medigraphic.com
ISSN 0001-0944 (Impreso)
Órgano Oficial de la Asociación Dental Mexicana

2013, Número 2

<< Anterior Siguiente >>

Rev ADM 2013; 70 (2)


Eficacia clínica de una pasta desensibilizante de uso en consultorio a base de arginina al 8.0% y carbonato de calcio

Cepeda BJA, Pozos GAJ, Zermeño PM, Vázquez VFC

Idioma: Español
Referencias bibliográficas: 30
Paginas: 68-75
Archivo PDF: 332.84 Kb.


RESUMEN

Objetivo: Evaluar la eficacia clínica de una pasta desensibilizante de uso en consultorio a base de arginina al 8.0% y carbonato de calcio, comparada con una pasta pulidora libre de flúor en la reducción instantánea de la hipersensibilidad dentinaria posterior a un pulido dental. Material y métodos: Estudio clínico aleatorio doble ciego con grupos paralelos. Se incluyeron 40 sujetos de ambos sexos que respondieron con hipersensibilidad dentinaria a la prueba táctil (10-20 g Sonda Yeaple) y a la exposición de aire con un grado de 2 o 3 de acuerdo a la escala de Schiff. Los sujetos fueron aleatoriamente asignados a uno de los siguientes grupos: 1) Colgate® Sensitive Pro- Alivio™, pasta desensibilizante sin flúor para uso en el consultorio a base de arginina al 8.0% y carbonato de calcio (grupo experimental) y 2) pasta profiláctica sin flúor (grupo control). Se realizó una evaluación inicial y una posterior inmediatamente a la aplicación del tratamiento. Resultados: El grupo experimental mostró una reducción estadísticamente significativa de 101.4% en los registros de hipersensibilidad táctil (p ‹ 0.05) en comparación con el grupo control, que mostró sólo una reducción del 24.6% con respecto al registro inicial. En la prueba de aire, ambos grupos, experimental y control, mostraron una reducción estadísticamente significativa (65.8 y 36.9% respectivamente) (p ‹ 0.05); sin embargo, se observó un resultado superior en el grupo experimental. La diferencia entre ambos grupos fue estadísticamente significativa, mostrando mejores resultados el grupo experimental en comparación del grupo control en la reducción instantánea de la hipersensibilidad dentinaria (61.6 y 46.2%) (p ‹ 0.05). Conclusión: Los resultados muestran que una sola aplicación de la pasta desensibilizante a base de arginina al 8.0% y carbonato de calcio brinda un alivio instantáneo de la hipersensibilidad dentinaria, superior cuando se compara con el uso de una pasta libre de flúor usada como control.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Addy M. Dentine hypersensitivity: definition, prevalence, distribution and etiology. In: Addy M, Embery G, Edgar WM, Orchardson R. Tooth wear sensitivity: clinical advances in restorative dentistry. London: Martin Dunitz; 2000: 239-248.

  2. Cummins D. Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief. J Clin Dent 2009; 20: 1-9.

  3. Canadian Advisory Board on Dentin Hypersensitivity. Consensus-Based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Assoc 2003; 69: 221-226.

  4. Pashley DH, Tay FR, Haywood VB, Collins MA, Drisko CL. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. Inside Dentistry 2008; 4: 1-35.

  5. Dababneh RH, Khouri AT, Addy M. Dentine hypersensitivity- an enigma? a review of terminology, epidemiology, mechanisms, etiolgy and management. Br Dent J 1999; 187: 606-611.

  6. Nishida M, Katamsi D, Ucheda A et al. Hypersensitivity of the exposed root surface after surgical periodontal treatment. J Osaka Univ Dent Soc 1976; 16: 73-77.

  7. Gorman WJ. Prevalence and etiology of gingival recession. J Periodontol 1967; 38: 316-322.

  8. Brännström M. A hydrodynamic mechanism in the transmission of pain produced stimuli through the dentine. In: Anderson DJ. Sensory mechanisms in dentine. London: Pergamon Press; 1963: 73-79.

  9. Brännström M. Etiology of dentin hypersensitivity. Proc Finn Dent Soc 1992; 88: 7-13.

  10. Markowitz K, Kim S. The role of selected cations in the desensitization of intradental nerves. Proc Finn Dent Soc1992; 88 (Sup): 39-54.

  11. Cummins D. Advances in the clinical management of dentin hypersensitivity: a review of recent evidence for the efficacy of dentifrices in providing instant and lasting relief. J Clin Dent 2011; 22: 100-107.

  12. Pashley D, Tay FR, Haywood VB, Collins MA, Drisko CL. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. Comp Contin Educ Dent 2008; 29 (8 Suppl):1-35.

  13. Petrou I, Heu R, Stranick M, Lavender S, Zaidel L, Cummins D et al. A breakthrough therapy for dentin hypersensitivity: how dental products containing 8% arginine and calcium carbonate work to deliver effective relief of sensitive teeth. J Clin Dent 2009;20 (Sp Is):23-31.

  14. Kleinberg I. SensiStat. A new saliva-based composition for simple and effective treatment of dentinal sensitivity pain. Dent Today 2002; 21: 42-47.

  15. Ayad F, Ayad N, Zhang YP, DeVizio W, Cummins D, Mateo LR. Comparing the efficacy in reducing dentin hypersensitivity of a new toothpaste containing 8.0% arginine, calcium carbonate, and 1450 ppm fluoride to a commercial sensitive toothpaste containing 2% potassium ion: an eight-week clinical study on Canadian adults. J Clin Dent 2009; 20: 10-16.

  16. Du Min Q, Bian Z, Jiang H, Greenspan DC, Burwell AK, Zhong J et al. Clinical evaluation of a dentifrice containing calcium sodium phosphosilicate (novamin) for the treatment of dentin hypersensitivity. Am J Dent 2008; 21: 210-214.

  17. Petrou I, Heu R, Stranick M, Lavender S, Zaidel L, Cummins D et al. A breakthrough therapy for dentin hypersensitivity: how dental products containing 8% arginine and calcium carbonate work to deliver effective relief of sensitive teeth. J Clin Dent 2009: 20: 23-31.

  18. Gaffar A. Treating hypersensitivity with fluoride varnishes. Compend Contin Educ Dent 1998; 19: 1088-1097.

  19. Renton-Harper P, Midda M. NdYAG laser treatment of dentinal hypersensitivity. Br Dent J 1992; 172: 13-26.

  20. Nagata T, Nishida H, Shinohara H, Nishikawas S, Kasahara S, Wakano Y et al. Clinical evaluation of a potassium nitrate dentifrice for the treatment of dentinal hypersensitivity. J ClinPeriodontol 1994; 21: 217-221.

  21. Seong J, Macdonald E, Newcombe RG, Davies M, Jones SB, Johnson S et al. In situ randomized trial to investigate the occluding properties of two desensitizing toothpastes on dentine after subsequent acid challenge. Clin Oral Investig 2013; 9: 195-203.

  22. Biesbrock AR, Gerlach RW, Bollmer BW, Faller RV, Jacobs SA, Bartizek RD. Relative anti-caries efficacy of 1100, 1700, 2200, and 2800 ppm fluoride ion in a sodium fluoride dentifrice over 1 year. Community Dent Oral Epidemiol 2001; 29: 382-389.

  23. Panagakos F, Schiff T, Guignon A. Dentin hypersensitivity: effective treatment with an in-office desensitizing paste containing 8% arginine and calcium carbonate. Am J Dent 2009; 22: 3-7.

  24. Docimo R, Perugia C, Bartolino M, Maturo P, Montesani L, Zhang Y et al. Comparative evaluation of the efficacy of three commercially available toothpastes on dentin hypersensitivity reduction: an eight-week clinical study. J Clin Dent 2011; 22: 121-127.

  25. Cummins D. Clinical evidence for the superior efficacy of a dentifrice containing 8.0% arginine and calcium carbonate in providing instant and lasting relief of dentin hypersensitivity. J Clin Dent 2011; 22: 97-99.

  26. Schiff T, Delgado E, Zhang YP, Cummins D, DeVizio W, Mateo LR. Clinical evaluation of the efficacy of an in-office desensitizing paste containing 8% arginine and calcium carbonate in providing instant and lasting relief of dentin hypersensitivity. Am J Dent 2009; 22: 8-15.

  27. Addy M. Dentine hypersensitivity-a review. Clinical and in vitro evaluation of treatment agents. J Clin Periodontol 1983; 10: 351-363.

  28. Rösing CK, Fiorini T, Liberman DN, Cavagni J. Dentine hypersensitivity: analysis of self-care products. Braz Oral Res 2009; 23 (Suppl 1): 56-63.

  29. Mason S, Hughes N, Sufi F, Bannon L, Maggio B, North M et al. A comparative clinical study investigating the efficacy of a dentifrice containing 8% strontium acetate and 1040 ppm fluoride in a silica base and a control dentifrice containing 1450 ppm fluoride in a silica base to provide immediate relief of dentin hypersensitivity. J Clin Dent 2010; 21: 42-48.

  30. Fu Y, Li X, Que K, Wang M, Hu D, Mateo LR et al. Instant dentin hypersensitivity relief of a new desensitizing dentifrice containing 8% arginine, a high cleaning calcium carbonate system and 1450 ppm fluoride. A 3-day clinical study in Chengdu, China. Am J Dent 2010; 23: 21-28.




2020     |     www.medigraphic.com