Dentin hypersensitivity reduction using an arginine-based approach after non-surgical periodontal treatment.

Abstract

PURPOSE:

To determine the efficacy of two oral hygiene regimens in the reduction of dentin hypersensitivity (DH) on subjects undergoing non-surgical periodontal treatment (NST), over a period of 8 weeks.

METHODS:

60 subjects that were randomly assigned to: Test group - NST followed in-office application of an arginine-based professional paste and toothbrushing with arginine-based toothpaste at home (n= 30) and Control group - NST followed in-office application of a fluoride-free prophylaxis paste and toothbrushing with a toothpaste based on sodium monofluorophosphate 0.76%, at home (n= 30). Air blast sensitivity assessments were made using the Schiff scale. The sensitivity parameters were measured at baseline, 1, 4 and 8 weeks.

RESULTS:

After 1 week, DH reduction was statistically significant for the test group (63.6%) compared to baseline, while no significant reduction was observed for the Control group (4.8%). After 4-8 weeks, the reductions were 81.6%/86.3% for the test group and 9.5%/14.2% for the Control group. When comparing the two groups, the test group showed a superior DH reduction in all evaluation periods (P< 0.05). Within the limits of the present study, it was concluded that the test oral hygiene regimen can effectively reduce dentin hypersensitivity during the most critical period after non-surgical periodontal treatment (up to 8 weeks).

CLINICAL SIGNIFICANCE:

The arginine-based approach provided significantly greater dentin hypersensitivity (DH) relief after non-surgical periodontal treatment (NST) when compared to the control. The combination of the in-office paste application with the daily used toothpaste may be a useful tool to reduce DH, an unpleasant and common condition that affects a large number of subjects, particularly during the initial weeks following NST.

• Authors: Isabela Lima França-Grohmann, João Menck Sangiorgio, Renato Corrêa Viana Casarin, Márcio Zaffalon Casati, Antonio Wilson Sallum, Enilson Antonio Sallum
• Journal: American journal of dentistry (Am J Dent) Vol. 29 Issue 5 Pg. 271-276 (Oct 2016) ISSN: 0894-8275 [Print] United States
• PMID: 29178740 (Publication Type: Journal Article, Randomized Controlled Trial)

Chemical References

• Dentifrices
• Dentin Desensitizing Agents
• Arginine

Topics

• Adult
• Aged
• Arginine (therapeutic use)
• Chronic Periodontitis (therapy)
• Dentifrices (therapeutic use)
• Dentin Desensitizing Agents (therapeutic use)
• Dentin Sensitivity (prevention & control)
• Double-Blind Method
• Female
• Humans
• Male
• Middle Aged
• Toothbrushing
• Treatment Outcome