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Graziani F, Tinto M, Orsolini C, Izzetti R, Tomasi C. Complications and treatment errors in nonsurgical periodontal therapy. Periodontol 2000 2023; 92:21-61. [PMID: 36591941 DOI: 10.1111/prd.12478] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 09/14/2022] [Accepted: 10/14/2022] [Indexed: 01/03/2023]
Abstract
Nonsurgical periodontal therapy can be subject to iatrogenesis, which includes all the complications directly or indirectly related to a treatment. These complications include both operator-dependent harms and errors and the consequences and adverse effects of the therapeutic procedures. The complications arising following nonsurgical periodontal treatment can be categorized as intraoperative and postoperative and can affect both soft and hard tissues at an intra-oral and extraoral level. Soft-tissues damage or damage to teeth and restorations can occur while performing the procedure. In the majority of cases, the risk of bleeding associated with nonsurgical therapy is reported to be low and easily controlled by means of local hemostatic measures, even in medicated subjects. Cervicofacial subcutaneous emphysema is not a frequent extraoral intraoperative complication, occurring during the use of air polishing. Moreover, side effects such as pain, fever, and dentine hypersensitivity are frequently reported as a consequence of nonsurgical periodontal therapy and can have a major impact on a patient's perception of the treatment provided. The level of intraoperative pain could be influenced by the types of instruments employed, the characteristics of tips, and the individual level of tolerance of the patient. Unexpected damage to teeth or restorations can also occur as a consequence of procedural errors.
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Affiliation(s)
- Filippo Graziani
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
- Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Manuel Tinto
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
- Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Chiara Orsolini
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
- Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Rossana Izzetti
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy
- Sub-Unit of Periodontology, Halitosis and Periodontal Medicine, University Hospital of Pisa, Pisa, Italy
| | - Cristiano Tomasi
- Department of Periodontology, Institute of Odontology, The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Rai JJ, Chaturvedi S, Gokhale ST, Nagate RR, Al-Qahtani SM, Magbol MA, Bavabeedu SS, Elagib MFA, Venkataram V, Chaturvedi M. Effectiveness of a Single Chair Side Application of NovaMin ® [Calcium Sodium Phosphosilicate] in the Treatment of Dentine Hypersensitivity following Ultrasonic Scaling-A Randomized Controlled Trial. MATERIALS (BASEL, SWITZERLAND) 2023; 16:1329. [PMID: 36836959 PMCID: PMC9963720 DOI: 10.3390/ma16041329] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 01/08/2023] [Accepted: 02/01/2023] [Indexed: 06/18/2023]
Abstract
Dentinal hypersensitivity or cervical dentinal sensitivity is one of the commonest clinical problems. The aim of this randomized controlled trial was to evaluate the effectiveness of a single chair side application of 100% pure calcium sodium phosphosilicate (NovaMin®) in reducing dentin hypersensitivity following ultrasonic scaling as evaluated on a visual analogue scale (VAS). The study included 50 subjects who were selected based on an evaluation of dentinal hypersensitivity on a VAS carried out using a metered air blast from a three-way syringe and divided into two groups (n = 25/group); i.e., the test group (Group A) received the NovaMin® paste and the control group (Group B) received a placebo paste made from pumice. All the 50 subjects included in the study were had VAS scores of 3 or more. The NovaMin® powder mixed with distilled water was applied. Dentinal hypersensitivity was reassessed immediately and after 1, 2 and 4 weeks after the procedure. Results showed that the percentage reduction of dentinal hypersensitivity following a single application of NovaMin® in powder form was about 76.38% immediately, 67.72% one week postoperatively, 52.76% two weeks postoperatively and 26.78% four weeks postoperatively. It can be concluded from the results of the current clinical study demonstrated that a single chair side application of NovaMin® in powder form has a significant and immediate reduction in dentinal hypersensitivity, which lasted nearly for four weeks.
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Affiliation(s)
- Jeeth Janardhan Rai
- Department of Periodontology, Bharati Vidyapeeth Dental College and Hospital, Sangli 416406, Maharastra, India
| | - Saurabh Chaturvedi
- Department of Prosthetic Dentistry, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Shankar T. Gokhale
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Raghavendra Reddy Nagate
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Saad M. Al-Qahtani
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Mohammad Al. Magbol
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Shashit Shetty Bavabeedu
- Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Mohamed Fadul A. Elagib
- Department of Periodontics and Community Dental Sciences, College of Dentistry, King Khalid University, Abha 61421, Saudi Arabia
| | - Vatsala Venkataram
- Department of Pedodontics & Preventive Dentistry, KVG Dental College & Hospital, Sullia 574327, Karnataka, India
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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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Vatturu S, Ganugapanta VR, Teja NR, Singaraju GS, Mandava P, Priyanka JY. Comparative evaluation of the efficacy of the desensitizing and remineralizing agent in the reduction of dentin hypersensitivity after orthodontic debonding - a randomized clinical trial. Med Pharm Rep 2021; 94:229-238. [PMID: 34013195 PMCID: PMC8118216 DOI: 10.15386/mpr-1763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2020] [Accepted: 06/23/2020] [Indexed: 11/25/2022] Open
Abstract
Introduction Enamel loss is a common problem during various orthodontic procedures. The study aims to compare the efficacy of a desensitizer and remineralizer in the reduction of the dentin hypersensitivity (DH) associated with enamel microcracks after orthodontic debonding. Methods A unicentric two arm parallel study with 30 subjects randomly assigned to each groups following debonding. Group-1 subjects were treated with Gluma® desensitizer (5% glutaraldehyde and 35% hydroxyethyl methacrylate (HEMA)) and the Group-2 intervention included a remineralizing agent GC Tooth Mousse Plus® (casein phospho peptide and amorphous calcium Fluro phosphate (CPP:ACFP)). The Visual Analogue Scale (VAS) was utilized to evaluate DH as subjective perception of pain following the Air blast test and Cold test. The VAS scale was indexed from 0–10 markings based on the intensity of perception. Five different time points T0 and T1 - immediately after debonding and intervention on day 1, T2 – 48 hours, and T3 after 72 hours were taken for the assessment of VAS scores. Results The VAS scores for the airblast test for group 1 were (2.73, 0, 0.06, 0.03) and group 2 (2.46, 0, 0.16, 0.13) at different periods. The sensitivity scores for the cold blast test for group 1 were (2.73, 0, 0.13, 0.03) and for group 2 (2.46, 0, 0.16, 0.13). There was 98 percent reduction in DH between T0 and T3 and was statistically significant (p<0.05) for both the groups. Conclusion Gluma® desensitizer and GC Tooth Mousse Plus® are equally effective in the reduction of DH in the orthodontic patient following debonding.
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Affiliation(s)
- Sasipriya Vatturu
- Orthodontics Department, Narayana Dental College, Nellore, Andhra Pradesh, India
| | | | - Naga Ravi Teja
- Orthodontics Department, Narayana Dental College, Nellore, Andhra Pradesh, India
| | | | - Prasad Mandava
- Orthodontics Department, Narayana Dental College, Nellore, Andhra Pradesh, India
| | - Js Yamini Priyanka
- Orthodontics Department, Narayana Dental College, Nellore, Andhra Pradesh, India
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Time-course of the effect of potassium oxalate in the treatment of hypersensitive dentine in man. Arch Oral Biol 2021; 126:105109. [PMID: 33813358 DOI: 10.1016/j.archoralbio.2021.105109] [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: 10/20/2020] [Revised: 03/18/2021] [Accepted: 03/18/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Investigate the cause of hypersensitive dentine (HD) by recording the time course of changes in dentine sensitivity, sensory threshold to electrical stimulation (ET) and pulpal blood flow (PBF) following tubular occlusion using in vitro and clinical experiments. DESIGN Nineteen teeth with HD and 13 with normal dentine from 8 participants were evaluated, and the intensity of any pain produced by various stimuli was recorded at different times after oxalate treatment. The participants used a visual-analogue scale (VAS) to indicate the intensity of any pain. The ET and PBF were recorded at the same times. RESULTS Preliminary in vitro experiments showed that oxalate treatment had no effect on the method used to record PBF, and blocked the treated tubules immediately after application. Considering teeth with HD, a decrease in the median VAS evoked by all forms of stimulation was observed at all post-treatment times, except immediately after treatment (p < 0.05), while the treatment produced no significant effect in teeth with normal dentine. No significant changes in ET or PBF was observed in any of the groups. CONCLUSIONS The effect of oxalate in relieving the symptoms of HD is not only due to a reduction in the intensity of stimulation of sensory receptors sensitive to fluid flow in the dentinal tubules, but also to a reduce in the sensitivity of the receptors that respond to dentine stimulation. There was no evidence that acute pulpitis or central sensitization to pain, which would be associated with changes in PBF or ET, contributes to HD.
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Sgreccia PC, Barbosa RES, Damé-Teixeira N, Garcia FCP. Low-power laser and potassium oxalate gel in the treatment of cervical dentin hypersensitivity-a randomized clinical trial. Clin Oral Investig 2020; 24:4463-4473. [PMID: 32382926 DOI: 10.1007/s00784-020-03311-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Accepted: 04/23/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVE To evaluate the effectiveness of different protocols for the treatment of cervical dentin hypersensitivity (CDH) in non-carious cervical lesions (NCCLs). MATERIALS AND METHODS The CONSORT checklist was used to design this study. The sample with n = 74 participants (389 NCCLs) was randomly allocated into three groups: G1, potassium oxalate (Oxa-Gel BF); G2, GaAlAs (gallium-aluminum-arsenate) low-power laser (100 mW, 808nn, 60 J/cm2); and G3, potassium oxalate (Oxa-Gel BF) associated with the GaAlAs low-power laser. The CDH was triggered by the evaporative stimulus test (EST) and by the tactile stimulus test (TST). The visual analog scale (VAS) was used to quantify the degree of CDH. Changes in sensitivity were assessed from baseline over 3 weeks. Data were analyzed for NCCLs using mixed-effects models with unstructured direct product covariance structure (α = 0.05). RESULTS After the first application, participants from G1 and G3 had a reduction in CDH (p < 0.05) compared with group G2 for TST. After the second application, G3 participants had a reduction in CDH (p < 0.05) in relation to G2 for both stimuli. Reduction in CDH (p < 0.05) occurred over 3 weeks for EST and TST for all groups; however, there was no difference between groups at the end of the therapies. CONCLUSION Potassium oxalate was more effective in reducing immediate CDH. After four applications, all groups showed similar results for the reduction of CDH. CLINICAL RELEVANCE GaAlAS laser irradiation and oxalate potassium gel could reduce the symptoms of CDH; thus, they are viable alternatives for the treatment of this condition. Chemical occlusion of dental tubules showed effective results after a shorter time interval. TRIAL REGISTRATION Brazilian Clinical Trials Registration Platform under protocol number RBR-4ybjmt. http://www.braziliantrials.com/?keywords=RBR-4ybjmt&order=%7Eensaios.patrocinador_primario.
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Affiliation(s)
- Paula Cesar Sgreccia
- Faculty of Health Sciences, University of Brasilia, Brasília, Federal District, Brazil
| | | | - Nailê Damé-Teixeira
- Department of Dentistry and Pos Graduate Program in Dentistry, Health Sciences School, University of Brasília, Campus Asa Norte, Brasilia, Federal District, 70904-970, Brazil
| | - Fernanda Cristina Pimentel Garcia
- Department of Dentistry and Pos Graduate Program in Dentistry, Health Sciences School, University of Brasília, Campus Asa Norte, Brasilia, Federal District, 70904-970, Brazil. .,Department of Dentistry and Pos Graduate Program in Dentistry, Health Sciences School for Faculty of Health Sciences, University of Brasília, Campus Asa Norte, Brasilia, Federal District, 70904-970, Brazil.
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Anderson CJ, Kugel G, Zou Y, Ferrari M, Gerlach R. A randomized, controlled, two-month pilot trial of stannous fluoride dentifrice versus sodium fluoride dentifrice after oxalate treatment for dentinal hypersensitivity. Clin Oral Investig 2020; 24:4043-4049. [PMID: 32390092 PMCID: PMC7544746 DOI: 10.1007/s00784-020-03275-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Accepted: 04/04/2020] [Indexed: 11/02/2022]
Abstract
OBJECTIVES To compare the effects of a stannous fluoride dentifrice and a sodium fluoride dentifrice on dentinal hypersensitivity when used with an oxalate-based regimen combining in-office and at-home treatment. MATERIALS AND METHODS In this single-center, randomized, controlled, double-blind, pilot clinical trial, 30 subjects were professionally treated at baseline with a 3% oxalate/potassium salt solution on up to two target teeth, then randomized 1:1 to either 0.454% stannous fluoride or 0.243% sodium fluoride overlabeled dentifrice. Both groups were given 6 sensitivity strips (3.14% potassium oxalate gel) and a soft, manual toothbrush. Subjects were permitted to apply strips on up to two teeth, up to three times per tooth, at home as desired throughout the study. Dentinal sensitivity (cold air blast challenge) was assessed at baseline, immediately after post-professional treatment, and at day 60 using the Schiff scale and a Visual Analog Scale (VAS). RESULTS Immediately after professional oxalate treatment, the overall mean Schiff and VAS score decreased 25.6% and 22.4% from baseline, respectively (p ≤ 0.001 for both). At day 60, further reductions in both mean scores were seen in both groups. There were no significant differences between the groups at day 60. All treatments were well tolerated. CONCLUSIONS In subjects treated with oxalates for dentinal hypersensitivity, both stannous fluoride and sodium fluoride dentifrices are well tolerated, are feasible for routine use, and do not detract from the desensitizing effects of an in-office and at-home oxalate combination treatment regimen. CLINICAL RELEVANCE Either stannous fluoride or sodium fluoride dentifrices can be recommended to dentinal hypersensitivity patients who undergo professional oxalate treatment.
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Affiliation(s)
- Chad J Anderson
- Department of Prosthodontics and Dental Materials, School of Dental Medicine, University of Siena, Siena, Italy.
- DMD Inc., Fresno, CA, USA.
- Department of Comprehensive Care, School of Dental Medicine, Tufts University, Boston, MA, USA.
| | - Gerard Kugel
- Department of Comprehensive Care, School of Dental Medicine, Tufts University, Boston, MA, USA
| | - Yuanshu Zou
- The Procter & Gamble Company, Mason, OH, USA
| | - Marco Ferrari
- Department of Prosthodontics and Dental Materials, School of Dental Medicine, University of Siena, Siena, Italy
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Galvão ADM, Zeola LF, Moura GF, Teixeira DNR, Gonzaga RCDQ, da Silva GR, Soares PV. A long-term evaluation of experimental potassium oxalate concentrations on dentin hypersensitivity reduction: A triple-blind randomized clinical trial. J Dent 2019; 89:103180. [DOI: 10.1016/j.jdent.2019.103180] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2019] [Revised: 07/08/2019] [Accepted: 08/09/2019] [Indexed: 11/28/2022] Open
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Choi AN, Jang IS, Son SA, Jung KH, Park JK. Effect of erosive and abrasive stress on sealing ability of different desensitizers: In-vitro study. PLoS One 2019; 14:e0220823. [PMID: 31369650 PMCID: PMC6675100 DOI: 10.1371/journal.pone.0220823] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Accepted: 07/23/2019] [Indexed: 11/30/2022] Open
Abstract
This in vitro study examined the sealing ability of different desensitizing agents under a chemo-mechanical stress condition. For the study, a total of 144 extracted, caries-free human third molars were used to produce 1 mm-thick dentin discs. The specimens were divided randomly into four groups: Superseal (SS), Gluma (GL), Gluma Self-etch (GS), and Tooth Coat (TC). For each group, the permeability was measured before and after applying the desensitizer, after being exposed to Coca Cola for 5 minutes, and after 3150 strokes of a brushing abrasion. The decrease in permeability after the erosive and abrasive stress was analyzed by ANOVA and Tukey post hoc test. As a result, the dentin permeability decreased significantly for all desensitizers immediately after application (p < 0.05). SS and GS showed a significant difference in permeability reduction observed immediately after application and after acid action with Coca Cola (p < 0.05). After brushing abrasion, the permeability reduction decreased significantly for all desensitizers tested in this study (p < 0.05). TC showed the largest decrease in dentinal permeability compared to that of the other desensitizers and the differences were significant after brushing abrasion (p < 0.05). All tested desensitizers were effective in reducing dentin permeability. The behavioral characteristics under erosive and abrasive stress varied according to the products used. TC exhibited excellent sealing ability among the other desensitizers.
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Affiliation(s)
- An-Na Choi
- Department of Conservative Dentistry, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Korea
| | - Il-Seok Jang
- Department of Microbiology, School of Natural Sciences, Pusan National University, Busan, Korea
| | - Sung-Ae Son
- Department of Conservative Dentistry, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Korea
| | - Kyoung-Hwa Jung
- Department of Conservative Dentistry, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Korea
| | - Jeong-Kil Park
- Department of Conservative Dentistry, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Korea
- * E-mail:
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Effect of different sizes of bioactive glass-coated mesoporous silica nanoparticles on dentinal tubule occlusion and mineralization. Clin Oral Investig 2018; 23:2129-2141. [DOI: 10.1007/s00784-018-2658-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Accepted: 09/20/2018] [Indexed: 10/28/2022]
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11
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Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis. Clin Oral Investig 2018; 22:617-631. [DOI: 10.1007/s00784-017-2330-9] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 12/21/2017] [Indexed: 01/08/2023]
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Burnett GR, Gallob JT, Milleman KR, Mason S, Patil A, Budhawant C, Milleman JL. Potassium oxalate oral rinses for long-term relief from dentinal hypersensitivity: Three randomised controlled studies. J Dent 2017; 70:23-30. [PMID: 29242039 DOI: 10.1016/j.jdent.2017.12.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Revised: 11/24/2017] [Accepted: 12/08/2017] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVES To evaluate effectiveness of oral rinses containing dipotassium oxalate monohydrate (KOX) in relieving dentinal hypersensitivity (DH) after 8 w use adjunctive to brushing. METHODS Three 8-week, randomised, controlled, double-blind, parallel-group, single-centre studies were conducted in adults with DH. In each study, participants were randomised to one of two experimental rinses or a placebo in a matrix design, such that each experimental rinse was evaluated in two studies. Rinses A (pH 4.5) and B (pH 7.0) contained 1.5% KOX and were fluoride-free; Rinse C (pH 4.5) contained 2.0% KOX and 45 ppm fluoride as NaF; the placebo rinse (pH 4.5) did not contain KOX or fluoride. Participants brushed with a fluoride dentifrice for 1 min, briefly rinsed with water, then rinsed with their assigned oral rinse for 1 min twice daily for 8 w. DH was assessed at baseline and following 4 and 8 w use by response to an evaporative (air) stimulus (evaluated by Schiff sensitivity score and a 10-point visual rating scale) and a tactile stimulus (Yeaple probe). RESULTS All rinses in each study were associated with statistically significant improvements from baseline in measures of DH after 4 and 8 w treatment. However, between-treatment comparisons were inconsistent across the studies, with only Study 3 demonstrating a significant difference between the experimental (Rinses B and C) and placebo rinses. A number of treatment-related adverse events (all mild) were reported. CONCLUSIONS Rinses containing 1.5-2.0% KOX did not consistently demonstrate a benefit over placebo in relieving DH after 8 w use. CLINICAL SIGNIFICANCE While favourable results were found in one of the investigations, this suite of studies shows that the possibility of inconsistent results exists even with the best designed and executed trials.
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Affiliation(s)
- Gary R Burnett
- GSK Consumer Healthcare, St George's Avenue, Weybridge, Surrey, KT13 0DE, UK.
| | - John T Gallob
- Silverstone Research Group, 6707 West Charleston Boulevard Suite #4, Las Vegas, NV 89146, USA; UNLV School of Dental Medicine, University of Nevada, Las Vegas, NV 89154, USA.
| | - Kimberly R Milleman
- Salus Research, Inc., 1220 Medical Park Drive Building #4, Fort Wayne, IN 46825, USA.
| | - Stephen Mason
- GSK Consumer Healthcare, St George's Avenue, Weybridge, Surrey, KT13 0DE, UK.
| | - Avinash Patil
- InVentiv Health Clinical, Commerzone, Building No. 4, 6th Floor, Survey No. 144/145, Samrat Ashok Path, Yerwada Jail Road, Pune, 411006, India.
| | - Chandrashekar Budhawant
- InVentiv Health Clinical, Commerzone, Building No. 4, 6th Floor, Survey No. 144/145, Samrat Ashok Path, Yerwada Jail Road, Pune, 411006, India.
| | - Jeffery L Milleman
- Salus Research, Inc., 1220 Medical Park Drive Building #4, Fort Wayne, IN 46825, USA.
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Han K, Lee E, Park JB. Evaluation of the associations between immunoglobulin E levels and the number of natural teeth. J Formos Med Assoc 2017; 117:605-612. [PMID: 28863873 DOI: 10.1016/j.jfma.2017.08.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2017] [Revised: 05/26/2017] [Accepted: 08/02/2017] [Indexed: 10/18/2022] Open
Abstract
BACKGROUND/PURPOSE The purpose of the study was to evaluate the association between the number of natural teeth and the total serum immunoglobulin E (IgE), allergen-specific IgE against Dermatophagoides farina, allergen-specific IgE against cockroaches, or allergen-specific IgE against dogs with nationally representative data using the Korean National Health and Nutrition Examination Survey (KNHANES). METHODS This study involved a cross-sectional analysis using KNHANES data from 2010. A total of 1916 participants were eligible for this study. Multiple regression analyses were used to evaluate the risk of tooth loss in relation to IgE levels. The model was adjusted for age, sex, body mass index, smoking habits, drinking habits, exercise habits, vitamin D levels, metabolic syndrome, allergic rhinitis, asthma, atopic dermatitis, and tooth-brushing frequency. RESULTS The number of natural teeth of the first quartile to the fourth quartile of total serum IgE were 25.9 ± 0.2, 25.9 ± 0.2, 25.1 ± 0.2, and 25.4 ± 0.2, respectively, showing an inverse association (P < 0.05). The number of natural teeth of the first quartile to the fourth quartile of allergen-specific IgE against Dermatophagoides farina and allergen-specific IgE against dogs farina both showed an inverse association with statistical significance (P < 0.05). CONCLUSION This study clearly showed the inverse association between total serum IgE and number of natural teeth after adjustments, especially regarding participants without systemic diseases, including diabetes mellitus, hypertension, metabolic diseases, and obesity.
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Affiliation(s)
- Kyungdo Han
- Department of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Eunjoo Lee
- Big Data Steering Department, National Health Insurance Service, Wonju, Republic of Korea
| | - Jun-Beom Park
- Department of Periodontics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
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Comparison of in vitro dentinal tubule occluding efficacy of two different methods using a nano-scaled bioactive glass-containing desensitising agent. J Dent 2017; 60:63-69. [DOI: 10.1016/j.jdent.2017.03.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2016] [Revised: 02/23/2017] [Accepted: 03/01/2017] [Indexed: 12/29/2022] Open
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15
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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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16
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Wang T, Yang S, Wang L, Feng H. Use of poly (amidoamine) dendrimer for dentinal tubule occlusion: a preliminary study. PLoS One 2015; 10:e0124735. [PMID: 25885090 PMCID: PMC4401684 DOI: 10.1371/journal.pone.0124735] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2014] [Accepted: 03/03/2015] [Indexed: 12/14/2022] Open
Abstract
The occlusion of dentinal tubules is an effective method to alleviate the symptoms caused by dentin hypersensitivity, a significant health problem in dentistry and daily life. The in situ mineralization within dentinal tubules is a promising treatment for dentin hypersensitivity as it induces the formation of mineral on the sensitive regions and occludes the dentinal tubules. This study was carried out to evaluate the in vitro effect of a whole generation poly(amidoamine) (PAMAM) dendrimer (G3.0) on dentinal tubule occlusion by inducing mineralization within dentinal tubules. Dentin discs were treated with PAMAM dendrimers using two methods, followed by the in vitro characterization using Attenuated total reflection Fourier-transform infrared spectroscopy (ATR-FTIR), X-ray diffraction (XRD), Field emission scanning electron microscopy (FE-SEM) and Energy-Dispersive X-ray Spectroscopy (EDS). These results showed that G3.0 PAMAM dendrimers coated on dentin surface and infiltrated in dentinal tubules could induce hydroxyapatite formation and resulted in effective dentinal tubule occlusion. Moreover, crosslinked PAMAM dendrimers could induce the remineralization of demineralized dentin and thus had the potential in dentinal tubule occlusion. In this in vitro study, dentinal tubules occlusion could be achieved by using PAMAM dendrimers. This could lead to the development of a new therapeutic technique for the treatment of dentin hypersensitivity.
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Affiliation(s)
- Tianda Wang
- Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China
| | - Sheng Yang
- Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China
- Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, College of Stomatology, Chongqing Medical University, Chongqing, China
| | - Lei Wang
- Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China
| | - Hailan Feng
- Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, China
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17
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Abstract
OBJECTIVE This review defines dentine sensitivity (DS), its prevalence, its aetiology, the mechanism(s) responsible for DS, its diagnosis and its treatment. The review then examines the modes of action of various treatments for DS including potassium salts, strontium salts, bioglasses, arginine/calcium carbonate and professional treatments such as adhesives and oxalates. The methods used to evaluate the various treatment modalities are discussed, including laboratory studies and randomised controlled clinical trials. DATA SOURCES AND STUDY SELECTION A literature search was conducted using PubMed, Ovid Medline and Cochrane reviews for information on DS and its treatments, as well as laboratory and clinical studies used to evaluate the efficacy of various DS treatments. With regard to efficacy of treatments for DS only reports of clinical studies that were randomised, controlled and blinded were reviewed. The authors offer new insights into the shortcomings of the recent systematic review of the use of oxalates for DS. CONCLUSION The authors introduce the concept of a novel desensitising mouthrinse containing 1.4% potassium oxalate: Listerine® Advanced Defence Sensitive mouthrinse. Readers of this supplement issue of the Journal of Dentistry are invited to review the significance of managing the clinical problem of DS. They are also invited to assess data from laboratory and randomised controlled clinical studies in order to understand the advantages offered by regular use of 1.4% potassium oxalate-containing mouthrinse, Listerine Advanced Defence Sensitive, in particular its resistance to daily erosive and/or abrasive challenges.
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Affiliation(s)
- Maria Mantzourani
- Oral Care Scientific and Professional Affairs, Johnson & Johnson Consumer Services EAME Ltd, Foundation Park, Maidenhead, UK
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18
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Sabatini C, Wu Z. Effect of Desensitizing Agents on the Bond Strength of Mild and Strong Self-etching Adhesives. Oper Dent 2015; 40:548-57. [PMID: 25575197 DOI: 10.2341/14-190-l] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Desensitizing agents are used, almost as routine practice, in many adhesive restorative procedures. There is still debate as to their effect in dentin bonding, particularly with self-etching adhesives. The present study aimed to evaluate the effect of different desensitizing agents on the bond strength of mild and strong self-etching adhesive systems to dentin. MATERIALS AND METHODS One hundred twenty recently extracted, noncarious human molars were used to obtain superficial dentin substrate for bonding. No desensitizer was used in the control groups. The experimental groups were pretreated with Gluma Desensitizer, MicroPrime B, and Dentin Desensitizer immediately prior to bonding with self-etching adhesives Optibond XTR, Xeno IV, and iBond. A bonding jig was used to fabricate composite cylinders, which were stored for either 24 hours or three months, after which the shear bond strength (SBS) was evaluated using a notched-edge testing device at a crosshead speed of 1 mm/min. Failure mode distribution was also evaluated at 24 hours and three months. A two-way analysis of variance, Tukey test, and Student t-test, with a significance level of p<0.05, were used for data analysis. RESULTS At 24 hours, there was no significant difference in SBS when the same adhesive was used with any of the experimental desensitizing agents compared with the control group without desensitizer. However, at three months, Dentin Desensitizer bonded with Optibond XTR demonstrated significantly lower SBS (p<0.001), while Gluma bonded with iBond showed significantly higher SBS values (p=0.034) relative to their corresponding control group. Only MicroPrime B bonded with Xeno IV and iBond with no desensitizer demonstrated a significant reduction in SBS after three months (p=0.034 and p=0.002, respectively). The most prevalent type of failure was adhesive. CONCLUSION Desensitizing agents can be used in combination with self-etching adhesives to control hypersensitivity without adversely affecting their bond strength to dentin.
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Lee SY, Jung HI, Jung BY, Cho YS, Kwon HK, Kim BI. Desensitizing Efficacy of Nano-Carbonate Apatite Dentifrice and Er,Cr:YSGG Laser: A Randomized Clinical Trial. Photomed Laser Surg 2015; 33:9-14. [DOI: 10.1089/pho.2014.3787] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Su-Young Lee
- Department of Dental Hygiene, NamSeoul University, Cheon-an, Korea
| | - Hoi-In Jung
- Department of Preventive Dentistry and Public Oral Health, Oral Science Research Institute, Yonsei University College of Dentistry, Seoul, Korea
| | - Bock-Young Jung
- Department of Advanced General Dentistry, College of Dentistry, Yonsei University, Seoul Korea
| | - Young-Sik Cho
- Department of Dental Hygiene, NamSeoul University, Cheon-an, Korea
| | - Ho-Keun Kwon
- Department of Preventive Dentistry and Public Oral Health, Oral Science Research Institute, Yonsei University College of Dentistry, Seoul, Korea
| | - Baek-Il Kim
- Department of Preventive Dentistry and Public Oral Health, Oral Science Research Institute, BK 21 PLUS Project, Yonsei University College of Dentistry, Seoul, Korea
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20
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Tunar OL, Gürsoy H, Çakar G, Kuru B, Ipci SD, Yılmaz S. Evaluation of the effects of Er:YAG laser and desensitizing paste containing 8% arginine and calcium carbonate, and their combinations on human dentine tubules: a scanning electron microscopic analysis. Photomed Laser Surg 2014; 32:540-5. [PMID: 25238037 DOI: 10.1089/pho.2014.3779] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the in vitro effects of Er:YAG laser and an in-office desensitizing paste alone or in combination by using scanning electron microscopic (SEM) analysis. BACKGROUND DATA Various treatment modalities have been proposed for dentin hypersensitivity, but to date, no single agent or form of treatment has been found effective. MATERIAL AND METHODS Forty dentine specimens obtained from freshly extracted impacted third molars were included and divided into four groups. Group I served as the control, whereas Group II, Group III, and Group IV recieved Er:YAG laser (30 Hz, 60 mJ/pulse, 10 sec), a desensitizing paste (DP) containing 8% arginine and calcium carbonate, and DP+Er:YAG laser in combination, respectively, evaluated under SEM. RESULTS SEM analysis presented occlusion and narrowing of dentinal tubules in all treatment groups, but more prominent occlusion was observed in the combined treatment group. Intergroup comparisons regarding the tubule diameters and the number of the open dentinal tubules per 100 μm2 revealed statistically significant difference in favor of combined group (p<0.05). The difference between single effects of Er:YAG and DP in all parameters were found statistically nonsignificant. CONCLUSIONS The present study has shown that all treatment procedures are effective in dentinal tubule occlusion. However, more prominent occlusion is observed in the combined treatment group.
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Affiliation(s)
- Ogul L Tunar
- Yeditepe University , Faculty of Dentistry, Department of Periodontology, Istanbul, Turkey
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21
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Calabria M, Porfirio R, Fernandes S, Wang L, Buzalaf M, Pereira JC, Magalhães AC. Comparative In Vitro Effect of TiF4 to NaF and Potassium Oxalate on Reduction of Dentin Hydraulic Conductance. Oper Dent 2014; 39:427-32. [DOI: 10.2341/13-156-l] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Dentin hypersensitivity (DH) is related to an increase in dentin permeability. This study tested the effect of titanium tetrafluoride (TiF4) compared with sodium fluoride (NaF) and potassium oxalate gel on reducing hydraulic conductance (Lp) from the perspective of diminishing dentin permeability. The Lp of the dentin disks (1.0 ± 0.2 mm) was evaluated using Flodec. The maximum Lp values of each disk were taken after phosphoric acid etching (15 seconds) and randomly allocated to seven groups (n=8) according to the treatments. The minimum (smear layer) and the maximum (after acid etching) Lp values were recorded. Treatments were performed for 4 minutes as follows: 1) NaF varnish 2) and solution (2.45% F, pH 5.0), 3) TiF4 varnish and 4) solution (2.45% F, pH 1.0), 5) 3% potassium oxalate gel, 6) free fluoride varnish (placebo, pH 5.0), 7) and no treatment (control). The Lp after each treatment was assessed. Samples were exposed to an erosive challenge (6% citric acid, pH 2.1, 1 minute), and the final Lp was recorded. The data were statistically analyzed using repeated measures two-way analysis of variance (p<0.05). All treatments were effective in reducing dentin Lp compared with the control immediately after the application. However, only potassium oxalate and NaF varnish significantly differed from placebo varnish (p<0.0001). The same results were found after the erosive challenge. Therefore, the TiF4 was less effective than the NaF varnish and potassium oxalate gel in reducing dentin permeability. Using this experimental model, both NaF varnish and potassium oxalate gel reduced the Lp similarly to the presence of smear layer.
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Affiliation(s)
- M Calabria
- Marcela Calabria, PhD, Bauru School of Dentistry, Operative Dentistry, Endodontics and Dental Materials, Bauru, Brazil
| | - R Porfirio
- Raphaelli Porfirio, DDS, Bauru School of Dentistry, Biological Sciences, Bauru, Brazil
| | - S Fernandes
- Samuel Fernandes, DDS, Bauru School of Dentistry, Biological Sciences, Bauru, Brazil
| | - L Wang
- Linda Wang, PhD, Bauru School of Dentistry, Operative Dentistry, Endodontics and Dental Materials, Bauru, Brazil
| | - M Buzalaf
- Marília Buzalaf, PhD, Bauru School of Dentistry, Biological Sciences, Bauru, Brazil
| | - JC Pereira
- José Carlos Pereira, PhD, Bauru School of Dentistry, Operative Dentistry, Endodontics and Dental Materials, Bauru, Brazil
| | - AC Magalhães
- Ana Carolina Magalhães, PhD, Bauru School of Dentistry, Biological Sciences, Bauru, Brazil
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22
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Acar O, Tuncer D, Yuzugullu B, Celik C. The effect of dentin desensitizers and Nd:YAG laser pre-treatment on microtensile bond strength of self-adhesive resin cement to dentin. J Adv Prosthodont 2014; 6:88-95. [PMID: 24843392 PMCID: PMC4024564 DOI: 10.4047/jap.2014.6.2.88] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2013] [Revised: 03/04/2014] [Accepted: 03/13/2014] [Indexed: 11/08/2022] Open
Abstract
PURPOSE The purpose of this study is to evaluate if pre-treatment with desensitizers have a negative effect on microtensile bond strength before cementing a restoration using recently introduced self-adhesive resin cement to dentin. MATERIALS AND METHODS Thirty-five human molars' occlusal surfaces were ground to expose dentin; and were randomly grouped as (n=5); 1) Gluma-(Glutaraldehyde/HEMA) 2) Aqua-Prep F-(Fluoride), 3) Bisblock-(Oxalate), 4) Cervitec Plus-(Clorhexidine), 5) Smart protect-(Triclosan), 6) Nd:YAG laser, 7) No treatment (control). After applying the selected agent, RelyX U200 self-adhesive resin cement was used to bond composite resin blocks to dentin. All groups were subjected to thermocycling for 1000 cycles between 5-55℃. Each bonded specimen was sectioned to microbars (6 mm × 1 mm × 1 mm) (n=20). Specimens were submitted to microtensile bond strength test at a crosshead speed of 0.5 mm/min. Kolmogorov-Smirnov, Levene's test, Kruskal-Wallis One-way Analysis of Variance, and Conover's nonparametric statistical analysis were used (P<.05). RESULTS Gluma, Smart Protect and Nd:YAG laser treatments showed comparable microtensile bond strengths compared with the control group (P>.05). The microtensile bond strengths of Aqua-Prep F, and Cervitec Plus were similar to each other but significantly lower than the control group (P<.05). Bisblock showed the lowest microtensile bond strength among all groups (P<.001). Most groups showed adhesive failure. CONCLUSION Within the limitation of this study, it is not recommended to use Aqua-prep F, Cervitec Plus and Bisblock on dentin when used with a self-adhesive resin cement due to the decrease they cause in bond strength. Beside, pre-treatment of dentin with Gluma, Smart protect, and Nd:YAG laser do not have a negative effect.
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Affiliation(s)
- Ozlem Acar
- Department of Prosthodontics, Faculty of Dentistry, Baskent University, Ankara, Turkey
| | - Duygu Tuncer
- Department of Restorative Dentistry, Faculty of Dentistry, Baskent University, Ankara, Turkey
| | - Bulem Yuzugullu
- Department of Prosthodontics, Faculty of Dentistry, Baskent University, Ankara, Turkey
| | - Cigdem Celik
- Department of Restorative Dentistry, Faculty of Dentistry, Baskent University, Ankara, Turkey
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Kumari M, Naik SB, Rao NS, Martande SS, Pradeep AR. Clinical efficacy of a herbal dentifrice on dentinal hypersensitivity: a randomized controlled clinical trial. Aust Dent J 2013; 58:483-90. [DOI: 10.1111/adj.12109] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/21/2012] [Indexed: 11/30/2022]
Affiliation(s)
- M Kumari
- Department of Periodontics; Government Dental College and Research Institute; Bangalore India
| | - SB Naik
- Department of Conservative Dentistry and Endodontics; Government Dental College and Research Institute; Bangalore India
| | - NS Rao
- Department of Periodontics; Government Dental College and Research Institute; Bangalore India
| | - SS Martande
- Department of Periodontics; Government Dental College and Research Institute; Bangalore India
| | - AR Pradeep
- Department of Periodontics; Government Dental College and Research Institute; Bangalore India
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The efficacy of strontium and potassium toothpastes in treating dentine hypersensitivity: a systematic review. Int J Dent 2013; 2013:573258. [PMID: 23653647 PMCID: PMC3638644 DOI: 10.1155/2013/573258] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2012] [Revised: 01/27/2013] [Accepted: 02/25/2013] [Indexed: 11/17/2022] Open
Abstract
Objectives. The aim of the present paper was to review the published literature in order to identify all relevant studies for inclusion and to determine whether there was any evidence of the efficacy of strontium and potassium toothpastes in the treatment of dentine hypersensitivity (DH). Methods. Following a review of 94 relevant papers both from searching electronic databases (PUBMED) and hand searching of relevant written journals, 13 studies were identified, and 7 papers (1 for strontium-based toothpastes and 6 for potassium-based toothpastes) were finally accepted for inclusion. The main outcome measures were the methodology and assessment used by Investigators in studies designed to evaluate DH. Results. The results of the present paper would indicate that the reported efficacy of both strontium- and potassium-based toothpastes in relieving DH is questionable. Conclusions. The results from the present paper would appear to support the conclusions of previous investigators that there is only minimal evidence for the efficacy of both strontium- and potassium-based toothpastes in relieving symptoms of DH.
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Evaluation of potassium binoxalate gel and Nd:YAG laser in the management of dentinal hypersensitivity: a split-mouth clinical and ESEM study. Lasers Med Sci 2012. [DOI: 10.1007/s10103-012-1239-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Effects of applying glutaraldehyde-containing desensitizer formulations on reducing dentin permeability. J Dent Sci 2012. [DOI: 10.1016/j.jds.2012.03.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Camilotti V, Zilly J, Busato PDMR, Nassar CA, Nassar PO. Desensitizing treatments for dentin hypersensitivity: a randomized, split-mouth clinical trial. Braz Oral Res 2012; 26:263-8. [DOI: 10.1590/s1806-83242012000300013] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2012] [Accepted: 04/03/2012] [Indexed: 11/22/2022] Open
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Miglani S, Aggarwal V, Ahuja B. Dentin hypersensitivity: Recent trends in management. J Conserv Dent 2011; 13:218-24. [PMID: 21217949 PMCID: PMC3010026 DOI: 10.4103/0972-0707.73385] [Citation(s) in RCA: 109] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2010] [Revised: 09/13/2010] [Accepted: 09/14/2010] [Indexed: 12/04/2022] Open
Abstract
Dentinal hypersensitivity (DH) is a common clinical condition usually associated with exposed dentinal surfaces. It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. This article concisely reviews the patho-physiology, mechanism and clinical management of the DH. Treatment of DH should start with an accurate diagnosis. Differential diagnosis should be made and all other probable causes should be excluded. An often neglected phase of clinical management of DH is the identification and treatment of the causative factors of DH. By removing the etiological factors, the condition can be even prevented from occurring or recurring. There are various treatment modalities available which can be used at home or may be professionally applied. The “at home” desensitizing agents include toothpastes, mouthwashes or chewing gums and they act by either occluding the dentinal tubules or blocking the neural transmission. This article also discusses the recent treatment options like bioglass, Portland cement, lasers and casein phosphopeptide.
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Affiliation(s)
- Sanjay Miglani
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi - 110 025, India
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Yilmaz HG, Cengiz E, Kurtulmus-Yilmaz S, Leblebicioglu B. Effectiveness of Er,Cr:YSGG laser on dentine hypersensitivity: a controlled clinical trial. J Clin Periodontol 2011; 38:341-6. [DOI: 10.1111/j.1600-051x.2010.01694.x] [Citation(s) in RCA: 49] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Cunha-Cruz J, Stout JR, Heaton LJ, Wataha JC. Dentin hypersensitivity and oxalates: a systematic review. J Dent Res 2010; 90:304-10. [PMID: 21191127 DOI: 10.1177/0022034510389179] [Citation(s) in RCA: 59] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Treatment of dentin hypersensitivity with oxalates is common, but oxalate efficacy remains unclear. Our objective was to systematically review clinical trials reporting an oxalate treatment compared with no treatment or placebo with a dentin hypersensitivity outcome. Risk-of-bias assessment and data extraction were performed independently by two reviewers. Standardized mean differences (SMD) were estimated by random-effects meta-analysis. Of 677 unique citations, 12 studies with high risk-of-bias were included. The summary SMD for 3% monohydrogen-monopotassium oxalate (n = 8 studies) was -0.71 [95% Confidence Interval: -1.48, 0.06]. Other treatments, including 30% dipotassium oxalate (n = 1), 30% dipotassium oxalate plus 3% monohydrogen monopotassium oxalate (n = 3), 6% monohydrogen monopotassium oxalate (n = 1), 6.8% ferric oxalate (n = 1), and oxalate-containing resin (n = 1), also were not statistically significantly different from placebo treatments. With the possible exception of 3% monohydrogen monopotassium oxalate, available evidence currently does not support the recommendation of dentin hypersensitivity treatment with oxalates.
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Affiliation(s)
- J Cunha-Cruz
- Dental Public Health Sciences, Box 357475, School of Dentistry, University of Washington, Seattle, WA 98195-7475, USA.
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Vieira AHM, Passos VF, de Assis JS, Mendonça JS, Santiago SL. Clinical Evaluation of a 3% Potassium Oxalate Gel and a GaAlAs Laser for the Treatment of Dentinal Hypersensitivity. Photomed Laser Surg 2009; 27:807-12. [DOI: 10.1089/pho.2008.2364] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | | | | | | | - Sérgio Lima Santiago
- Department of Restorative Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil
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Sicilia A, Cuesta-Frechoso S, Suárez A, Angulo J, Pordomingo A, De Juan P. Immediate efficacy of diode laser application in the treatment of dentine hypersensitivity in periodontal maintenance patients: a randomized clinical trial. J Clin Periodontol 2009; 36:650-60. [DOI: 10.1111/j.1600-051x.2009.01433.x] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Porto ICCM, Andrade AKM, Montes MAJR. Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci 2009; 51:323-32. [DOI: 10.2334/josnusd.51.323] [Citation(s) in RCA: 135] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Abstract
Dentinal hypersensitivity is a common dental complaint, especially in periodontal patients. It is believed to be mediated by a hydrodynamic mechanism in which various stimuli result in increased fluid flow in dentinal tubules, thereby generating action potentials in associated nerve fibers. Although it is often perceived as mild discomfort by the patient, it can be severe. A variety of interventions has been used, although few have been subjected to rigorous study. This article surveys those in-office treatments that are available, and suggests directions for research so that clinicians may treat patients based on best evidence. Until such evidence is available, it seems prudent to employ therapies that are least likely to cause harm and are reversible.
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Affiliation(s)
- Mohanad Al-Sabbagh
- Division of Periodontology, University of Kentucky College of Dentistry, 800 Rose Street, Room D-438, Lexington, KY 40536-0297, USA.
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Diffusive transport within dentinal tubules: An X-ray microtomographic study. Arch Oral Biol 2008; 53:736-43. [DOI: 10.1016/j.archoralbio.2008.03.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2007] [Revised: 03/11/2008] [Accepted: 03/20/2008] [Indexed: 11/19/2022]
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Pérez-Olmos R, Soto J, Zárate N, Díez I. Simultaneous determination of potassium and total fluoride in toothpastes using a SIA system with two potentiometric detectors. J Pharm Biomed Anal 2008; 47:170-6. [DOI: 10.1016/j.jpba.2007.11.028] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2007] [Revised: 11/19/2007] [Accepted: 11/20/2007] [Indexed: 11/30/2022]
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Slutzky-Goldberg I, Nuni E, Nasralla W, Stabholtz A, Moshonov J. The Effect of CO2Laser on the Permeability of Dentinal Tubules: A Preliminaryin VitroStudy. Photomed Laser Surg 2008; 26:61-4. [DOI: 10.1089/pho.2007.2060] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Iris Slutzky-Goldberg
- Department of Endodontics, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Eyal Nuni
- Department of Endodontics, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Warda Nasralla
- Department of Endodontics, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Adam Stabholtz
- Department of Endodontics, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel
| | - Joshua Moshonov
- Department of Endodontics, Hebrew University, Hadassah School of Dental Medicine, Jerusalem, Israel
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ZÁRATE N, IRAZU E, ARAÚJO AN, MONTENEGRO MCBSM, PÉREZ-OLMOS R. Simultaneous Determination of Potassium and Nitrate Ions in Mouthwashes Using Sequential Injection Analysis with Potentiometric Detection. ANAL SCI 2008; 24:803-7. [DOI: 10.2116/analsci.24.803] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- N. ZÁRATE
- Dpto. Química Analítica, Escuela Universitaria de Ingeniería Técnica Industrial, Universidad del País Vasco
| | - E. IRAZU
- Dpto. Química Analítica, Escuela Universitaria de Ingeniería Técnica Industrial, Universidad del País Vasco
| | - A. N. ARAÚJO
- REQUIMTE, Dpto. de Química Física, Faculdade de Farmacia, Universidade do Porto
| | | | - R. PÉREZ-OLMOS
- Dpto. Química Analítica, Escuela Universitaria de Ingeniería Técnica Industrial, Universidad del País Vasco
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Pamir T, Dalgar H, Onal B. Clinical Evaluation of Three Desensitizing Agents in Relieving Dentin Hypersensitivity. Oper Dent 2007; 32:544-8. [DOI: 10.2341/07-5] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Three desensitizing agents with different active ingredients exhibited similar effects in the treatment of dentin hypersensitivity by mechanical blockage.
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Abstract
BACKGROUND The objective of this review is to inform practitioners about dentin hypersensitivity (DH) and its management. This clinical information is described in the context of the underlying biology. TYPES OF STUDIES REVIEWED The authors used MEDLINE to find relevant English-language literature published in the period 1999 to 2005. They used combinations of the search terms "dentin*," "tooth," "teeth," "hypersensit*," "desensiti*" and "desensitiz*." They read abstracts and then full articles to identify studies describing etiology, prevalence, clinical features, controlled clinical trials of treatments and relevant laboratory research on mechanisms of action. RESULTS The prevalence of DH varies widely, depending on the mode of investigation. Potassium-containing toothpastes are the most widely used at-home treatments. Most in-office treatments employ some form of "barrier," either a topical solution or gel or an adhesive restorative material. The reported efficacy of these treatments varies, with some having no better efficacy than the control treatments. Possible reasons for this variability are discussed. A flowchart summarizes the various treatment strategies. CLINICAL IMPLICATIONS DH is diagnosed after elimination of other possible causes of the pain. Desensitizing treatment should be delivered systematically, beginning with prevention and at-home treatments. The latter may be supplemented with in-office modalities.
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GILLAM D, ORCHARDSON R. Advances in the treatment of root dentine sensitivity: mechanisms and treatment principles. ACTA ACUST UNITED AC 2006. [DOI: 10.1111/j.1601-1546.2006.00209.x] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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