Control of dentin/root sensitivity during non-surgical and surgical periodontal treatment.

Abstract

AIM:

To determine the efficacy of a desensitizing regimen compared to a control in preventing the occurrence and/or alleviating dentin/root sensitivity (DRS) following non-surgical (NSPT) and surgical periodontal treatment (SPT).

METHODS:

Seventy-four chronic-periodontitis patients (CPP) were randomized into a test group (n = 38) using an in-office prophylaxis paste and a toothpaste at home both containing 8% arginine and calcium carbonate (Pro-Argin(™) Technology) or into a control group (n = 36) receiving a fluoride-free prophylaxis paste and a fluoride toothpaste. The examiner applied the assigned paste onto selected teeth for 3 s following NSPT and for 60 s before flap closure. Patients brushed with the assigned toothpaste twice daily throughout the study. DRS to air stimulus was assessed by the Schiff scale (0-3) and the Visual Analog Scale (VAS: 0-100 mm) six times over 17 weeks.

RESULTS:

In the test group, VAS scores significantly decreased at 8, 11 and 17 weeks from baseline (p ≤ 0.003) and Schiff scores at 8 and 11 weeks from baseline (p ≤ 0.014). The control group exhibited significant increases in VAS and Schiff during the study period (p ≤ 0.006). Marked inter-group differences were noted at all time points (p < 0.001).

CONCLUSIONS:

The combined use of desensitizing products (8% arginine and calcium carbonate) in-office and at-home prevented DRS development and maintained this effect for 17 weeks following NSPT and SPT.

• Authors: Nantin Panagiota Giassin, Danae Anastasia Apatzidou, Katerina Solomou, Luis R Mateo, Fotinos S Panagakos, Antonis Konstantinidis
• Journal: Journal of clinical periodontology (J Clin Periodontol) Vol. 43 Issue 2 Pg. 138-46 (Feb 2016) ISSN: 1600-051X [Electronic] United States
• PMID: 26660591 (Publication Type: Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
• Copyright: © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Chemical References

• Dentin Desensitizing Agents
• Toothpastes
• Arginine
• Fluorides

Topics

• Arginine
• Dentin
• Dentin Desensitizing Agents
• Dentin Sensitivity (drug therapy)
• Double-Blind Method
• Female
• Fluorides
• Follow-Up Studies
• Humans
• Male
• Periodontal Diseases
• Toothbrushing
• Toothpastes
• Touch
• Treatment Outcome