Clinical efficacy of toothpaste containing potassium citrate in treating dentin hypersensitivity
Article Outline
Background/purpose
Many adults suffer from sensitivity, and dentin hypersensitivity is most commonly the result of exposed dentin which can sometimes trigger pain or discomfort when eating, drinking or simply brushing. The purpose of this study was to evaluate the clinical efficacy of desensitizing toothpaste containing potassium citrate in treating dentin hypersensitivity.
Materials and methods
This study was performed at the Department of Periodontics, Chung Shan Medical University Hospital. In total, 172 volunteers who provided informed consent were included in the study. A visual analog scale (VAS) was used to indicate dentin sensitivity in response to an air stimulus. Participants who had a VAS score of 30-80 were qualified for the study and were provided with their assigned desensitizing toothpaste containing potassium citrate (Colgate Sensitive Multi Protection) and a soft-bristled adult toothbrush for home use. After 4 weeks, the hypersensitive teeth were examined again, and the VAS score was also recorded.
Results
In this study, 38% (65/172) participants were found to suffer from dentin hypersensitivity, 40 persons who reported VAS scores of 30-80 were qualified for the clinical trial. Among these, 34 (85%) participants reported reduced dentin hypersensitivity after using the desensitizing toothpaste containing potassium cit-rate for 4 weeks. The mean value of the VAS score prior to the use of the toothpaste was 50.72, while the mean value of the VAS score after use was 30.68. The use of Colgate Sensitive Multi Protection was found to significantly reduce dentin hypersensitivity after 4 weeks (P < 0.01).
Conclusion
The prevalence of dentin hypersensitivity in this study was 38%. The use of desensitizing toothpaste containing potassium citrate with oral hygiene instruction can effectively reduce dentin hypersensitivity.
Key words: dentin hypersensitivity , potassium citrate , toothpaste , visual analog scale
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References
- . Etiology and clinical implications of dentine hypersensitivity . Dent Clin North Am . 1990;34:503–514
- . Prevalence of dentine hypersensitivity in a general dental population . J Ir Dent Assoc . 1997;43:7–9
- . Tooth hypersensitivity in the spectrum of pain . Dent Clin North Am . 1990;34:429–437
- . The differential diagnosis of sensitive teeth . Dent Update . 1998;25:462–466
- . Dentinal sensation and hypersensitivity: a review of mechanisms and treatment alternatives . J Periodontol . 1984;56:216–222
- . Dentinal hypersensitivity: a review . J Contemp Dent Pract . 2005;6:107–117
- . Dentine hypersensitivity—a review . J Clin Periodontol . 1983;10:341–350
- . Dentine hypersensitivity—an enigma? A review of terminology, epidemiology, mechanisms, aetiology and management . Br Dent J . 1999;187:606–611
- . In: A Hydrodynamic Mechanism in the Transmission of Pain Producing Stimuli Through the Dentine . Oxford: Pergamon; 1962;p. 73–79
- . The effect of a new toothpaste containing potassium nitrate and triclosan on gingival health, plaque formation and dentine hypersensitivity . J Clin Periodontol . 2005;32:53–58
- . Assessment of pain in cervical dentinal sensitivity studies: a review . J Clin Periodontol . 1993;20:383–394
- . Designing hypersensitivity clinical studies . Dent Clin North Am . 1990;34:531–544
- . Graphic representation of pain . Pain . 1976;2:175–184
- . The efficacy of three desensitizing agents in treatment of dentine hypersensitivity . J Clin Pharm Ther . 2005;30:73–76
- . Morbidity, prevalence and intraoral distribution of hypersensitive teeth . J Dent Res . 1977;56(Spec Iss A):162; [Abstract 479]
- . Prevalence and distribution of cervical dentin hypersensitivity in a population in Taipei, Taiwan . J Endod . 1998;24:45–47
- . Clinical effectiveness of a dentifrice containing potassium chloride as a desensitizing agent . Am J Dent . 1992;5:303–306
- . Dentine hypersensitivity: preventive and therapeutic approaches to treatment . Periodontol 2000 . 2008;48:31–41
- . Mechanisms of dentin sensitivity . Dent Clin North Am . 1990;34:449–473
- . Methodological problems in the measurement of pain: a comparsion between the verbal rating scale and the visual analogue scale . Pain . 1975;1:379–384
- . Desensitizing effect of a potassium chloride dentifrice . Am J Dent . 1994;7:9–12
- . Use of multiple sensitivity measurements and logit statistical analysis to assess the effectiveness of a potassium-citrate-containing dentifrice in reducing dentinal hypersensitivity . J Clin Periodontol . 1992;19:256–261
- Comparative investigations of the desensitizing efficacy of a new dentifrice . J Clin Periodontol . 2001;28:1032–1036
- . Decreasing intradental nerve activity in the cat with potassium and divalent cations . Arch Oral Biol . 1991;36:1–7
- . Effects of potassium ions on action potential conduction in Aand C-fibers of rat spinal nerves . J Dent Res . 1995;74:634–641
- . Action potential conduction block of nerves in vitro by potassium citrate, potassium tartrate and potassium oxalate . J Clin Periodontol . 1999;26:33–37
PII: S1991-7902(09)60023-4
doi:10.1016/S1991-7902(09)60023-4
© 2009 Association for Dental Sciences of The Republic of China. Published by Elsevier Inc. All rights reserved.
