Details
Category: Volume 07 Issue 04 April 2019
Hits: 2127

Title: Comparative Evaluation of Stannous Fluoride and Arginine Bicarbonate Desensitizer in the Reduction of Dentinal Hypersensitivity after Ultrasonic Scaling – A Randomized Controlled Trial

Authors: Yogalakshmi Suubha, Vijayalakshmi, Ambalavanan, L. Karthik

 DOI: https://dx.doi.org/10.18535/jmscr/v7i4.27

Abstract

Aim: The aim of this study was to evaluate and compare the efficacy of two desensitizing agents containing stannous fluoride and arginine bicarbonate in the reduction of dentinal hypersensitivity after ultrasonic scaling.

Materials and Methods: The subjects for this study were recruited from the outpatient department of Periodontology. About 90 subjects reported with the complaint of hypersensitivity immediately after ultrasonic scaling were chosen for the study. Based on the inclusion and exclusion criteria they were randomized into 3 groups with 30 patients representing each group. The study was approved by the “Institutional Review Board”. The patients were explained about the study and written informed consent was obtained from those who agreed to voluntarily participate in this study.

Results: Intergroup comparison among the three groups have revealed that dentin hypersensitivity in Group A (stannous fluoride) was statistically significant when compared to that of Group B (arginine bicarbonate) at 3rd and 7th day. The Visual Analogue Score (VAS) of Group A was found to be significantly lower than the VAS score of Group B.

Conclusion: It was concluded that compared to arginine bicarbonate, stannous fluoride has exhibited better effect in managing dentinal hypersensitivity.

Keywords: Arginine Bicarbonate; Dentinal Hypersensitivity; Desensitizer; Stannous Fluoride; Ultrasonic Scaling.

References

  1. Addy M. Dentine hypersensitivity: Definition, prevalence, distribution and etiology. In: Tooth wear and sensitivity 2000;239-248.
  2. Addy M. Etiology and clinical implications of dentine hypersensitivity. Dent Clin North Amer 1990;34:503-514.
  3. Gillam D.G, Orchardson R. Advances in the treatment of root dentin sensitivity: Mechanisms and treatment principles. Endod Topics 2001;13:13-33.
  4. Clayton D.R, McCarthy D, Gillam D.G. A study of the prevalence and distribution of dentine sensitivity in a population of 17-58 year-old serving personnel on an RAF base in the Midlands. J Oral Rehab 2002;29:14-23.
  5. Canadian advisory board on dentine hypersensitivity. Consensus-based recommendations for the diagnosis and management of dentine hypersensitivity. J Can Den Assoc 2003;69:221-226.
  6. Von Troil B, Needleman I, Sanz M. A systematic review of the prevalence of root sensitivity following periodontal therapy. J Clin Periodontol 2002; 29(3): 173-177.
  7. Addy M. Dentin hypersensitivity: New perspectives on an old problem. Int Dent J 2002;52:367-375.
  8. Drisko C.H. Dentine hypersensitivity. Dental hygiene and periodontal consider-ations. Int Dent J 2002;52:385-393.
  9. Orchardson R, Gillam D.G. The efficacy of potassium salts as agents for treating dentin hypersensitivity J Orofac Pain 2000;14:9-19.
  10. Roberson T.M, Heymann H.O, Jr. Swift E.J, Sturdevant C. Fundamental concepts of enamel and dentin adhesion. Art Sci Oper Dent 2006;5:257.
  11. He T, Sun L, Li S, Ji N. The anti-plaque efficacy of a novel stannous-containing sodium fluoride dentifrice: A randomized and controlled clinical trial. Am J Dent 2010;23:11B-16B.
  12. Li X, Fan X, Yin W, He T, Zhang Y, Sun L. Anti-gingivitis efficacy of a stannous-containing sodium fluoride toothpaste. J Dent Res 2011;22:1-5.
  13. He T, Dunavent J.M, Fiedler S.K, Baker R.A. Arandomized clinical study to assess the extrinsic staining profiles of stannous-and triclosan -containing dentifrices.Am J Dent 2010;23:22B-26B.
  14. Feng X.P, Chen X, Cheng R, Sun L, Zhang Y, He T. Breath malodor reduction with use of a stannous - containing sodium fluoride dentifrice: A meta-analysis of four randomized and controlled clinical trials. Am J Dent2010;23:27B-31B.
  15. Day T.N, Einwag J, Hermann J.S, He T, Anastasia M.K, Barker M, Zhang Y. A clinical assessment of the efficacy of a stannous-containing sodium fluoride dentifrice on dentinal hypersensitivity. J Contemp Dent Pract 2010;11:1-8.
  16. Ni L.X, He T, Chang A, Sun L. The desensitizing efficacy of a novel stannous-containing sodium fluoride dentifrice: An 8 week randomized and controlled clinical trial. Am J Dent2010;23:17B-21B.
  17. Schiff T, Saletta L, Baker R.A, Winston J.L, He T. Desensitizing effect of a stabilized stannous fluoride/sodium hexametaphosphate dentifrice. Compend Cont Dent Educ2005;26:35-40.
  18. Kleinberg I. Sensistat. A new saliva -based composition for simple and effective treatment of dentinal sensitivity pain. Dent Today 2002;21:42-47.
  19. Kakar A, Kakar K, Sreenivasan P.K, DeVizio W, Kohli R. Comparison of the clinical efficacy of a new dentifrice containing 8.0 % arginine, calcium carbonate and 1000 ppm fluoride to a commercially available sensitivetoothpaste containing 2 % potassium ion on dentin hypersensitivity: a randomized clinical trial. J Clin Dent 2012;23(2):40-47.
  20. Hamlin, K. Phelan Williams, E. Delgado, Y.P. Zhang, W. DeVizio, L.R. Mateo. Introducing pro-argin™-A breakthrough technology based upon arginine and calcium for in-office treatment of dentin hypersensitivity. Am J Dent 2009;22:16A-20A.
  21. Markowitz K, Pashley D.H. Discovering new treatments for sensitive teeth. The long path from biology to therapy. J Oral Rehab 2007;35:300-315.
  22. Tao He, Richard Cheng, Aaron R Biesbrock. Rapid desensitizing efficacy of a stannous-containing sodium fluoride dentifrice. J Clin Dent2011;22:40-45.

Corresponding Author

L Karthik

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Contact number: +91-9791722707