Clinical evaluation of preparations in the treatment of hypersensitivity in prosthetically treated patients. Part I. Patients using removable prosthetic supplements
Journal Title: Prosthodontics - Year 2015, Vol 65, Issue 2
Abstract
Introduction. Dentine hypersensitivity is a common clinical problem in everyday dentist's work. Nowadays, chemical methods have a variety of applications in treatment of painful ailments caused by this affliction. Among the gamut of various available preparations there is a lack of substances showing optimal therapeutic properties.Aim of the study. To evaluate clinically the activity and effectiveness of chosen preparations, namely Duraphat and Seal&Protect lacquers, Tooth Mousse toothpaste and Grean Or in prosthetically treated patients.Material and methods. The examination concerned 25 people with dentine hypersensitivity (100 teeth). In each patient different preparation was applied on a given hypersensitive tooth. The treatment effectiveness was evaluated by comparing the degree of pain intensity with thermal and mechanic stimuli before and directly after application of preparation, as well as on control examinations after 7 days and 6 weeks. Results. After a single application of Green Or and Tooth Mousse toothpaste dentine hypersensitivity was completely reduced in the teeth with mild hypersensitivity. In the teeth with medium sensitivity the effectiveness of the treatment with compound preparations ranged from 78% to 90%. The teeth with very high hypersensitivity were vulnerable to this treatment in 70%–80%. After a single application of Duraphat and Seal&Protect lacquers the improvement was obtained in 22%–66% of treated teeth. The repeated application of the lacquers increased their effectiveness to 50%–80%. On the control examination after 7 days no reaction to stimuli was observed in 72%–100% of teeth treated with compound preparations and in 50%–100% of those treated with lacquers. After 6 weeks of observations 70%–100% of teeth undergoing the therapy with the use of compound preparations and 55%–85% after application of fluoric preparations were free of pain.Conclusions. Compound preparations are characterised by the better therapeutic effectiveness than fluoric lacquers in reducing dentine hypersensitivity caused by abrasion of hard tissues by removable prosthetic supplements. They show fast and long-lasting activity in each group examined. The activity of fluoric lacquers is slower and weaker than that of compound preparations.
Authors and Affiliations
Bożena Jedynak, Robert Jedynak
Keywords
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