Ravishankar Periasamy, Viswanath Venkatnagaraj, Archana Durvasulu, Keerthi Venkatesan, Dhanapal Saranya, Lavanya Priya Kalambur Perumal
Department of Conservative Dentistry and Endodontics, Thai Moogambigai Dental College and Hospital, Dr. M.G.R. Educational and Research Institute, Chennai, Tamil Nadu, India.
Indian J Dent Res. 2018 Jan-Feb;29(1):51-55. doi: 10.4103/ijdr.IJDR_458_17.
This randomized clinical trial tested the effect of three different desensitizing agents on reduction of pain due to hypersensitive cervical dentin lesions.
Twenty-eight individuals with 84 teeth diagnosed with cervical dentin hypersensitivity (DH) in at least one tooth in any three of the four quadrants were selected. Patients exhibiting pain scores of two or more on the visual analog scale (VAS) were included in the study. Each quadrant in an individual was randomly assigned to one of the three treatment groups based on computer-generated random number. The desensitizing agents used were Profluorid Varnish (Voco: Cuxhaven Germany), Admira Protect (Voco: Cuxhaven Germany), and PRG-Barrier Coat (Shofu: japan). One operator recorded the baseline sensitivity scores after evaporative and tactile stimuli by visual analog score system. The second operator who was not aware of the baseline values applied the desensitizing agents and recorded the sensitivity scores. VAS scores for both the stimuli were noted immediately after application, 1 week, and after 1 month. The data were analyzed using repeated measure ANOVA and post hoc Tukey's multiple comparison tests (P < 0.05 was considered statistically significant).
There was a significant reduction in VAS scores from baseline in all the three groups at all the time intervals (P < 0.001). Admira Protect showed significant reduction of hypersensitivity scores at 1 month compared to other groups (P < 0.001).
Admira Protect was proved to be better in reducing pain due to DH than PRG-Barrier Coat and Profluorid Varnish after 1 month of application.
本随机临床试验测试了三种不同脱敏剂对减轻因颈部牙本质过敏病变引起的疼痛的效果。
选取28名个体,其84颗牙齿中至少有一颗在四个象限中的任意三个象限被诊断为颈部牙本质过敏(DH)。视觉模拟量表(VAS)疼痛评分在2分或以上的患者被纳入研究。根据计算机生成的随机数,将个体的每个象限随机分配到三个治疗组之一。使用的脱敏剂为Profluorid Varnish(德国库克斯港Voco公司)、Admira Protect(德国库克斯港Voco公司)和PRG-Barrier Coat(日本松风公司)。一名操作人员通过视觉模拟评分系统记录蒸发和触觉刺激后的基线敏感度评分。第二名不了解基线值的操作人员应用脱敏剂并记录敏感度评分。在应用后、1周和1个月后立即记录两种刺激的VAS评分。使用重复测量方差分析和事后Tukey多重比较检验分析数据(P < 0.05被认为具有统计学意义)。
在所有时间间隔,三组的VAS评分均较基线有显著降低(P < 0.001)。与其他组相比,Admira Protect在1个月时显示出过敏评分显著降低(P < 0.001)。
应用1个月后,Admira Protect在减轻DH引起的疼痛方面比PRG-Barrier Coat和Profluorid Varnish效果更好。