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一项关于间歇性使用脱敏牙膏监测牙本质过敏症的临床研究。

Clinical study to monitor dentinal hypersensitivity with episodic use of a desensitising dentifrice.

作者信息

Mason Stephen, Kingston Rose, Shneyer Lucy, Harding Máiréad

机构信息

Oral Care Medical Affairs, Research and Development, GSK Consumer Healthcare, Weybridge, Surrey, UK.

Oral Health Services Research Centre, Cork University Dental School and Hospital, Wilton, Cork, Ireland.

出版信息

BDJ Open. 2017 Jun 23;3:17011. doi: 10.1038/bdjopen.2017.11. eCollection 2017.

Abstract

OBJECTIVES/AIMS: To evaluate continuous and episodic twice-daily usage regimens of a desensitising dentifrice containing 5% calcium sodium phosphosilicate (CSPS).

MATERIALS AND METHODS

In this exploratory, single-centre, randomised, examiner-blind study, subjects with dentinal hypersensitivity were randomised to continuous (24 weeks) use of a 5% CSPS-containing dentifrice or episodic use of the dentifrice comprising two 8-week treatment periods separated by 8 weeks' use of a standard fluoride dentifrice. Sensitivity was assessed by tactile threshold (Yeaple probe) and evaporative (air) sensitivity (Schiff sensitivity score). Other measures included labelled magnitude scales to assess subjects' responses to the evaporative stimulus, the Dentine Hypersensitivity Experience Questionnaire and a tooth sensitivity question.

RESULTS

Seventy-six subjects were randomised to continuous (=38) or episodic (=38) use. Small but statistically significant improvements from baseline in Schiff sensitivity scores were observed at weeks 8, 16 and 24 with both regimens (all <0.05). Increases from baseline in tactile threshold were not statistically significant. No significant between-regimen difference was observed for any endpoint. No treatment-related adverse events were reported.

DISCUSSION

Dentifrice containing 5% CSPS improved dentinal hypersensitivity with both episodic and continuous twice-daily usage regimens over 24 weeks and was well tolerated.

CONCLUSION

No performance differences were observed between the two usage regimens.

摘要

目的

评估含5%磷酸硅钙钠(CSPS)的脱敏牙膏的持续和每日两次的间歇性使用方案。

材料与方法

在这项探索性、单中心、随机、检查者盲法研究中,牙本质过敏受试者被随机分为持续(24周)使用含5% CSPS的牙膏组或间歇性使用该牙膏组,间歇性使用方案包括两个8周的治疗期,中间间隔8周使用标准含氟牙膏。通过触觉阈值(耶普尔探针)和蒸发(空气)敏感性(希夫敏感性评分)评估敏感性。其他测量指标包括用于评估受试者对蒸发刺激反应的标记量级量表、牙本质过敏体验问卷和一个牙齿敏感性问题。

结果

76名受试者被随机分为持续使用组(n = 38)或间歇性使用组(n = 38)。两种方案在第8、16和24周时,希夫敏感性评分均较基线有小幅但具有统计学意义的改善(均P < 0.05)。触觉阈值较基线的增加无统计学意义。任何终点指标在两种方案之间均未观察到显著差异。未报告与治疗相关的不良事件。

讨论

含5% CSPS的牙膏在24周内通过每日两次的间歇性和持续使用方案均改善了牙本质过敏,且耐受性良好。

结论

两种使用方案之间未观察到性能差异。

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