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一种实验性封闭技术牙膏缓解牙本质敏感的疗效:一项为期 8 周的随机对照试验。

Efficacy of an Experimental Occlusion Technology Toothpaste in the Relief of Dentinal Hypersensitivity: An 8-week Randomised Controlled Trial.

出版信息

Oral Health Prev Dent. 2021 Mar 17;19:195-202. doi: 10.3290/j.ohpd.b1075109.

Abstract

PURPOSE

A novel anhydrous toothpaste formulation has been developed containing the anti-dentinal hypersensitivity (DH) ingredient stannous fluoride (SnF2).

MATERIALS AND METHODS

This randomised, controlled, examiner-blind, parallel-group, stratified (by baseline Schiff sensitivity score) study compared efficacy of an experimental 'Test' toothpaste (n = 67) containing 0.454% SnF2, 0.072% sodium fluoride and 5% sodium tripolyphosphate (all percentages w/w) with a negative 'Control' 0.76% sodium monofluorophosphate toothpaste (n = 68) in relieving DH in healthy Chinese adults. After 4-6 weeks acclimatisation, DH was assessed at baseline and following 4 and 8 weeks' twice-daily brushing by response to evaporative (air) (Schiff sensitivity score) and tactile (Yeaple probe) stimuli. An analysis of covariance model was used (factor: treatment group; covariate: baseline Schiff sensitivity score).

RESULTS

Both Test and Control toothpastes statistically significantly reduced Schiff sensitivity score from baseline after 8 weeks' use; the Test toothpaste also statistically significantly reduced the score after 4 weeks' use (all p < 0.001). The Test toothpaste reduction was statistically significantly superior to the Control toothpaste reduction at both timepoints (p < 0.001). Percentage differences in treatment effects between Test and Control groups were 24.1% at 4 weeks and 31.7% at 8 weeks. Tactile threshold scores for both treatments statistically significantly increased from baseline at both timepoints (all p < 0.001); however, there were no statistically significant differences between Test and Control groups. Both toothpastes were well-tolerated with no adverse events reported.

CONCLUSION

The Test toothpaste containing 0.454% SnF2 reduced DH statistically significantly more than the Control as evaluated by the Schiff sensitivity score, but not by tactile threshold.

摘要

目的

开发了一种新型无水牙膏配方,其中包含抗牙本质敏感(DH)成分氟化亚锡(SnF2)。

材料和方法

这项随机、对照、盲法、平行组、分层(根据基线 Schiff 敏感性评分)研究比较了含有 0.454% SnF2、0.072% 氟化钠和 5%三聚磷酸钠(均为重量百分比)的实验性“试验”牙膏(n=67)与含有 0.76%单氟磷酸钠的阴性“对照”牙膏(n=68)在缓解健康中国成年人 DH 方面的疗效。经过 4-6 周的适应期后,在基线和使用 4 周和 8 周每天两次刷牙后,通过对蒸发(空气)(Schiff 敏感性评分)和触觉(Yeaple 探针)刺激的反应评估 DH。使用协方差分析模型(因子:治疗组;协变量:基线 Schiff 敏感性评分)。

结果

试验牙膏和对照牙膏在使用 8 周后均能从基线统计学显著降低 Schiff 敏感性评分;试验牙膏在使用 4 周后也统计学显著降低评分(均 p<0.001)。在两个时间点,试验牙膏的降低均统计学显著优于对照牙膏的降低(均 p<0.001)。试验组和对照组之间的治疗效果差异百分比在 4 周时为 24.1%,8 周时为 31.7%。两种治疗的触觉阈值评分在两个时间点均从基线统计学显著增加(均 p<0.001);然而,试验组和对照组之间无统计学显著差异。两种牙膏均耐受良好,无不良事件报告。

结论

含有 0.454% SnF2 的试验牙膏在 Schiff 敏感性评分评估的 DH 缓解方面统计学显著优于对照牙膏,但在触觉阈值方面无统计学显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f7f/11641382/93beb7d16113/ohpd-19-195-g001.jpg

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