Abstract

ObjectiveObjective was to investigate the effect of NovaMin toothpaste and two experimental toothpastes on surface microhardness of hypersensitive dentin.MethodsEighty specimens were prepared and divided randomly into eight groups (n = 10/group) according to the tested toothpastes (NovaMin, moringa and propolis toothpastes) and the acidic challenge (with or without 6% citric acid challenge). Enamel surfaces were removed, and the dentin surfaces were exposed on which the three tested toothpastes were brushed twice a day for 1 week using an electric toothbrush, then a 4-d citric acid cycling model with pH 5 was performed. The prepared specimens were stored in artificial saliva until the microhardness test was performed. Statistical analysis was done using One-way ANOVA followed by Tukey post hoc test.ResultsNovaMin-containing toothpaste showed an increased dentin surface microhardness following a week of twice daily brushing compared to other groups. However, NovaMin-containing toothpaste showed the highest microhardness values following pH cycling with citric acid of pH 5 compared to other tested groups.ConclusionsNovaMin-containing toothpaste showed a partial recovery of dentin microhardness at pH 5 during the acidic challenge. Moreover, propolis- and moringa-containing toothpastes had an insignificant effect on dentin surface microhardness with and without citric acid challenge.

Highlights

  • Dentin hypersensitivity is a widely prevalent dental condition that is frequently found within adults with a variable incidence

  • The data of no citric acid challenge groups revealed that; the highest mean dentin microhardness value was found in NovaMin group (B1) (59.62 ± 0.82), while the least mean dentin microhardness value was recorded for Moringa (C1) (47.78 ± 1.00)

  • A statistically significant difference was found between NovaMin group (B1) and each of Moringa (C1) and Propolis (D1) groups where (p = 0.001)

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Summary

Introduction

Dentin hypersensitivity is a widely prevalent dental condition that is frequently found within adults with a variable incidence. It can be defined as “short, sharp snapping pain of an exposed dentin surface in response to different stimuli, that might be tactile, evaporative, thermal, chemical or osmotic that cannot be attributed to any other form of dental pathology” (Addy 2005). NovaMin which is a calcium sodium phospho-silicate product was originally developed to help in case of bone regeneration. It was found to react with saliva releasing sodium, calcium and phosphate leading to formation of hydroxycarbonate apatite that deposits over the dentin surface and inside the dentinal tubules assisting teeth remineralization and acting as a desensitizing agent (Ananthakrishna et al 2012). Herbal medicine employs a wide number of natural herbal products including chitosan, green tea, miswak, propolis, moringa and many more

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