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氟化物和含硅酸钠钙的牙膏治疗牙本质过敏症的对比评价。

Comparative evaluation of fluorinol and calcium sodium phosphosilicate-containing toothpastes in the treatment of dentin hypersensitivity.

机构信息

Department of Periodontology, JSS Dental College & Hospital, JSS Academy of Higher Education & Research, Mysuru, India.

出版信息

Int J Dent Hyg. 2021 Nov;19(4):421-428. doi: 10.1111/idh.12495. Epub 2021 Apr 16.

Abstract

BACKGROUND

Dentin hypersensitivity is one of the most commonly encountered clinical problems. Various desensitizing agents have been widely used in the management of dentin hypersensitivity. Fluorinol, a fluoride-containing agent, has shown to be effective in fluoridating the hydroxyapatite crystal and thus reduce enamel solubility. Calcium sodium phosphosilicate mechanically occludes open tubules and releases calcium and phosphorous to remineralize tooth structure.

OBJECTIVE

To compare and assess the efficacy of fluorinol-containing toothpaste with 7.5% sodium calcium phosphosilicate-containing toothpaste in reducing dentin hypersensitivity.

METHODOLOGY

Thorough oral prophylaxis was done, and the patients were subjected to the washout phase, after which they were randomly allocated to the two study groups, Group A-fluorinol-containing toothpaste, Group B-sodium calcium phosphosilicate-containing toothpaste. Patients were recalled on 2 , 3 and 4 weeks, and sensitivity was assessed using VAS scores by means of tactile, evaporative and cold water stimuli. Oral health-related quality of life was assessed using OHIP-14 questionnaire at baseline and 4 weeks.

RESULT

Compared to baseline, there was a significant decrease in dentin hypersensitivity in both the groups. The VAS scores for tactile stimuli were significantly lower in group A at 3 and 4 weeks.

CONCLUSION

Fluorinol-containing toothpaste was shown to be effective in reducing dentinal hypersensitivity. Hence, it can be used routinely in the management of dentin hypersensitivity.

摘要

背景

牙本质过敏是最常见的临床问题之一。各种脱敏剂已广泛用于牙本质过敏症的治疗。含氟化物的氟诺隆被证明能有效地氟化羟基磷灰石晶体,从而降低釉质溶解度。硅钙钠磷灰石通过机械阻塞开放的小管并释放钙和磷来使牙体结构再矿化。

目的

比较并评估含氟诺隆的牙膏与含 7.5%硅钙钠磷灰石的牙膏在减轻牙本质过敏方面的疗效。

方法

进行彻底的口腔预防,患者进入冲洗阶段,然后随机分配到两组,A 组-含氟诺隆的牙膏,B 组-含硅钙钠磷灰石的牙膏。患者在第 2、3 和 4 周进行随访,使用 VAS 评分通过触觉、蒸发和冷水刺激来评估敏感性。基线和 4 周时使用 OHIP-14 问卷评估口腔健康相关生活质量。

结果

与基线相比,两组的牙本质过敏症均有显著减轻。在第 3 和第 4 周,A 组的触觉刺激 VAS 评分明显降低。

结论

含氟诺隆的牙膏在减轻牙本质过敏方面有效。因此,它可以常规用于牙本质过敏症的治疗。

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