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Di Profio B, Lotto M, Ayala Aguirre PE, Villar CC, Romito GA, Cruvinel T, Pannuti CM. Digital surveillance: The interest in mouthwash-related information. Int J Dent Hyg 2024; 22:414-422. [PMID: 37721314 DOI: 10.1111/idh.12755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 08/30/2023] [Accepted: 08/31/2023] [Indexed: 09/19/2023]
Abstract
BACKGROUND The comprehension of the interests of Internet users regarding their health-related searches may reveal the community's demands about oral health. The study aimed to characterize the interests of Google users related to mouthwash in Australia, Brazil, Chile, Japan, Mexico, Russia, the United Kingdom, the United States, Saudi Arabia and South Africa applying the Google Trends. METHODS This longitudinal retrospective study analysed the mouthwash-related interest of Google users from January 2004 to December 2020. The monthly variation of relative search volume (RSV) and the main queries related were determined using Google Trends. Autoregressive integrated moving average (ARIMA) forecasting models were built to establish the predictive RSV values for mouthwash for additional 12 months. Auto-correlation plots and a general additive model (GAM) were used to diagnose trends and seasonality in RSV curves. In addition, the influence of social isolation related to the outbreak of COVID-19 were analysed. RESULTS The RSVs curves showed a considerable increase in searches related to mouthwash to AUS, BRA, JAP, MEX, GBR and USA (RSV > 25), while the growth was slight to CHI, KSA, RSA and RUS (RSV < 25) over the years, without influence of monthly seasonality. All countries showed a significant increase in mouthwash interest after the outbreak of COVID-19, except for KSA and RUS. The mouthwash-related searches were associated to specific brands or chemical compositions, treatments, whitening agents, homemade mouthwash and indications for the 'best mouthwash'. CONCLUSIONS In general, there was an increasing interest of Google users in mouthwash-related topics between 2004 and 2020. In addition, in most countries, there was an expansion in searches during the social isolation of the COVID-19 pandemics.
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Affiliation(s)
- Bruna Di Profio
- Department of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo-FO-USP, São Paulo, Brazil
| | - Matheus Lotto
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo FOB-USP, Bauru, Brazil
- School of Public Health Sciences, University of Waterloo, Waterloo, Ontario, Canada
| | - Patricia E Ayala Aguirre
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo FOB-USP, Bauru, Brazil
- Universidad de especialidades Espíritu Santo-UEES, Samborondón, Ecuador
| | - Cristina C Villar
- Department of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo-FO-USP, São Paulo, Brazil
| | - Giuseppe A Romito
- Department of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo-FO-USP, São Paulo, Brazil
| | - Thiago Cruvinel
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, University of São Paulo FOB-USP, Bauru, Brazil
| | - Cláudio Mendes Pannuti
- Department of Stomatology, Division of Periodontics, School of Dentistry, University of São Paulo-FO-USP, São Paulo, Brazil
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ThanNaing S, Hiraishi N, Chen X, Foxton R, Shimada Y. In vitro remineralization assessment of enamel subsurface lesions using different percentages of surface reaction-type pre-reacted glass-ionomer containing gum-based material. J Dent 2023; 135:104602. [PMID: 37391026 DOI: 10.1016/j.jdent.2023.104602] [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: 03/25/2023] [Revised: 06/23/2023] [Accepted: 06/26/2023] [Indexed: 07/02/2023] Open
Abstract
OBJECTIVE To identify the remineralization activity of enamel subsurface lesions using different percentages of surface pre-reacted glass-ionomer (S-PRG) filler containing gum-base material. METHODS Gum extracts from gum-base materials containing 0wt%, 5wt%, and 10wt% S-PRG filler were prepared as GE0, GE5, and GE10, respectively. A total of 50 bovine enamel specimens were used, and the polished enamel surface of a 3 × 3 mm2 window area was exposed. The specimens were then subjected to a demineralization solution for seven days to create a subsurface enamel lesion. Remineralization was then conducted for seven days using a protocol whereby the specimens were immersed three times a day in prepared gum extracts (0wt%, 5wt%, and 10wt%) and artificial saliva of pH 7 (Control) for 20 min at 37 °C. Thereafter, remineralization assessment was performed by using Swept Source Optical Coherence Tomography (SS-OCT) and micro-computed tomography (μCT). Surface morphology and elemental analysis were conducted by scanning electron microscopy (SEM) and energy-dispersive X-ray spectrometry (EDS). RESULTS The depths of the demineralized lesions in the GE5 and GE10 groups were significantly lower than those of the Control and the GE0 groups. SEM observations of the enamel surface morphology of the GE5 and GE10 groups indicated remineralization with S-PRG filler-related elements present. CONCLUSION The GE5 and GE10 S-PRG filler containing gum-base materials showed significantly improved surface remineralization and reduced demineralization of the enamel lesions. EDS analysis suggested that the released ions from the S-PRG filler might be responsible for surface remineralization. CLINICAL SIGNIFICANCE The S-PRG filler containing gum-base material may have a significant remineralization effect and improve the surface morphology of enamel subsurface lesions.
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Affiliation(s)
- SoeKayThwe ThanNaing
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-Ku, Tokyo 113-8549, Japan; Department of Conservative Dentistry, University of Dental Medicine Mandalay, Chanmyathazi, Mandalay 05041, Myanmar
| | - Noriko Hiraishi
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-Ku, Tokyo 113-8549, Japan.
| | - Xuefei Chen
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-Ku, Tokyo 113-8549, Japan
| | - Richard Foxton
- Kings College London, Dental Institute, Guys Hospital, London, UK
| | - Yasushi Shimada
- Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-Ku, Tokyo 113-8549, Japan
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da Silva A, Deschamps Muniz RP, Almeida Lago MC, da Silva Júnior EP, Braz R. Clinical Efficacy of Mouthwashes with Potassium Salts in the Treatment of Dentinal Hypersensitivity: A Systematic Review and Meta-analysis. Oper Dent 2023; 48:33-50. [PMID: 36445973 DOI: 10.2341/21-181-lit] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2022] [Indexed: 11/30/2022]
Abstract
AIM This systematic review and meta-analysis evaluated whether the home use of mouthwashes containing potassium salts is effective in reducing and controlling dentin hypersensitivity (DH). METHODS AND MATERIALS This study is reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) checklist and was registered in PROSPERO (CRD42021228410). Randomized clinical trials evaluating the use of mouthwashes containing potassium salt for daily household mouthwash for at least four weeks to reduce DH compared with a control mouthwash were selected, with no limitation on year of publication. Electronic research was carried out in PubMed/MEDLINE, Scopus, Web of Science, and Cochrane Library by two independent researchers. One hundred thirty-three articles were obtained, and nine were selected according to the inclusion criteria. RESULTS The selected studies evaluated DH through tests of sensitivity to tactile and evaporative stimuli and showed that, for the tactile stimulus, there were no baseline differences between groups (p=0.12; mean difference: -0.33; confidence intervals [CI]: -0.73 to 0.08). However, there were significant differences after two weeks of use (p=0.00001; mean difference: 4.67; CI: 4.53 to 4.81), after four weeks (p=0.00001; mean difference: 13.29; CI: 13.03 to 13.55), and after eight weeks (p=0.00001; mean difference: 8.88; CI: 5.73 to 12.02) favoring the experimental group. The results of the evaporative test showed no differences in the baseline assessment between the two groups (p=0.50; mean difference: -0.02; CI: -0.09 to 0.04), but after four weeks (p=0.00001; mean difference: -0.32; CI: -0.44 to -0.20), and eight weeks of use (p=0.00001; mean difference: -0.42; CI: -0.57 to -0.27) there were differences favoring the experimental group. The incidence of side effects showed no differences between the two groups (p=0.89; mean difference: 1.03; CI: 0.67 to 1.58). CONCLUSION The daily use of mouthwashes containing potassium salt is effective in the treatment of dentinal hypersensitivity, as a complementary step to brushing at least twice a day for two weeks, four weeks, and up to eight weeks, without presenting side effects.
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Affiliation(s)
- Arj da Silva
- *André Rodrigo Justino da Silva, DDS, MS student, School of Dentistry, Pernambuco University (UPE), Recife, Pernambuco, Brazil
| | - R P Deschamps Muniz
- Rafaela Pereira Deschamps Muniz, DDS, School of Dentistry, Pernambuco University (UPE), Recife, Pernambuco, Brazil
| | - M C Almeida Lago
- Maria Catarina Almeida Lago, DDS, MS, PhD student, School of Dentistry, Pernambuco University (UPE), Recife, Pernambuco, Brazil
| | - E P da Silva Júnior
- Eneas Pereira da Silva Júnior, DDS, MS, PhD student, School of Dentistry, Pernambuco University (UPE), Recife, Pernambuco, Brazil
| | - R Braz
- Rodivan Braz, DDS, MS, PhD, adjunct professor, School of Dentistry, Pernambuco University (UPE), Recife, Pernambuco, Brazil
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Wan Abd. Manan WNH, Izaham F, Ahmad Khushaimi K, Husain J. The Efficacy and Durability of Three Desensitising Agents for Management of Hypersensitive Teeth: An In Vitro Study. 3RD WCII 2022; 18:112-116. [DOI: 10.47836/mjmhs.18.s19.18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
Introduction: Dentine hypersensitivity (DH) is a brief and acute pain produced when dentine is subjected to various stimuli. The treatment for DH has been classified by mode of delivery as at- home and in-office therapy. It was proven that desensitising agents have the capacity for occluding dentinal tubules. The purpose of this study was to evaluate the efficacy and durability of desensitising agents for management of DH. Methods: Twelve non-carious extracted human permanent premolars were sectioned into dentine layer. The dentine disc specimens were divided into four groups. Each group were applied with 8% arginine-calcium toothpaste, 0.24% sodium fluoride toothpaste, 5% potassium nitrate toothpaste and distilled water respectively. Scanning Electron Microscope (SEM) is used to evaluate the magnitude changes of dentinal tubules post treatment with the desensitising toothpastes in terms of the efficacy and durability at day one, week one and week three after application. The data will be analyzed by analysis of variance (ANOVA) using the Statistical Package for the Social Sciences (SPSS) software (version 19.0). Results: All toothpastes demonstrated significant dentinal tubule occlusions. However, 8% arginine-calcium toothpaste showed the greatest percentage of occlusion at day one followed by potassium nitrate toothpaste and sodium fluoride toothpaste. After three weeks, 8% arginine-calcium toothpaste remained the greatest percentage of dentinal tubules occlusion Conclusion: The result revealed that 8% arginine-calcium toothpaste is the most efficient and has longer durability among the other toothpaste. Therefore, with this finding it could help the patient for selection of desensitising toothpaste in managing the DH.
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Grover V, Kumar A, Jain A, Chatterjee A, Grover HS, Pandit N, Satpathy A, Madhavan Pillai BR, Melath A, Dhruvakumar D, Thakur R, Joshi NV, Deshpande N, Dadlani H, Meenakshi AA, Ashok KP, Reddy KV, Bhasin MT, Salaria SK, Verma A, Gaikwad RP, Darekar H, Amirisetty R, Phadnaik M, Karemore V, Dhulipalla R, Mody D, Rao TS, Chakarpani S, Ranganath V. ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity. J Indian Soc Periodontol 2022; 26:307-333. [PMID: 35959314 PMCID: PMC9362809 DOI: 10.4103/jisp.jisp_233_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2022] [Revised: 05/11/2022] [Accepted: 05/11/2022] [Indexed: 11/24/2022] Open
Abstract
Dentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledge gaps regarding DH, viz., under-diagnosis, incorrect differential diagnosis, and treatment strategies/recommendations for the management of DH patients in daily clinical practice. The current paper has been envisioned and conceptualized to update the practicing Indian dentists regarding the so-called enigma of dentistry “Dentin Hypersensitivity,” based on the best available contemporary evidence. An expert panel was constituted comprising 30 subject experts from across the country, which after extensive literature review and group discussions formulated these recommendations. The panel advocated routine screening of all dentate patients for exposed dentin areas and DH to avoid under-diagnosis of the condition and suggested an early preventive management. Consensus guidelines/recommendations for the use of desensitizing agents (DAs) at home, including the use of herbal agents, are also provided within the backdrop of the Indian context. The guidelines recommend that active management of DH shall be accomplished by a combination of at home and in-office therapies, starting with the simplest and cost-effective home use of desensitizing toothpastes. A diagnostic decision tree and a flowchart for application in daily practice are designed to manage the patients suffering from DH or presenting with exposed dentin areas in dentition. Various treatment methods to manage DH have been discussed in the paper, including the insights from previously published treatment guidelines. Further, a novel system of classification of DH patients based on specific case definitions has been developed for the first time. Explicit charts regarding the available treatment options and the chronology of institution of the agent, for the management in different case categories of DH, have been provided for quick reference. The management strategy takes into account a decision algorithm based on hierarchy of complexity of treatment options and intends to improve the quality of life of the patient by long-term maintenance with an innovatively defined triple C's or 3Cs approach.
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Affiliation(s)
- Vishakha Grover
- Department of Periodontology, Dr. H. S. J. Institute of Dental Sciences, Panjab University, Chandigarh, India
| | - Ashish Kumar
- Department of Periodontology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Ashish Jain
- Department of Periodontology, Dental Institute, Regional Institute of Medical Sciences, Ranchi, Jharkhand, India
| | - Anirban Chatterjee
- Department of Periodontology, Renupriya Dental Health Care, Bengaluru, Karnataka, India
| | | | - Nymphea Pandit
- Department of Periodontology, D. A. V Dental College and Hospital, Yamunanagar, Haryana, India
| | - Anurag Satpathy
- Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha "O" Anusandhan (Deemed to be University), Bhubaneswar, Odisha, India
| | | | - Anil Melath
- Department of Periodontics, Mahe Institute of Dental Sciences and Hospital, Mahe, Puducherry, India
| | - Deepa Dhruvakumar
- Department of Periodontology, Teerthanker Mahaveer Dental College and Research Centre, Teerthanker Mahaveer University, Moradabad, Uttar Pradesh, India
| | - Roshani Thakur
- Department of Periodontics, Saraswati Dhanvantari Dental College and Hospital, Parbhani, India
| | - Nilesh V Joshi
- Department of Periodontology, Dental College and Hospital, Bharati Vidyapeeth (Deemed to be) University, Navi Mumbai, India
| | - Neeraj Deshpande
- Department of Periodontology, K. M. Shah Dental College, Sumandeep Vidyapeeth Deemed to be University, Vadodara, Gujarat, India
| | - Himanshu Dadlani
- Department of Periodontology, Kalka Dental College, Meerut, Uttar Pradesh, India
| | - A Archana Meenakshi
- Department of Periodontology, Ragas Dental College and Hospitals, Chennai, Tamil Nadu, India
| | - K P Ashok
- Department of Periodontics, GSL Dental College, Rajahmundry, India
| | - K Vinathi Reddy
- Department of Periodontics, Sri Sai College of Dental Surgery, Kaloji Narayana Rao University of Health Sciences, Vikarabad, Telangana, India
| | - Meenu Taneja Bhasin
- Department of Periodontics, Sudha Rustagi Dental College, Faridabad, Haryana, India
| | | | - Abhishek Verma
- Department of Periodontics, Sri Sai College of Dental Surgery, Kaloji Narayana Rao University of Health Sciences, Vikarabad, Telangana, India
| | | | | | - Ramesh Amirisetty
- Department of Periodontology, G. Pulla Reddy Dental College and Hospital, Dr. NTR University of Health Sciences, Kurnool, Andhra Pradesh, India
| | - Mangesh Phadnaik
- Department of Periodontology, Government Dental College and Hospital, Guntur, Andhra Pradesh, India
| | - Vaibhav Karemore
- Department of Periodontology, Government Dental College and Hospital, Guntur, Andhra Pradesh, India
| | - Ravindranath Dhulipalla
- Department of Periodontology, Sibar Institute of Dental Sciences, Dr. NTR University of Health Sciences, Guntur, Andhra Pradesh, India
| | - Dhawal Mody
- VSPM Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Tushar Shri Rao
- Department of Periodontics and Implantology, VSPM Dental College and Research Centre, Nagpur, Maharashtra, India
| | - Swarna Chakarpani
- Department of Periodontics, Sibar Institute of Dental Sciences, Dr. NTR University of Health Sciences, Guntur, Andhra Pradesh, India
| | - V Ranganath
- Department of Periodontics, AECS Maaruti Dental College and Research Center, Bengaluru, Karnataka, India
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Gehlot PM, Sudeep P, Manjunath V, Annapoorna BM, Prasada LK, Nandlal B. Influence of Various Desensitizing Mouthrinses and Simulated Toothbrushing on Surface Roughness and Microhardness of Tetric N-Ceram Bulk-Fill Resin Composite: An In Vitro Study and Scanning Electron Microscope Analysis. Eur J Dent 2022; 16:820-827. [PMID: 35176786 DOI: 10.1055/s-0041-1739547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
OBJECTIVES Bulk-filled composite resins are popularly used for posterior restorations due to various advantages. Routine oral hygiene measures like toothbrushing and the use of various mouthrinses can influence the mechanical properties of composite resins. Desensitizing mouthrinses are widely used as well, to manage dentinal hypersensitivity. Studies on the influence of desensitizing mouthrinses on bulk-filled composites are limited. Hence, the objective of the present in vitro study was to evaluate the influence of toothbrushing and various desensitizing mouthrinses on the surface roughness and microhardness of Tetric N-Ceram bulk-fill composite resin. MATERIALS AND METHODS Fifty Tetric N-Ceram bulk-fill composite resin disks were prepared and were randomly divided into five groups (n = 10). Group 1 (Control): no toothbrushing and no mouthrinse; Group 2: toothbrushing only; Group 3: toothbrushing + HiOra-K mouthrinse; Group 4: toothbrushing + Listerine Sensitive mouthrinse; and Group 5: toothbrushing + Shy-OR mouthrinse. The specimens were brushed with a soft bristle brush using a toothpaste slurry and immersed in respective mouthrinse twice daily for 1 month. The mean surface roughness (average roughness) and microhardness (Vickers Pyramid number) values were determined and the data were tabulated. Data were analyzed using one-way analysis of variance, Post-hoc Tukey test, and Pearson correlation test. A p-value less than 0.05 was considered statistically significant. RESULTS Specimens treated with HiOra-K mouthrinse exhibited maximum surface roughness (p < 0.05) and specimens treated with Listerine Sensitive exhibited the least microhardness (p < 0.05). A weak negative correlation was found between surface roughness and microhardness for groups 1, 2, and 5, while a weak positive correlation was found for groups 3 and 4. CONCLUSIONS It is suggested that desensitizing mouthrinses containing alcohol or essential oils can lead to increased surface roughness and reduction in microhardness of bulk-fill composites, which could have an undesirable effect on their clinical performance.
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Affiliation(s)
- Paras Mull Gehlot
- Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, SS Nagara, Mysuru, Karnataka, India
| | - Parvathi Sudeep
- Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, SS Nagara, Mysuru, Karnataka, India
| | - Vinutha Manjunath
- Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, SS Nagara, Mysuru, Karnataka, India
| | - B M Annapoorna
- Department of Conservative Dentistry and Endodontics, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, SS Nagara, Mysuru, Karnataka, India
| | - L Krishna Prasada
- Department of Conservative Dentistry and Endodontics, KVG Dental College and Hospital, Dakshina Kannada, Karnataka, India
| | - Bhojraj Nandlal
- Department of Pedodontics and Preventive Dentistry, JSS Dental College and Hospital, JSS Academy of Higher Education and Research, SS Nagara, Mysuru, Karnataka, India
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Seong J, Newcombe RG, Foskett HL, Davies M, West NX. A randomised controlled trial to compare the efficacy of an aluminium lactate/potassium nitrate/hydroxylapatite toothpaste with a control toothpaste for the prevention of dentine hypersensitivity. J Dent 2021; 108:103619. [PMID: 33647373 DOI: 10.1016/j.jdent.2021.103619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Revised: 02/23/2021] [Accepted: 02/24/2021] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVES To determine the efficacy of a cosmetic aluminium lactate/potassium nitrate/hydroxylapatite toothpaste for the reduction of dentine hypersensitivity (DH) pain as compared to a control toothpaste containing potassium nitrate. METHODS The study was a randomised, examiner-blind, two treatment arm, parallel controlled trial in healthy adults with at least 2 sensitive teeth (Schiff >2). At baseline, immediately after treatment and at 7 and 14 days of twice-daily brushing of the test or control toothpaste the sensitivity of 2 test teeth was measured following iced-water (Schiff and VAS) and tactile (Yeaple probe) stimuli, and a whole mouth plaque score was obtained. Participants also completed a whole-mouth VAS and DHEQ15 quality of life questionnaire at baseline, 7 and 14 days. RESULTS Both toothpastes reduced DH in test teeth, but pain reduction in the test group was significantly better at all timepoints and by all measures (p = 0.005, tooth-level VAS immediately after brushing; p < 0.001 all other comparisons). There was a relative risk reduction of Schiff sensitivity of 55 % immediately after brushing which rose to 81 % after 7 and 88.6 % after 14 days (all p < 0.001). There were no differences in plaque, whole mouth VAS or DHEQ15 scores at any time point. CONCLUSION This study demonstrated the efficacy of an aluminium lactate/potassium nitrate/hydroxylapatite toothpaste compared to a potassium nitrate control toothpaste for the prevention of dentine hypersensitivity both immediately and over a 2 week period. This agent appears to have potential for pain alleviation from the common oral pain condition of DH and further research is warranted. CLINICAL SIGNIFICANCE DH pain, whilst transient in nature, is arresting in magnitude, affecting quality of life. Daily application of efficacious toothpastes can relieve DH pain however, as yet, there is no gold standard treatment. The results of this study support further investigation of an aluminium lactate/potassium nitrate/hydroxylapatite toothpaste for DH management.
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Affiliation(s)
- Joon Seong
- Clinical Trials Group, School of Oral and Dental Sciences, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
| | | | - Helen L Foskett
- Clinical Trials Group, School of Oral and Dental Sciences, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
| | - Maria Davies
- Clinical Trials Group, School of Oral and Dental Sciences, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
| | - Nicola X West
- Clinical Trials Group, School of Oral and Dental Sciences, University of Bristol, Lower Maudlin Street, Bristol, BS1 2LY, UK.
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8
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Derman SHM, Lantwin EM, Barbe AG, Noack MJ. Does a pretreatment with a dentine hypersensitivity mouth-rinse compensate the pain caused by professional mechanical plaque removal? A single-blind randomized controlled clinical trial. Clin Oral Investig 2020; 25:3151-3160. [PMID: 33094406 PMCID: PMC8060178 DOI: 10.1007/s00784-020-03643-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 10/09/2020] [Indexed: 11/29/2022]
Abstract
Objectives Pain is affecting acceptance of supportive periodontal therapy and primary periodontitis prevention. Our objective was to evaluate the efficacy of a 1-week pre-treatment use of dentinal-hypersensitivity-reducing mouth-rinses (DHM) in periodontal maintenance (SPT) or dental prophylaxis patients. Material and methods One hundred fifty-five participants attending for professional mechanical plaque removal (PMPR) were randomly assigned to use a mouth-rinse twice daily for 1 week prior to their next PMPR. Rinses were containing either potassium oxalate (n = 52), arginine (n = 52), or herbal extracts (n = 51). At baseline and reassessment, procedural pain was assessed by visual analogue scale (VAS) and verbal rating scale (VRS). Self-reported efficacy was documented. Results No inter-group differences were estimated between both test groups and the control for baseline and reassessment means (VAS, VRS). In the SPT group, VAS reduction and self-reported efficacy were found (p < 0.05). Conclusion The 1-week use of DHM failed to show a predictable effect on discomfort during PMPR overall. Around 20% of the patients showed a quantifiable benefit from both test mouth-rinses, whereas more than 50% reported a subjective pain reduction. Focusing patients undergoing supportive periodontal therapy, quantifiable effects were found for both test groups. From a patient’s point of view, DHM might be a suitable adjunct to enhance procedural comfort, especially in patients with a history of periodontitis. Clinical relevance The 1-week use of the dentinal-hypersensitivity-reducing mouth-rinses prior to professional-mechanical-plaque-removal showed to be a suitable adjunct to enhance procedural comfort during instrumentation, especially in patients undergoing supportive periodontal therapy. Registration number: DRKS00010811 Electronic supplementary material The online version of this article (10.1007/s00784-020-03643-4) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Sonja H M Derman
- Department of Operative Dentistry and Periodontology, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany.
| | - Eva-Maria Lantwin
- Department of Operative Dentistry and Periodontology, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany
| | - Anna Greta Barbe
- Department of Operative Dentistry and Periodontology, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany
| | - Michael J Noack
- Department of Operative Dentistry and Periodontology, University of Cologne, Kerpener Str. 32, 50931, Cologne, Germany
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Ahmed DEEM, Abielhassan MH, Hamza HSE, Haridy MF, Mamdouh M. Sylc Air Polishing Versus Fluoride Varnish Application in Managing Dentin Hypersensitivity in Non-Carious Cervical Lesions: A Randomized Clinical Trial. Open Dent J 2020. [DOI: 10.2174/1874210602014010120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective:
To determine the effectiveness of Sylc (a bioactive glass-based powder) delivered by an air polishing system compared to fluoride varnish application in managing Dentin Hypersensitivity (DH).
Methods:
This study was a double-blinded randomized clinical trial where 50 participants with DH in at least one tooth with a non-carious cervical lesion were included and randomized into two groups (25 participants each) to receive either Sylc air polishing or fluoride varnish application. Baseline and post-intervention measurements of pain were carried out using evaporative, thermal and tactile stimuli using a modified visual analog scale at 3 minutes, 1, 2, 3and 4 weeks, 6 months and 1 year post-intervention. Data for pain intensity was recorded and analyzed for each group.
Results:
For the three stimuli used, Sylc air polishing showed statistically significant reduction of pain intensity (P<0.05) after 3 weeks and up to 1 year post-intervention. Fluoride varnish application showed a statistically significant reduction of pain intensity in evaporative and thermal stimuli at 1 week post-intervention only.
Conclusion:
Sylc air polishing was effective in relieving pain due to DH after 3 weeks and up to 1 year post-intervention, which showed that it can be used as a long-term treatment for DH.
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Ahmed DEEM, Abielhassan MH, Hamza HSE, Haridy MF, Mamdouh M. Sylc Air Polishing Versus Fluoride Varnish Application in Managing Dentin Hypersensitivity in Non-Carious Cervical Lesions: A Randomized Clinical Trial. Open Dent J 2020. [DOI: 10.2174/18742106020140120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objective:
To determine the effectiveness of Sylc (a bioactive glass-based powder) delivered by an air polishing system compared to fluoride varnish application in managing Dentin Hypersensitivity (DH).
Methods:
This study was a double-blinded randomized clinical trial where 50 participants with DH in at least one tooth with a non-carious cervical lesion were included and randomized into two groups (25 participants each) to receive either Sylc air polishing or fluoride varnish application. Baseline and post-intervention measurements of pain were carried out using evaporative, thermal and tactile stimuli using a modified visual analog scale at 3 minutes, 1, 2, 3and 4 weeks, 6 months and 1 year post-intervention. Data for pain intensity was recorded and analyzed for each group.
Results:
For the three stimuli used, Sylc air polishing showed statistically significant reduction of pain intensity (P<0.05) after 3 weeks and up to 1 year post-intervention. Fluoride varnish application showed a statistically significant reduction of pain intensity in evaporative and thermal stimuli at 1 week post-intervention only.
Conclusion:
Sylc air polishing was effective in relieving pain due to DH after 3 weeks and up to 1 year post-intervention, which showed that it can be used as a long-term treatment for DH.
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Figueiredo Macedo de Lima J, Aguiar Jordão Mainardi MDC, Puppin-Rontani RM, Pereira Rodrigues-Filho U, Suzy Liporoni PC, Calegaro ML, Rischka K, Baggio Aguiar FH. Bioinspired catechol chemistry for dentin remineralization: A new approach for the treatment of dentin hypersensitivity. Dent Mater 2020; 36:501-511. [DOI: 10.1016/j.dental.2020.01.012] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Revised: 12/20/2019] [Accepted: 01/14/2020] [Indexed: 11/25/2022]
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12
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Marto CM, Baptista Paula A, Nunes T, Pimenta M, Abrantes AM, Pires AS, Laranjo M, Coelho A, Donato H, Botelho MF, Marques Ferreira M, Carrilho E. Evaluation of the efficacy of dentin hypersensitivity treatments—A systematic review and follow‐up analysis. J Oral Rehabil 2019; 46:952-990. [DOI: 10.1111/joor.12842] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 05/20/2019] [Accepted: 06/09/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Carlos Miguel Marto
- Institute of Integrated Clinical Practice, Faculty of Medicine University of Coimbra Coimbra Portugal
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
- Experimental Pathology Institute, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Anabela Baptista Paula
- Institute of Integrated Clinical Practice, Faculty of Medicine University of Coimbra Coimbra Portugal
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
| | - Tiago Nunes
- Institute of Integrated Clinical Practice, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Miguel Pimenta
- Institute of Integrated Clinical Practice, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Ana Margarida Abrantes
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
- Biophysics Institute, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Ana Salomé Pires
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
- Biophysics Institute, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Mafalda Laranjo
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
- Biophysics Institute, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Ana Coelho
- Institute of Integrated Clinical Practice, Faculty of Medicine University of Coimbra Coimbra Portugal
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
| | - Helena Donato
- Documentation Department Coimbra Hospital University Centre Coimbra Portugal
| | - Maria Filomena Botelho
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
- Biophysics Institute, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Manuel Marques Ferreira
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
- Institute of Endodontics, Faculty of Medicine University of Coimbra Coimbra Portugal
| | - Eunice Carrilho
- Institute of Integrated Clinical Practice, Faculty of Medicine University of Coimbra Coimbra Portugal
- Institute for Clinical and Biomedical Research (iCBR), Area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine University of Coimbra Coimbra Portugal
- CNC.IBILI University of Coimbra Coimbra Portugal
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Sharda S, Prasad KVV, Shetty PJ, Nikhil K. Effectiveness of Desensitizing Dentifrice and Mouthwash on Dentin Hypersensitivity and Tooth Remineralization. Contemp Clin Dent 2018; 9:415-420. [PMID: 30166837 PMCID: PMC6104384 DOI: 10.4103/ccd.ccd_167_18] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background: Over many years, numerous products have been suggested for the relief of dentin hypersensitivity (DH). Calcium sodium phosphosilicate is one desensitizing agent that has remineralizing potential. Available in toothpaste and mouthwash delivery vehicle, this study was carried out to compare the effectiveness on dentinal hypersensitivity (using the Airblast test and Cold test) and on tooth remineralization (using DIAGNOdent pen) in a 4-week period. Materials and Methods: Out of the 45 patients screened, 28 patients who fulfilled the inclusion criteria and who willingly signed the consent form were selected and were randomly allocated into two groups – toothpaste and mouthwash. The tooth numbers and specific site of dentinal hypersensitivity for every patient were noted and the air blast test, cold test, and DIAGNOdent scores were recorded at baseline visit. The patients were instructed about the use of the product and were asked to come on the 30th day for re-evaluation. Results: Within-group comparison showed a significant reduction (P < 0.05) in the air blast score (toothpaste – 68.53% and mouth rinse – 48.52%), cold test score (toothpaste – 56.38% and mouth rinse – 38.87%), and DIAGNOdent score (toothpaste – 20.35% and mouth rinse – 9.49%). In-between group comparison showed no statistically significant difference (P > 0.05). Conclusion: Desensitizing mouthwash is as effective as toothpaste in reducing DH with a fair remineralization potential comparable with that of the toothpaste.
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Affiliation(s)
- Shweta Sharda
- Department of Public Health Dentistry, S.D.M College of Dental Sciences and Hospital, Dharwad, Karnataka, India
| | - Kakarlap V V Prasad
- Department of Public Health Dentistry, S.D.M College of Dental Sciences and Hospital, Dharwad, Karnataka, India
| | - Preetha J Shetty
- Department of Public Health Dentistry, S.D.M College of Dental Sciences and Hospital, Dharwad, Karnataka, India
| | - Krithi Nikhil
- Department of Public Health Dentistry, S.D.M College of Dental Sciences and Hospital, Dharwad, Karnataka, India
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Douglas-de-Oliveira DW, Vitor GP, Silveira JO, Martins CC, Costa FO, Cota LOM. Effect of dentin hypersensitivity treatment on oral health related quality of life — A systematic review and meta-analysis. J Dent 2018; 71:1-8. [DOI: 10.1016/j.jdent.2017.12.007] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2017] [Revised: 12/09/2017] [Accepted: 12/15/2017] [Indexed: 11/15/2022] Open
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15
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Olley RC, Sehmi H. The rise of dentine hypersensitivity and tooth wear in an ageing population. Br Dent J 2017; 223:293-297. [DOI: 10.1038/sj.bdj.2017.715] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2017] [Indexed: 11/10/2022]
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