17/2022]
Abstract
Tooth sensitivity is a painful and very common problem. Often stimulated by consuming hot, cold, sweet, or acidic foods, it is associated with exposed dentin microtubules that are open to dental pulp. One common treatment for tooth hypersensitivity is the application of occlusive particles to block dentin microtubules. The primary methodology currently used to test the penetration and occlusion of particles into dentin pores relies upon dentin discs cut from extracted bovine/human teeth. However, this method is limited due to low accessibility to the raw material. Thus, there is a need for an in vitro dentin model to characterize the effectiveness of occlusive agents. Three-dimensional printing technologies have emerged that make the printing of dentin-like structures possible. This study sought to develop and print a biomaterial ink that mimicked the natural composition and structure of dentin tubules. A formulation of type I collagen (Col), nanocrystalline hydroxyapatite (HAp), and alginate (Alg) was found to be suitable for the 3D printing of scaffolds. The performance of the 3D printed dentin model was compared to the natural dentin disk by image analysis via scanning electron microscopy (SEM), both pre- and post-treatment with occlusive microparticles, to evaluate the degree of dentinal tubule occlusion. The cytocompatibility of printed scaffolds was also confirmed in vitro. This is a promising biomaterial system for the 3D printing of dentin mimics.
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Affiliation(s)
- Shiva Naseri
- Department of Biomedical Engineering, McGill University, Montreal, QC H3A 2B4, Canada
| | - Megan E Cooke
- Department of Surgery, McGill University, Montreal, QC H3G 1A4, Canada
| | | | - Maryam Tabrizian
- Department of Biomedical Engineering, McGill University, Montreal, QC H3A 2B4, Canada
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Eyüboğlu GB, Naiboğlu P. Clinical Efficacy of Different Dentin Desensitizers. Oper Dent 2020; 45:E317-E333. [PMID: 32516395 DOI: 10.2341/19-258-c] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2020] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE Teethmate Desensitizer, Clinpro White Varnish, Shield Force Plus, and Gluma could be recommended for treating dentin hypersensitivity in terms of clinical efficacy. SUMMARY Objective: The aim of this study was to evaluate the clinical efficacy of widely used dentindesensitizing agents (DDAs) (Teethmate Desensitizer, Clinpro White Varnish, Shield Force Plus, and Gluma) in the treatment of dentin hypersensitivity (DH) according to different evaluation parameters over a four-week follow-up period.Methods and Materials: This study was a randomized, single-center, controlled, parallel group study involving 144 teeth in 40 subjects. The baseline DH levels of the subjects were determined using different evaluation parameters. Daily life hypersensitivity and evaporative air stimulus hypersensitivity scores were recorded using a visual analog scale (VAS), and tactile hypersensitivity scores were recorded using a Yeaple probe and measured in grams and on the VAS. Subjects who experienced evaporative air stimulus DH (30-80 mm on the VAS) and tactile hypersensitivity (10-50 g with the Yeaple probe) were included in the study. After application of the DDAs, these evaluation parameters were recorded throughout the follow-up period (immediately after application and at one day and two and four weeks post-application).Results: All four DDAs demonstrated clinical dentin-desensitizing effects throughout the follow-up period according to evaporative air hypersensitivity, tactile sensitivity (g-VAS), and daily life hypersensitivity scores (p<0.05). Only Clinpro White Varnish had tactile sensitivity (g) scores that were similar at baseline and the one-day follow-up (p>0.05). A comparison of DH-reducing effects among the DDAs revealed that they yielded different results immediately after application and at the one-day follow-up time point, depending on which evaluation parameter was used. However, all DDAs showed similar DH-reducing effects at the two- and four-week follow-up time points.Conclusions: Teethmate Desensitizer, Clinpro White Varnish, Shield Force Plus, and Gluma DH showed clinical efficacy for four weeks. DDAs may produce inconsistent clinical evaluation scores not only across different evaluation parameters but also between early and later follow-up time points.
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Abstract
ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION Network Meta-Analysis on the Effect of Desensitizing Toothpastes on Dentine Hypersensitivity. Hu ML, Zheng G, Lin H, Yang M, Zhang YD, Han JM. J Dent 2019;88:103170. SOURCE OF FUNDING National Natural Science Foundation of China (81771119). TYPE OF STUDY/DESIGN Systematic review with meta-analysis of data.
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Tao D, Ling MR, Feng XP, Gallob J, Souverain A, Yang W, Alavi A. Efficacy of an anhydrous stannous fluoride toothpaste for relief of dentine hypersensitivity: A randomized clinical study. J Clin Periodontol 2020; 47:962-969. [PMID: 32391584 PMCID: PMC7496273 DOI: 10.1111/jcpe.13305] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2019] [Revised: 04/28/2020] [Accepted: 05/02/2020] [Indexed: 11/30/2022]
Abstract
Aim To compare efficacy of an anhydrous 0.454% w/w stannous fluoride/sodium fluoride toothpaste (Test) versus a sodium monofluorophosphate toothpaste (Negative control) and a stannous chloride/sodium fluoride toothpaste (Positive control) for dentine hypersensitivity relief after 8 weeks’ twice‐daily use. Materials and Methods In this randomized, examiner‐blind, stratified, parallel study, primary and secondary efficacy variables were mean changes in Schiff score (evaporative [air] sensitivity) and tactile threshold (Yeaple probe), respectively, from baseline to Week 8 between Test (n = 62) and Negative control (n = 62). Test and Positive control (n = 61) comparisons were exploratory objectives. Results All groups significantly improved from baseline on both dentine hypersensitivity measures (p < .0001). Difference between adjusted mean changes from baseline in Schiff sensitivity scores at Week 8 for Test versus Negative control groups was 0.19 (95% CI 0.002, 0.374), in favour of the Negative control (p = .0476; 12.57% difference). Difference in tactile threshold was −7.20 g (95% CI −16.376, 1.975), and this was not statistically significant (p = .3715; −21.83% difference). Test group showed no significant difference versus Positive control for either measure. Toothpastes were generally well tolerated. Conclusion While twice‐daily use of Test toothpaste significantly reduced dentine hypersensitivity from baseline, there was no significant advantage over negative or positive controls. Study registration: Clinicaltrials.gov; NCT03310268.
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Affiliation(s)
- Danying Tao
- Department of Preventative Dentistry, School of Medicine, College of Stomatology, National Clinical Research Center for Oral Disease, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | | | - Xi-Ping Feng
- Department of Preventative Dentistry, School of Medicine, College of Stomatology, National Clinical Research Center for Oral Disease, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
| | - John Gallob
- Consumer Research Consulting, LLC, Las Vegas, NV, USA
| | | | - Wenjie Yang
- Department of Preventative Dentistry, School of Medicine, College of Stomatology, National Clinical Research Center for Oral Disease, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Stomatology, Shanghai Research Institute of Stomatology, Shanghai, China
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Nahas R, Gondim V, Carvalho CV, Calderero LM, Rosa EF, Sakiyama T, César Neto JB, Pannuti CM, Romito GA. Treatment of multiple recessions with collagen matrix versus connective tissue: a randomized clinical trial. Braz Oral Res 2020; 33:e123. [PMID: 31994596 DOI: 10.1590/1807-3107bor-2019.vol33.0123] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Accepted: 10/01/2019] [Indexed: 11/22/2022] Open
Abstract
The objective of this study was to determine whether collagen matrix (CM) is an alternative to connective tissue graft technique (CTG) in the treatment of multiple gingival recessions (GR). The indication of CM for the treatment of multiple GR is not yet clear. More studies are needed to better understand this treatment modality, as an alternative to CTG. In this single-blind, split-mouth randomized clinical trial, fifteen patients with multiple Miller class I upper GR were selected and randomly assigned to control group (CTG) or test group (CM). Root coverage (RC) and patient-centered outcomes were evaluated at baseline and after 3, 6, and 12 months. A total of 82 GRs were treated. There was no significant difference regarding GR depth (GRD, primary outcome) between CTG (0.5 ± 0.9 mm) and CM groups (0.6 ± 1.0 mm) (p = 0.225). Percentage of RC was 82.14% in CTG and 77.7% in CM. Both groups demonstrated a gain in keratinized tissue width at 12 months (p < 0.05). Dentine hypersensitivity was effectively reduced in both groups. Postoperative pain was significantly higher in the CTG (p = 0.001). Esthetic satisfaction was high for both groups, with no significant difference (p > 0.05) between groups. After 12 months, both surgical treatments were able to promote RC, and GRD was similar in both CTG and CM groups.
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Affiliation(s)
- Rodrigo Nahas
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Valéria Gondim
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Cassio Volponi Carvalho
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Luis Marcelo Calderero
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Ecinele Francisca Rosa
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Thaís Sakiyama
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - João Batista César Neto
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Cláudio Mendes Pannuti
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
| | - Giuseppe Alexandre Romito
- Universidade de São Paulo - USP, School of Dentistry, Department of Stomatology, São Paulo, SP, Brazil
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Idon PI, Sotunde OA, Ogundare TO. Beyond the Relief of Pain: Dentin Hypersensitivity and Oral Health-Related Quality of Life. Front Dent 2019; 16:325-334. [PMID: 32123872 PMCID: PMC7040559 DOI: 10.18502/fid.v16i5.2272] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2018] [Accepted: 02/18/2019] [Indexed: 11/24/2022] Open
Abstract
Pain is a constant symptom of dentin hypersensitivity (DH), which is a common condition that affects daily life and negatively affects the quality of life (QoL). Diagnosis and outcome measurements following the treatment of the disease require accurate pain assessment. The definition of pain underlies the complexity of its measurement as different factors modulate daily experience. The reproducibility of the prescribed stimuli for inducing DH pain clinically is difficult to achieve. This pain mevaasurement is made with unidimensional scales that are inadequate to capture the other dimensions of pain. The only specific QoL tool available for DH still requires testing in other populations and cultures. This article reviews the appropriateness of the current methods of DH pain assessment and the tools that consider the other pain dimensions. It also looks at its impact on the oral health-related quality of life (OHRQoL) of people with DH. The findings will create interest and facilitate research in this field of DH pain measurement and management.
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Affiliation(s)
- Paul Ikhodaro Idon
- Department of Dental Surgery, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria
| | - Olawale Akeem Sotunde
- Department of Restorative Dentistry, Faculty of Dentistry, Bayero University, Kano, Nigeria
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Saberi S, Seyed Jabbari Doshanlo S, Bagheri H, Mir Mohammad Rezaei S, Shahabi S. Evaluation of Tooth Surface Irradiated With Erbium: Yttrium Aluminum Garnet and Carbon Dioxide Lasers by Atomic Force Microscopy. J Lasers Med Sci 2018; 9:188-193. [PMID: 30809330 PMCID: PMC6378359 DOI: 10.15171/jlms.2018.34] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Introduction: Laser irradiation of dentin surface can affect its surface topography and roughness. Atomic force microscopy (AFM) is among the most efficient tools for determination of surface topography of natural biomolecules in nano-scales. Surface roughness affects plaque retention especially in the cervical region. This study aimed to assess and compare the obstruction of dentinal tubules and dentin surface roughness after irradiation of erbium: yttrium aluminum garnet (Er:YAG ) and CO2 lasers for treatment of dentin hypersensitivity (DH). Methods: Five disc-shaped samples measuring 3 mm in thickness were fabricated by horizontal sectioning of the cervical area of five extracted human molars using a low speed saw. Each disc was divided into 3 segments by a bur under water coolant. The three segments of each disc were placed on a glass slide. First segment: No intervention (control group). Second segment: Er:YAG laser irradiation (2940 nm, 50 mJ, 10 Hz and 0.5 W, 30 seconds) along with water coolant. Third segment: CO2 laser irradiation (10600 nm, 80 Hz, 0.3 W, 30 seconds) along with water coolant. After that, the surfaces underwent non-contact AFM. The diameters of dentinal tubules as well as surface roughness were then measured and statistically analyzed using repeated measures ANOVA. Results: The surface roughness parameters (Ra, Rq) showed increased roughness after laser irradiation and this increase in roughness after Er:YAG laser application was significant compared to the control group (P=0.048). However, CO2 laser caused no significant change in surface roughness. Also, after Er:YAG laser application, fewer open dentinal tubules were observed and the remaining open tubules had a smaller diameter. Conclusion: Based on the results, Er:YAG laser irradiation obstructs the dentinal tubules and increases the dentin surface roughness. This increase in surface roughness can cause microbial plaque retention and increase the risk of caries and periodontal disease. Application of CO2 laser (compared to Er:YAG) lead to slight but clinically significant obstruction of dentinal tubules and surface roughness.
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Affiliation(s)
- Sogol Saberi
- Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Hossein Bagheri
- Department of Dental Material, Dental Material Research Center, Faculty of Dentistry, Mashhad University of Medical Science, Mashhad, Iran
| | | | - Sima Shahabi
- Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
- Dental Biomaterials Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Liang X, Wei Z, Hu D, Ruan J. Prevalence of dentin hypersensitivity among the residents of Xi'an city, China. Acta Odontol Scand 2017; 75:387-393. [PMID: 28502198 DOI: 10.1080/00016357.2017.1323348] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE To investigate the prevalence and intra-oral distribution of dentine hypersensitivity (DH) and to evaluate the related risk factors. MATERIAL AND METHODS A total of 1320 subjects, aged between 20 and 69 years old, were selected from six communities in the urban areas of Xi'an, China. The data were collected by conducting individual interviews using a standard questionnaire; then, the clinical examination was performed for patients who reported about the discomforts they felt in their teeth when subjected to chemical, mechanical and thermal stimuli. Dentine hypersensitivity (DH) was diagnosed by a subject short, sharp pain in response to a blast of cold air from a triple syringe. RESULTS While replying to the questionnaire, 445 subjects reported about signs of discomfort in the teeth. DH was diagnosed in 336 persons by clinic examination. Thus, the overall prevalence of DH was 33.7% in the questionnaire and 25.5% in the intraoral test. The prevalence of DH was higher in females (33.8%) than in males (22.2%). Furthermore, we found that the prevalence of DH was highest in the age group of 50-59 years (39.3%). The most common initiation factors were acid (37.7%) followed by cold stimuli (35.8%). In general, most subjects with sensitive teeth had a higher educational background. CONCLUSIONS The prevalence of DH was 25.5% in the population of Xi'an City in China. More emphasis should give to middle-aged and old females while planning oral health intervention campaigns. In addition, premolars and cervical surfaces should be examined for the prevention of DH.
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Affiliation(s)
- Xiao Liang
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Stomatology College of Xi’an Jiaotong University, Xi’an City, Shaanxi Province, China
- Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - Zhiyuan Wei
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Stomatology College of Xi’an Jiaotong University, Xi’an City, Shaanxi Province, China
| | - Deyu Hu
- State Key Laboratory of Oral Diseases, Sichuan University, Chengdu City, Sichuan Province, China
| | - Jianping Ruan
- Clinical Research Center of Shaanxi Province for Dental and Maxillofacial Diseases, Stomatology College of Xi’an Jiaotong University, Xi’an City, Shaanxi Province, China
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Varoni EM, Zuccheri T, Carletta A, Palazzo B, Cochis A, Colonna M, Rimondini L. In vitro efficacy of a novel potassium oxalate hydrogel for dentin hypersensitivity. Eur J Oral Sci 2017; 125:151-159. [DOI: 10.1111/eos.12334] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/14/2016] [Indexed: 12/18/2022]
Affiliation(s)
- Elena M. Varoni
- Dipartimento di Scienze Biomediche; Chirurgiche ed Odontoiatriche; Università degli Studi di Milano; Milano Italy
- Dipartimento di Scienze della Salute; Università del Piemonte Orientale ‘A. Avogadro’; Novara Italy
| | - Tommaso Zuccheri
- Department of Civil, Chemical, Environmental and Materials Engineering; Università degli Studi di Bologna; Bologna Italy
| | - Andrea Carletta
- Dipartimento di Scienze della Salute; Università del Piemonte Orientale ‘A. Avogadro’; Novara Italy
| | - Barbara Palazzo
- Department of Engineering for Innovation; Università del Salento; Lecce Italy
- Ghimas, c/o Dhitech S.C.A.R.L.; Campus Ecotekne; Lecce Italy
| | - Andrea Cochis
- Dipartimento di Scienze della Salute; Università del Piemonte Orientale ‘A. Avogadro’; Novara Italy
- Consorzio Interuniversitario Nazionale per la Scienza e Tecnologia dei Materiali; Firenze Italy
| | - Martino Colonna
- Department of Civil, Chemical, Environmental and Materials Engineering; Università degli Studi di Bologna; Bologna Italy
| | - Lia Rimondini
- Dipartimento di Scienze della Salute; Università del Piemonte Orientale ‘A. Avogadro’; Novara Italy
- Department of Engineering for Innovation; Università del Salento; Lecce Italy
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14
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Albuquerque NLG, de Souza AMB, de Moraes MDR, Mendonça JS, Rodrigues LKA, Santiago SL. Four-year randomized clinical trial of oxalic acid pretreatment in restorations of non-carious cervical lesions. Clin Oral Investig 2015; 20:199-205. [DOI: 10.1007/s00784-015-1521-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Accepted: 06/30/2015] [Indexed: 11/27/2022]
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15
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Mehta D, Gowda VS, Santosh A, Finger WJ, Sasaki K. Randomized controlled clinical trial on the efficacy of dentin desensitizing agents. Acta Odontol Scand 2014; 72:936-41. [PMID: 24909155 DOI: 10.3109/00016357.2014.923112] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To investigate the effects of four dentin desensitizers on pain reduction in hypersensitive cervical dentin lesions. MATERIALS AND METHODS The trial was designed as a randomized, controlled, four-arm, single-masked study. Fifty subjects with at least one hypersensitive lesion in each of the four quadrants were allocated. The requested pre-operative pain, determined as a response to 2-s air-blast (AB) and probe scratching (PS), was ≥5 on a VAS scale, 0 = no through to 10 = worst pain. Randomly each subject received each of the four treatments: MS Coat One F (MSC, Sun Medical, Japan), Nanoseal (NAN, Nishin, Japan), Teethmate Desensitizer (TMD, Kuraray Noritake, Japan) and Gluma Desensitizer PowerGel (GLU, HeraeusKulzer, Germany). The investigator assessed blindly the pain response using the two stimuli and recorded the patients' VAS scores before and immediately after application, after 1 week and after 1, 3 and 6 months. STATISTICAL DATA TREATMENT: ANOVA and post-hoc testing (p ≤ 0.05). RESULTS Forty-nine subjects completed the trial. Pre-operative dentin hypersensitivity (DH) for the groups was not significantly different. All desensitizers reduced DH significantly throughout the 6-months observation. ANOVA revealed significant differences among VAS scores, obtained with the desensitizing agents (p < 0.001). Ranking by post-hoc testing was: MSC > NAN > TMD > GLU (p < 0.05). Upon PS NAN and TMD showed slight but significant regain of sensitivity after 6 months. For GLU PS scores immediately after application and after 6 months were not significantly different, whereas recalls after 1 week, 1 month and 3 months revealed significantly lower scores. CONCLUSION The calcium phosphate-based TMD and GLU proved highly effective in reducing sensitivity.
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Affiliation(s)
- Deepak Mehta
- Department of Conservative Dentistry and Endodontics, VokkaligaraSangha Dental College and Hospital , Bangalore , India
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16
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Cruciata F, Pizzo G. Il management dell’ipersensibilità dentinale: dalla ricerca alla clinica. DENTAL CADMOS 2014. [DOI: 10.1016/s0011-8524(14)70217-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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17
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Martens LC. A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS). Clin Oral Investig 2013; 17 Suppl 1:S77-83. [PMID: 23262746 PMCID: PMC3585983 DOI: 10.1007/s00784-012-0898-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2012] [Accepted: 11/23/2012] [Indexed: 01/30/2023]
Abstract
INTRODUCTION Dentin hypersensitivity (DHS) is a problematic clinical entity that may become an increasing clinical problem for dentists to treat as a consequence of patients retaining their teeth throughout life and improved oral hygiene practices. OBJECTIVES The aim of this review was to develop a decision tree for the management of exposed cervical dentin (ECD) and DHS. MATERIAL AND METHODS A brief PUBMED literature search was performed on dentin hypersensitivity using "MeSH" terms, "review", and "management". In addition, some websites and local guidelines were screened. RESULTS From this review, it became clear that all dentate patients should routinely be screened for ECD and DHS. In this respect, underdiagnosis of the condition will be avoided and the preventive management can be initiated early. CONCLUSION A decision tree process and a flowchart for daily practice were designed which should be started up as soon as a patient present with ECD or suffers from DHS. This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options. In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies. Starting with the use of desensitizing toothpastes is strongly recommended.
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Affiliation(s)
- Luc C Martens
- Department of Paediatric Dentistry and Special care, PaeCaMeD research, Ghent University, De Pintelaan 185 (P8), B-900, Gent, Belgium.
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18
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Schmidlin PR, Sahrmann P. Current management of dentin hypersensitivity. Clin Oral Investig 2013; 17 Suppl 1:S55-9. [PMID: 23274415 PMCID: PMC3585982 DOI: 10.1007/s00784-012-0912-0] [Citation(s) in RCA: 51] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2011] [Accepted: 11/21/2012] [Indexed: 01/28/2023]
Abstract
OBJECTIVES The aim of the article was to present an overview of the management strategies of dentin hypersensitivity (DHS) and summarize and discuss the therapeutic options. MATERIALS AND METHODS A PubMed literature search was conducted to identify articles dealing with dentin hypersensitivity prophylaxis and treatment. We focussed on meta-analyses of available or controlled clinical trials. RESULTS DHS therapy should start with noninvasive individual prophylactic home-care approaches. In-office therapy follows with nerve desensitizing, precipitating, or plugging agents. If the hypersensitivity persists, depending on the hard and soft tissue components at reevaluation, i.e., presence or absence of cervical lesions and the gingival contour, adhesive restorations including sealing or mucogingival surgery may be an option. They allow for the establishment of a physicomechanical barrier. As the placebo effect may play an important role, adequate patient management strategies and positive reinforcement may improve the management of DHS in the future. CONCLUSIONS Lifelong maintenance under the premise of strict control of the causative factors is crucial in the management of DHS. CLINICAL RELEVANCE Clinicians are faced with a broad spectrum of therapeutic options. Therapy should not only focus on pain reduction or better elimination but also on the modification of the exposed cervical dentin area based on the defect type.
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Affiliation(s)
- Patrick R Schmidlin
- Clinic of Preventive Dentistry, Periodontology and Cariology, Centre of Dental and Oral Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland.
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19
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van Loveren C. Exposed cervical dentin and dentin hypersensitivity summary of the discussion and recommendations. Clin Oral Investig 2013; 17 Suppl 1:S73-6. [PMID: 23224117 PMCID: PMC3585836 DOI: 10.1007/s00784-012-0902-2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2012] [Accepted: 11/23/2012] [Indexed: 11/24/2022]
Affiliation(s)
- Cor van Loveren
- Department of Preventive Dentistry, Academic Centre for Dentistry Amsterdam, University of Amsterdam and VU University, Gustav Mahlerlaan 3004, 1081 LA, Amsterdam, The Netherlands.
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