评估脱敏牙膏对治疗牙科过敏症的效果:体外研究

Supraja Pulipaka, Pavithra K Ramanna, Angel Samson, Narendra V Penumatsa, Deesha Kumari, Debasish Mishra, Nisreen N Hassan
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引用次数: 0

摘要

目的:本研究旨在评估两种脱敏牙膏治疗牙齿过敏症的效果:本次研究收集了 60 颗因牙齿矫正而拔除的人类前臼齿。在颊颈部,使用倒锥形钻凿出深 2 毫米、宽 3 毫米的牙洞。将样本块浸泡在 17% 的乙二胺四乙酸(EDTA)中 40 分钟,以确保牙本质小管完全开放。制备完成后,所有样本被分成三组,每组 20 个样本:对照组,B 组B 组:含有磷硅酸钙钠的牙膏;C 组:含有酪蛋白的牙膏:含酪蛋白磷酸肽-无定形磷酸钙(CPP-ACP)的牙膏。扫描电子显微镜(SEM)用于评估牙本质小管的闭塞情况。单因素方差分析(ANOVA)用于评估牙膏的脱敏功效。当 P 值小于 0.05 时,统计学意义成立:在使用不同的牙膏前,含 CPP-ACP 的牙膏组牙本质小管开放的最大(4.24 ± 0.10),其次是对照组(4.18 ± 0.01)和含磷硅酸钙钠的牙膏组(4.12 ± 0.06)。不同牙膏组之间没有明显差异(P > 0.001)。使用不同的牙膏后,发现含 CPP-ACP 的牙膏组的牙本质小管闭塞率最高(2.50 ± 0.05),其次是含磷硅酸钙钠的牙膏组(2.84 ± 0.10)和对照组(4.02 ± 0.07),不同牙膏组之间存在非常显著的差异(p < 0.001):结论:与对照组和含磷酸钙钠的牙膏相比,含 CPP-ACP 的牙膏表现出最高的牙本质小管闭塞水平:临床意义:牙本质过敏症(DH)是一种常见病。在治疗牙本质过敏症的过程中,人们使用了多种产品,但效果不一。牙科界需要一种能与牙本质小管发生化学反应、物理闭塞和紧密粘附的材料,以降低其复发的可能性。如何引用本文:Pulipaka S, Ramanna PK, Samson A, et al:体外研究。J Contemp Dent Pract 2024;25(5):494-497.
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Assessment of the Effectiveness of Desensitizing Dentifrices on Management of Dental Hypersensitivity: An In Vitro Study.

Aim: The current study aimed to assess the efficiency of two desensitizing dentifrices on the management of dental hypersensitivity.

Materials and methods: For the purpose of this investigation, 60 extracted human sound premolar teeth that were removed for orthodontic purposes were collected. On the buccal cervical areas, an inverted-cone bur was used to create cavities that were 2 mm deep and 3 mm wide. The blocks were submerged in 17% ethylenediaminetetraacetic acid (EDTA) for 40 minutes in order to ensure the complete dentin tubule opening. Following preparation, all samples were split into three groups, each containing 20 samples, Group A: Control, Group B: Dentifrice containing calcium sodium phosphosilicate, Group C: Dentifrice containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP). Scanning electron microscopy (SEM) was used to assess the occlusion of dentinal tubules. One-way analysis of variance (ANOVA) was used to assess the desensitization efficacy of dentifrices. At a p-value less than 0.05, statistical significance was determined.

Result: Before application of different dentifrices, the maximum dentinal tubules opened in dentifrice containing CPP-ACP group (4.24 ± 0.10) followed by control group (4.18 ± 0.01) and dentifrice containing calcium sodium phosphosilicate (4.12 ± 0.06). And there was no significant difference between the different dentifrice groups (p > 0.001). After application of different dentifrices, the highest occlusion of dentinal tubules found in dentifrice containing CPP-ACP group (2.50 ± 0.05) followed by dentifrice containing calcium sodium phosphosilicate (2.84 ± 0.10) and control group (4.02 ± 0.07) and there was a highly significant difference between the different dentifrice groups (p < 0.001).

Conclusion: On conclusion, dentifrice containing CPP-ACP exhibited the highest level of dentinal tubule occlusion in comparison to the control group and dentifrice containing calcium sodium phosphosilicate.

Clinical significance: Dentinal hypersensitivity (DH) is a condition that is frequently experienced. With variable outcomes, a number of products are utilized in the management of DH. Need is felt in dentistry for a material that chemically reacts, physically occludes and adheres intimately to dentinal tubules to reduce the possibility of its recurrence. How to cite this article: Pulipaka S, Ramanna PK, Samson A, et al. Assessment of the Effectiveness of Desensitizing Dentifrices on Management of Dental Hypersensitivity: An In Vitro Study. J Contemp Dent Pract 2024;25(5):494-497.

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来源期刊
Journal of Contemporary Dental Practice
Journal of Contemporary Dental Practice Dentistry-Dentistry (all)
CiteScore
1.80
自引率
0.00%
发文量
174
期刊介绍: The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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