Abstract

Tubule occlusion and remineralization are considered the two main goals of dentin hypersensitivity treatment. The objective is to assess the ability of dentifrices containing zinc-doped polymeric nanoparticles (NPs) to enduringly occlude the dentinal tubules, reinforcing dentin’s mechanical properties. Fifteen dentin surfaces were acid-treated for dentinal tubule exposure and brushed with (1) distilled water, or with experimental pastes containing (2) 1% of zinc-doped NPs, (3) 5% of zinc-doped NPs, (4) 10% of zinc-doped NPs or (5) Sensodyne®. Topographical and nanomechanical analyses were performed on treated dentin surfaces and after a citric acid challenge. ANOVA and Student–Newman–Keuls tests were used (p < 0.05). The main results indicate that all pastes produced tubule occlusion (100%) and reinforced mechanical properties of intertubular dentin (complex modulus was above 75 GPa). After the citric acid challenge, only those pastes containing zinc-doped NPs were able to maintain tubular occlusion, as specimens treated with Sensodyne® have around 30% of tubules opened. Mechanical properties were maintained for dentin treated with Zn-doped NPs, but in the case of specimens treated with Sensodyne®, complex modulus values were reduced below 50 GPa. It may be concluded that zinc-doped NPs at the lowest tested concentration produced acid-resistant tubular occlusion and increased the mechanical properties of dentin.

Highlights

  • Regarding dental pathology, a change of paradigm has been witnessed

  • In Europe, the prevalence of non-carious lesions is high in young adults (18–35 years), where 42% suffer from Dental Hypersensitivity (DH) [2]

  • After submitting the samples to the citric acid challenge, specimens brushed with distilled water (Figure 1b) showed open tubules

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Summary

Introduction

Non-carious lesions have increased considerably, leading to Dental Hypersensitivity (DH), the prevalence of which has been reported to be between 4–74%, varying between different populations [1]. The theory states that the dentin hypersensitivity is characterized by a stimulus-induced fluid flow inside the dentinal tubules, followed by a nociceptor activation at the dentino-pulpal space [5]. This is why the dentinal tubules exposure to the oral cavity, caused by a loss of oral tissue (i.e., enamel, cementum or surrounding soft tissue) will lead to DH [6]. This is the reason that tubule occlusion and dentin remineralization are to be considered the main objectives of DH treatment [7,8]

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