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一项探索性临床研究,旨在监测一种封闭技术牙膏在短期内缓解牙本质过敏方面的临床疗效。

An Exploratory Clinical Study to Monitor Clinical Efficacy of an Occluding Technology Dentifrice in Providing Short Term Relief from Dentinal Hypersensitivity.

作者信息

Krause Cristina, Lunau Nathalie, Sufi Farzana

机构信息

proDERM Institute for Applied Dermatological Research, Schenefeld/Hamburg, Germany.

GSK Consumer Healthcare, Weybridge, UK.

出版信息

J Clin Dent. 2018 Mar;29(1):18-22.

Abstract

OBJECTIVES

To examine dentin hypersensitivity (DH) at multiple time points over a 14-day period in participants who brushed twice daily with a 0.454% SnF2 dentifrice (Test) compared to a 0.76% sodium monofluorophosphate dentifrice with no known anti-sensitivity properties (Control).

METHODS

This was a two-week, single-center, randomized, controlled, examiner-blind, two-treatment, parallel-group study in healthy participants with DH. The sensitivity of two selected test teeth and of all sensitive teeth was assessed at baseline and after one, three, seven, 10, and 14 days' treatment in response to evaporative (air) Schiff sensitivity score and visual analogue scale [VAS]) and tactile (tactile threshold) stimuli. DH was also monitored using a shortened version of the Dentin Hypersensitivity Experience Questionnaire (DHEQ) and a single "Tooth Sensitivity Question" (TSQ).

RESULTS

Both groups had mean Schiff sensitivity scores that were statistically significantly improved from baseline on all days for the two test teeth and all qualifying teeth (p < 0.0001). There was a statistically significant difference between the dentifrices at Day 1 only, in favor of the Control dentifrice, for the two test teeth (0.28 [95% confidence intervals 0.03,0.53] p = 0.0282) or all qualifying teeth (0.17 [0.02,0.32] p = 0.0273). For tactile threshold, both dentifrices were statistically significantly improved from baseline from Day 3 onwards, with the Test dentifrice showing an improvement at Day 1 (p < 0.05). There were no significant statistical between-treatment differences at any time point. DHEQ questions revealed most participants experienced "sensitivity," "twinging," and "pain," with cold stimuli rated as the highest DH-eliciting. DHEQ Section 1 rating scores improved with the Test dentifrice, but not significantly statistically. DHEQ Section 2 scores statistically significantly improved with both dentifrices (p < 0.0002) with no differences between them. TSQ scores for both groups reduced over the time period. Both dentifrices were generally well-tolerated.

CONCLUSIONS

In this study, use of both the Test and Control dentifrices led to DH relief with few statistically significant differences between them. The DHEQ and TSQ showed a reduction of pain during the study period, but there was still a high level of discomfort. Further research on short term relief of DH is required.

摘要

目的

在14天内的多个时间点,研究每日两次使用含0.454%氟化亚锡牙膏(试验组)的参与者与使用不含已知抗敏感特性的0.76%单氟磷酸钠牙膏(对照组)的参与者的牙本质过敏(DH)情况。

方法

这是一项为期两周的单中心、随机、对照、检查者盲法、双治疗、平行组研究,研究对象为患有牙本质过敏的健康参与者。在基线时以及治疗1天、3天、7天、10天和14天后,针对两颗选定的测试牙齿和所有敏感牙齿,评估其对蒸发(空气)刺激(席夫敏感评分和视觉模拟量表[VAS])和触觉(触觉阈值)刺激的敏感性。还使用简化版的牙本质过敏体验问卷(DHEQ)和单个“牙齿敏感问题”(TSQ)对牙本质过敏进行监测。

结果

两组两颗测试牙齿和所有符合条件牙齿的平均席夫敏感评分在所有天数均较基线有统计学显著改善(p < 0.0001)。仅在第1天,两种牙膏之间存在统计学显著差异,两颗测试牙齿(0.28[95%置信区间0.03,0.53],p = 0.0282)或所有符合条件牙齿(0.17[0.02,0.32],p = 0.0273)的情况有利于对照牙膏。对于触觉阈值,从第3天起,两种牙膏均较基线有统计学显著改善,试验组牙膏在第1天即显示出改善(p < 0.05)。在任何时间点,治疗组之间均无显著统计学差异。DHEQ问题显示,大多数参与者经历过“敏感”“刺痛”和“疼痛”,冷刺激被评为引发牙本质过敏程度最高的刺激。试验组牙膏使用后DHEQ第1部分评分有所改善,但无显著统计学意义。两种牙膏使用后DHEQ第2部分评分均有统计学显著改善(p < 0.0002),且两者之间无差异。两组的TSQ评分在研究期间均有所降低。两种牙膏总体耐受性良好。

结论

在本研究中,试验组和对照组牙膏的使用均能缓解牙本质过敏,两者之间几乎没有统计学显著差异。DHEQ和TSQ显示在研究期间疼痛有所减轻,但仍存在较高程度的不适。需要对牙本质过敏的短期缓解进行进一步研究。

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