Pinna R, Bortone A, Sotgiu G, Dore S, Usai P, Milia E
Department of Biomedical Sciences, University of Sassari, Viale San Pietro, 43/c, 07100, Sassari, Italy.
Clin Oral Investig. 2015 Sep;19(7):1663-72. doi: 10.1007/s00784-014-1390-3. Epub 2015 Jan 23.
The aim of the present study was to investigate the clinical effectiveness over 12 weeks of Vertise Flow(™), a self-adhering composite, in dental hypersensitivity (DH).
The study was conducted as a split-mouth randomized clinical trial. Vertise Flow™ was compared to the following: (1) Universal Dentine Sealant, (2) Clearfil Protect Bond, and (3) Flor-Opal® Varnish. A total of 46 patients with 116 hypersensitive teeth were studied. Pain experience was generated by a cold stimulus and assessed using the visual analog scale (VAS) of pain. The response was recorded before the application of the materials (pre-1), immediately after (post-1), at 1- (post-2), 2- (post-3), and 12-week controls (post-4). Statistical differences in VAS were performed using the Kruskal-Wallis analysis at the different time-points (P < 0.05), adjusting statistical significances for multiple comparisons (Bonferroni correction).
All the materials showed any statistically significant differences at the baseline. After the application of each material, a VAS decrease was demonstrated at every post-control. VF showed significant hypersensitivity reduction in post-1. Statistically significant relief was also observed in post-2 while no significant differences were detected in post-3 and post-4.
After 12-week controls, there was no statistically significant hypersensitivity reduction using VF in respect to the other materials. On the other hand, any significant differences were detected in the decrease of the VAS irrespective of the desensitizing agent employed at the 12-week controls.
The significant increase in VAS scores within the 12-weeks of environment suggested there is instability of VF when used as desensitizing agent.
本研究旨在调查自粘结复合材料Vertise Flow(™)在12周内对牙齿过敏症(DH)的临床疗效。
本研究为一项口内对照随机临床试验。将Vertise Flow™与以下材料进行比较:(1)通用牙本质封闭剂,(2)Clearfil Protect Bond,以及(3)Flor-Opal® 护齿漆。共研究了46例患者的116颗过敏牙齿。通过冷刺激引发疼痛体验,并使用疼痛视觉模拟量表(VAS)进行评估。在材料应用前(预1)、应用后立即(后1)、1周(后2)、2周(后3)和12周对照(后4)时记录反应。使用Kruskal-Wallis分析在不同时间点进行VAS的统计学差异分析(P < 0.05),并对多重比较的统计学显著性进行调整(Bonferroni校正)。
所有材料在基线时均未显示出任何统计学显著差异。在应用每种材料后,每次对照后VAS均显示降低。Vertise Flow™在应用后立即显示出显著的过敏反应减轻。在1周后也观察到统计学显著的缓解,而在2周和12周时未检测到显著差异。
在12周对照后,与其他材料相比,使用Vertise Flow™在牙齿过敏症减轻方面无统计学显著差异。另一方面,在12周对照时,无论使用何种脱敏剂,VAS降低方面均未检测到任何显著差异。
在12周的观察期内VAS评分显著增加表明,Vertise Flow™用作脱敏剂时存在不稳定性。