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一项比较脱敏牙膏缓解牙本质敏感疗效的随机临床试验。

A randomized clinical trial for comparing the efficacy of desensitizing toothpastes on the relief of dentin hypersensitivity.

机构信息

Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, 02447, Seoul, Republic of Korea.

出版信息

Sci Rep. 2023 Mar 31;13(1):5271. doi: 10.1038/s41598-023-31616-6.

Abstract

The 4-week double-blind clinical trial to manage dentin hypersensitivity (DH) using different desensitizing toothpastes was conducted. 53 participants with DH were enrolled in this trial. The participants were randomized into 3 groups: Group N; no active ingredient-containing toothpaste (Pleasia fluoride-free), Group SC; a toothpaste containing strontium chloride (Sensodyne Original), and Group TP; a toothpaste containing tricalcium phosphate (Vussen S). They were instructed to brush their teeth manually for 3 min, 3 times per day for 4 weeks with the allocated toothpastes, and were assessed at baseline (0), 2, and 4 weeks, respectively. Schiff sensitivity score was recorded to 3 different stimuli (air-blast, cold, and acid) at each assessment. Overall DH was also assessed using a visual analog scale (VAS). The longer participants used the toothpastes, the greater reduction in DH in all groups to the three stimuli. Group TP demonstrated significant reduction of DH compared to group N for air-blast and cold stimuli. Group TP showed significantly lower VAS than group N and SC. Tricalcium phosphate containing toothpaste used in this trial was most useful to reduce DH. It can be one of the treatment options that alleviate DH.

摘要

一项为期 4 周的双盲临床试验旨在使用不同的脱敏牙膏来治疗牙本质敏感症(DH)。共有 53 名 DH 患者参与了这项试验。参与者被随机分为 3 组:N 组,不含有效成分的牙膏(Pleasia 无氟牙膏);SC 组,含氯化锶的牙膏(Sensodyne Original);TP 组,含磷酸三钙的牙膏(Vussen S)。他们被指示使用分配的牙膏每天手动刷牙 3 分钟,每天 3 次,持续 4 周,并分别在基线(0 周)、第 2 周和第 4 周进行评估。在每次评估时,使用 Schiff 敏感评分记录 3 种不同刺激(空气喷溅、冷和酸)的敏感程度。总体 DH 也使用视觉模拟评分(VAS)进行评估。参与者使用牙膏的时间越长,所有组对三种刺激的 DH 减少幅度越大。与 N 组相比,TP 组在空气喷溅和冷刺激方面的 DH 减少更为显著。与 N 组和 SC 组相比,TP 组的 VAS 显著更低。本试验中使用的含磷酸三钙的牙膏对减轻 DH 最有效。它可以成为缓解 DH 的治疗选择之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88f1/10066268/4557fe8423a9/41598_2023_31616_Fig1_HTML.jpg

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