Efficacy of desensitizing dentifrices on dentinal hypersensitivity
Journal name: Journal of Indian Society of Periodontology
Original article title: Evaluating the efficacy of desensitizing dentifrices on dentinal hypersensitivity management: A scanning electron microscopic analysis
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:
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Vasu Midha, Vishu Midha, Anuraj Singh Kochhar, Gulsheen Kaur Kochhar, Ritasha Bhasin, Himanshu Dadlani
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Evaluating the efficacy of desensitizing dentifrices on dentinal hypersensitivity management: A scanning electron microscopic analysis
Year: 2021 | Doi: 10.4103/jisp.jisp_247
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Dentin hypersensitivity (DH) is a prevalent dental issue that significantly impacts patients' quality of life by making it difficult to consume certain foods and beverages. Literature suggests that the prevalence of DH ranges from 4.8% to 62.3%, and conventional treatments often provide only temporary relief. This study aimed to evaluate the effectiveness of four different toothpastes—5% NovaMin (Sensodyne Repair and Protect®), Propolis (Phytoshield Propolis®), 5% potassium nitrate (Sensodyne®), and 8% arginine (Colgate Sensitive Pro Relief®)—in treating DH through a detailed analysis of their ability to occlude dentinal tubules.
Efficacy of Desensitizing Agents
The study revealed that 5% NovaMin was the most effective in occluding dentinal tubules, significantly surpassing the other agents in performance. The methodology involved creating dentin slices, followed by treatment with the various pastes for 15 days, and analyzing the specimens using scanning electron microscopy (SEM). SEM results indicated that while all materials were effective in occluding tubules, NovaMin outperformed Propolis, potassium nitrate, and arginine. The study observed that Propolis showed the least efficacy in terms of tubule occlusion, highlighting the role of the chemical composition of these pastes in their functionality.
Conclusion
In conclusion, DH profoundly affects quality of life, necessitating timely intervention through effective treatment plans. The study confirmed that while all tested materials were capable of dentinal tubule occlusion, NovaMin exhibited superior desensitization and remineralization qualities compared to other agents. These findings suggest that topical NovaMin could be a promising therapeutic option in managing dentin hypersensitivity, while other substances like Propolis may require further investigation to improve their efficacy in clinical applications.
FAQ section (important questions/answers):
What is dentin hypersensitivity (DH) and its impact?
Dentin hypersensitivity (DH) is a common condition that causes pain when consuming certain foods or drinks, adversely affecting the quality of life of affected individuals. It is crucial to address DH promptly with both home care and in-office treatments.
What were the objectives of the study on DH treatments?
The study aimed to evaluate the effectiveness of four toothpaste pastes—5% NovaMin, Propolis, 5% potassium nitrate, and 8% arginine—in treating dentin hypersensitivity by occluding dentinal tubules.
Which toothpaste was found most effective in the study?
The study found that toothpaste containing 5% NovaMin was the most effective in occluding dentinal tubules, demonstrating superior desensitization and remineralization properties compared to Propolis, potassium nitrate, and arginine.
How was the effectiveness of the toothpaste evaluated?
The effectiveness was evaluated using scanning electron microscopy (SEM) to observe the occlusion of dentinal tubules before and after the application of the toothpaste over a 15-day period.
What should be done if the initial treatment for DH is ineffective?
If the initial noninvasive home care treatment does not yield desired results, clinicians should consider in-office treatments that involve nerve desensitization or tubule plugging agents.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Efficacy of desensitizing dentifrices on dentinal hypersensitivity”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
The term 'Study' refers to the systematic investigation conducted to evaluate the effectiveness of different toothpastes on dentin hypersensitivity (DH). Research like this aims to generate evidence-based conclusions that can improve treatment modalities and enhance dental practices, thereby informing both clinicians and patients about effective options available for managing DH.
2) Surface:
In the context of dental studies, 'Surface' implies the outer layer of dentin where tubules are located. The surface characteristics influence how effectively desensitizing agents can occlude dentinal tubules, thereby affecting the overall efficacy of treatments aimed at reducing sensitivity in patients suffering from DH.
3) Table:
The term 'Table' may refer to the organized presentation of data or results in the study, summarizing the findings of treatments on dentin tubules. Such tables often provide a clear, visual representation of the numerical outcomes, allowing for easier interpretation and comparison across different treatment groups in dental research.
4) Water:
Here, 'Water' signifies an essential medium in dental experiments, used to rinse and store dentin samples. The use of distilled water helps remove any residual substances before analyzing occluded tubules under a scanning electron microscope, ensuring that the results accurately reflect the efficacy of the treatment being assessed.
5) Pain:
The word 'Pain' describes the primary symptom experienced by individuals with dentin hypersensitivity (DH). Understanding the mechanisms behind this pain helps researchers and clinicians develop effective treatment strategies. The aim is to alleviate such pain, thereby improving the overall quality of life for patients affected by DH.
6) Repair:
In dental terminology, 'Repair' is associated with restoring the structure and function of dentin and enamel, particularly regarding remineralization and desensitization techniques. Treatments like those containing NovaMin focus on repairing and occluding dentinal tubules, contributing to the overall goal of minimizing discomfort associated with DH.
7) Glass:
The term 'Glass' in this context often refers to bioactive glass materials, like NovaMin, used in dental products. These materials have distinctive properties that allow them to interact with dentin to form apatite layers, occluding tubules and providing a mechanism for remineralization and sensitive-free dentin surfaces.
8) Hema (Heman):
HEMA stands for hydroxyethyl methacrylate, a commonly used material in dental adhesives and restorative procedures. In this study context, examining materials like HEMA can contribute to understanding the effectiveness of various desensitizing formulations, potentially leading to approaches that minimize DH and improve dental care.
9) Quality:
The term 'Quality' signifies the overall effectiveness of dental treatments on patients’ lives. Evaluating the quality of life (QoL) in patients with DH is crucial, as successful treatments not only address the immediate pain but also contribute to long-term satisfaction regarding dental health and comfort.
10) Food:
In the context of DH, 'Food' denotes the dietary aspects affecting the condition. Certain foods can exacerbate dentin hypersensitivity, making it vital for dental practitioners to consider dietary habits when developing treatment plans for individuals suffering from sensitivity, thus tailoring care to address specific triggers.
11) Life:
Here, 'Life' refers to the holistic experience of individuals, particularly in relation to their oral health. Effective management of dental sensitivities improves patients' overall quality of life, allowing them to enjoy daily activities without the discomfort associated with DH, ultimately promoting better health outcomes.
12) Transmission:
In dental terms, 'Transmission' relates to how pain signals travel from the dentin tubules through nerve endings. Understanding this transmission process aids researchers in identifying effective treatments that can disrupt or block these signals, thereby minimizing the pain experienced by individuals with dentin hypersensitivity.
13) Inflammation:
The term 'Inflammation' connects with the biological reaction that may occur in response to dental injuries or conditions affecting the pulp. While not directly indicated in this study, understanding inflammation is critical to distinguishing between dentin hypersensitivity and other dental pain types, guiding appropriate treatment choices.
14) Discussion:
In the context of research, 'Discussion' refers to the section where study findings are interpreted, compared to existing literature, and implications for practice are drawn. This critical analysis helps contextualize results, encouraging further research and dietary considerations in treating conditions like DH effectively.
15) Substance:
The word 'Substance' often refers to the active ingredients in dental treatments, like those found in desensitizing toothpastes. Understanding the properties and interactions of these substances is vital, as they determine the efficacy and clinical outcomes in managing dentin hypersensitivity for improved patient care.
16) Account:
In dental research, 'Account' signifies the detailed reporting of findings, patient experiences, and treatment outcomes. Proper documentation of such accounts is essential in validating treatments, ensuring that healthcare providers can effectively communicate options and outcomes to patients experiencing dentin hypersensitivity.
17) Honey:
In this context, 'Honey' connects to Propolis, a substance derived from bees that has been explored for its potential beneficial effects on oral health. Understanding its natural properties enriches the discussion on alternative treatments for dentin hypersensitivity, highlighting innovative, non-invasive options available in the dental field.
18) Diet:
Diet plays a consequential role in dentin hypersensitivity, as certain foods and beverages are known to trigger sensitivity episodes. As part of treatment planning, dental professionals may advise patients on dietary modifications to help manage DH, emphasizing the importance of comprehensive care in oral health.
19) Gold (Golden):
The term 'Gold' may refer to the process of sputter coating samples for examination under a scanning electron microscope. This technique enhances the imaging quality, enabling more precise assessments of dentin tubule occlusion, which is crucial for evaluating the effectiveness of various desensitizing agents used in this study.
20) Salt (Salty):
While salt isn't directly detailed in this context, 'Salt' can pertain to various forms of potassium used in dental treatments, such as potassium nitrate. Understanding its role in nerve desensitization helps in formulating effective toothpaste and addressing the mechanisms behind dentin hypersensitivity for patient relief.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Efficacy of desensitizing dentifrices on dentinal hypersensitivity’. Further sources in the context of Science might help you critically compare this page with similair documents:
Quality of life, Clinical efficacy, Scanning electron microscope, Dentin hypersensitivity, Hydrodynamic theory.