2021International Journal of Dental HygieneRequires access

Comparative evaluation of fluorinol and calcium sodium phosphosilicate‐containing toothpastes in the treatment of dentin hypersensitivity

Eeshita Bhowmik, Deepika Pawar Chandrashekhar, Manohar Sharma Hareesha

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Abstract

Abstract Background Dentin hypersensitivity is one of the most commonly encountered clinical problems. Various desensitizing agents have been widely used in the management of dentin hypersensitivity. Fluorinol, a fluoride‐containing agent, has shown to be effective in fluoridating the hydroxyapatite crystal and thus reduce enamel solubility. Calcium sodium phosphosilicate mechanically occludes open tubules and releases calcium and phosphorous to remineralize tooth structure. Objective To compare and assess the efficacy of fluorinol‐containing toothpaste with 7.5% sodium calcium phosphosilicate‐containing toothpaste in reducing dentin hypersensitivity. Methodology Thorough oral prophylaxis was done, and the patients were subjected to the washout phase, after which they were randomly allocated to the two study groups, Group A—fluorinol‐containing toothpaste, Group B—sodium calcium phosphosilicate‐containing toothpaste. Patients were recalled on 2nd, 3rd and 4th weeks, and sensitivity was assessed using VAS scores by means of tactile, evaporative and cold water stimuli. Oral health‐related quality of life was assessed using OHIP‐14 questionnaire at baseline and 4 weeks. Result Compared to baseline, there was a significant decrease in dentin hypersensitivity in both the groups. The VAS scores for tactile stimuli were significantly lower in group A at 3rd and 4th weeks. Conclusion Fluorinol‐containing toothpaste was shown to be effective in reducing dentinal hypersensitivity. Hence, it can be used routinely in the management of dentin hypersensitivity.

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Abstract Background Dentin hypersensitivity is one of the most commonly encountered clinical problems. Various desensitizing agents have been widely used in the management of dentin hypersensitivity. Fluorinol, a fluoride‐containing agent, has shown to be effective in fluoridating the hydroxyapatite crystal and thus reduce enamel solubility. Calcium sodium phosphosilicate mechanically occludes open tubules and releases calcium and phosphorous to remineralize tooth structure. Objective To compare and assess the efficacy of fluorinol‐containing toothpaste with 7.5% sodium calcium phosphosilicate‐containing toothpaste in reducing dentin hypersensitivity. Methodology Thorough oral prophylaxis was done, and the patients were subjected to the washout phase, after which they were randomly allocated to the two study groups, Group A—fluorinol‐containing toothpaste, Group B—sodium calcium phosphosilicate‐containing toothpaste. Patients were recalled on 2nd, 3rd and 4th weeks, and sensitivity was assessed using VAS scores by means of tactile, evaporative and cold water stimuli. Oral health‐related quality of life was assessed using OHIP‐14 questionnaire at baseline and 4 weeks. Result Compared to baseline, there was a significant decrease in dentin hypersensitivity in both the groups. The VAS scores for tactile stimuli were significantly lower in group A at 3rd and 4th weeks. Conclusion Fluorinol‐containing toothpaste was shown to be effective in reducing dentinal hypersensitivity. Hence, it can be used routinely in the management of dentin hypersensitivity.

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Available abstract

Abstract Background Dentin hypersensitivity is one of the most commonly encountered clinical problems. Various desensitizing agents have been widely used in the management of dentin hypersensitivity. Fluorinol, a fluoride‐containing agent, has shown to be effective in fluoridating the hydroxyapatite crystal and thus reduce enamel solubility. Calcium sodium phosphosilicate mechanically occludes open tubules and releases calcium and phosphorous to remineralize tooth structure. Objective To compare and assess the efficacy of fluorinol‐containing toothpaste with 7.5% sodium calcium phosphosilicate‐containing toothpaste in reducing dentin hypersensitivity. Methodology Thorough oral prophylaxis was done, and the patients were subjected to the washout phase, after which they were randomly allocated to the two study groups, Group A—fluorinol‐containing toothpaste, Group B—sodium calcium phosphosilicate‐containing toothpaste. Patients were recalled on 2nd, 3rd and 4th weeks, and sensitivity was assessed using VAS scores by means of tactile, evaporative and cold water stimuli. Oral health‐related quality of life was assessed using OHIP‐14 questionnaire at baseline and 4 weeks. Result Compared to baseline, there was a significant decrease in dentin hypersensitivity in both the groups. The VAS scores for tactile stimuli were significantly lower in group A at 3rd and 4th weeks. Conclusion Fluorinol‐containing toothpaste was shown to be effective in reducing dentinal hypersensitivity. Hence, it can be used routinely in the management of dentin hypersensitivity.

Key concepts: Toothpaste, Dentin hypersensitivity, Medicine, Dentistry, Dentin, Dentine hypersensitivity, Dentifrice, Calcium

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