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生物活性玻璃和精氨酸牙膏在非手术牙周治疗后可立即缓解牙本质过敏:一项随机对照试验。

Bioactive glass and arginine dentifrices immediately relieved dentine hypersensitivity following non-surgical periodontal therapy: A randomized controlled trial.

作者信息

Ongphichetmetha Napassorn, Lertpimonchai Attawood, Champaiboon Chantrakorn

机构信息

Department of Periodontology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Center of Excellence in Periodontal Disease and Dental Implants, Chulalongkorn University, Bangkok, Thailand.

出版信息

J Periodontol. 2022 Feb;93(2):246-255. doi: 10.1002/JPER.21-0091. Epub 2021 Jun 22.

Abstract

BACKGROUND

There is no report concerning calcium sodium phosphosilicate (CSPS) and arginine dentifrices in reducing dentine hypersensitivity (DH) in patients undergoing non-surgical periodontal therapy. The aim of the study was to compare the efficacy of a dentifrice containing bioactive glass, 5% CSPS, and 8% arginine dentifrice in relieving DH in patients undergoing non-surgical therapy.

METHODS

Using a double-blind randomized controlled trial, 45 volunteers with DH following non-surgical therapy were immediately applied with one of three dentifrices containing: 5% CSPS, 8% arginine, or control on DH teeth. The participants then continued to brush twice daily for 8 weeks. DH was assessed using the Schiff cold air sensitivity scale and tactile tests at baseline, immediately after application, and up to 8 weeks.

RESULTS

The Schiff analysis revealed that the CSPS dentifrice significantly reduced DH immediately and declined through week 8. The arginine group demonstrated reduced DH through week 2. In contrast, DH reduction in the control began later at week 1. The visual analog scale analysis demonstrated that only CSPS had a significantly reduced percentage DH at the immediate, 2, 4, and 8 weeks compared with the baseline. The percentage of patients with DH (Schiff score ≥2) in the CSPS and arginine groups reduced to ≈ 50% after the in-office application. The number of DH patients treated with CSPS then decreased to 9% at the 2-week evaluation.

CONCLUSION

The CSPS and arginine dentifrices were beneficial in reducing periodontitis patient's discomfort, immediately and in the first 2 weeks following non-surgical periodontal therapy.

摘要

背景

关于磷酸硅钙钠(CSPS)和精氨酸牙膏在非手术牙周治疗患者中降低牙本质过敏(DH)方面尚无报道。本研究的目的是比较含生物活性玻璃、5% CSPS和8%精氨酸的牙膏在缓解非手术治疗患者DH方面的疗效。

方法

采用双盲随机对照试验,对45名非手术治疗后患有DH的志愿者,立即在其DH牙齿上使用三种牙膏中的一种,分别含有5% CSPS、8%精氨酸或作为对照。参与者随后继续每天刷牙两次,持续8周。在基线、应用后立即以及长达8周时,使用希夫冷空气敏感量表和触觉测试评估DH。

结果

希夫分析显示,CSPS牙膏在应用后立即显著降低DH,并在第8周时持续下降。精氨酸组在第2周时DH有所降低。相比之下,对照组的DH降低在第1周开始得较晚。视觉模拟量表分析表明,与基线相比,只有CSPS在应用后立即、第2、4和8周时DH降低百分比显著。在诊所应用后,CSPS组和精氨酸组中DH患者(希夫评分≥2)的百分比降至约50%。在2周评估时,接受CSPS治疗的DH患者数量降至9%。

结论

CSPS和精氨酸牙膏在非手术牙周治疗后立即及最初2周内,有助于减轻牙周炎患者的不适。

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