Abstract
Objective: To determine the differences in efficiency of four desensitizing agents in relieving dentin hypersensitivity in a time period of 2 weeks. Material and methods: 50 participants who responded positively to intraoral testing for dentin hypersensitivity using a split-mouth-designed study were recruited for the study. Sensitivity was assessed by means of thermal and thermal/evaporative stimuli using VAS (visual analogue scale). After recording the baseline scores, the patients were randomly assigned to treatment with the desensitising agents -Clinpro XT varnish (Group I), Gluma power gel (Group II), Bifluoride 12 varnish (Group III) , GC Tooth Mousse plus (Group IV). After 10 minutes the patient’s responses was recorded. The follow-up was done after 1week and again after 2 weeks from the time of application of the agents. Results: All the four desensitizing agents were successful in relieving the sensitivity of the patients. Multiple group comparison between groups showed highly significant differences, GroupI showed maximum effectiveness followed by Group IV, Group II,& Group III after 10mins. The effectiveness of agents after 1 week was in the same order. However after 2 weeks it was seen that group I was most effective followed by group II & group IV, with Group III being the least effective. Conclusion: Dental professionals need to understand the causes of dentin hypersensitivity.Once a diagnosis has been made and the factors have been identified a treatment plan can be outlined to the patient for the treatment of dentin hypersensitivity.
Highlights
Tooth sensitivity is a significant clinical problem which is frequently encountered in clinical practice which can be a very frustrating oral condition for both patients and clinicians alike[1, 2,3]
Dental hypersensitivity is referred as pain arising from exposed dentine, typically in response to tactile, thermal, chemical, or osmotic stimuli that cannot be explained as arising from any other form of dental defect or pathology
The participants were provided with detailed information, both orally and in written form, about the principles of treatment and purpose of the study. 3.2 Treatment Procedure: Sensitivity was assessed by means of thermal and thermal/evaporative stimuli
Summary
Tooth sensitivity is a significant clinical problem which is frequently encountered in clinical practice which can be a very frustrating oral condition for both patients and clinicians alike[1, 2,3]. The therapeutic aims of office and home based treatments are to interrupt the pulpal neural response or to block the sensitive mechanisms through tubule occlusion 2.It is a domain where man has continued his pursuit towards approximation of that gold standard for its management. The management of this condition requires a good understanding of the complexity of the problem, as well as a variety of treatments available. It is imperative that every dentist should have a basic understanding of this chronic condition
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