Journal of Dental Sciences
Volume 4, Issue 4 , Pages 173-177, December 2009

Clinical efficacy of toothpaste containing potassium citrate in treating dentin hypersensitivity

  • Shih-Ya Shen

      Affiliations

    • Graduate School of Dentistry, Chung Shan Medical University, Taichung, Taiwan
    • Department of Periodontics, Chung Shan Medical University Hospital, Taichung, Taiwan
  • ,
  • Chung-Hung Tsai

      Affiliations

    • Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
  • ,
  • Li-Chiu Yang

      Affiliations

    • Department of Periodontics, Chung Shan Medical University Hospital, Taichung, Taiwan
  • ,
  • Yu-Chao Chang

      Affiliations

    • Graduate School of Dentistry, Chung Shan Medical University, Taichung, Taiwan
    • Department of Periodontics, Chung Shan Medical University Hospital, Taichung, Taiwan
    • Corresponding Author InformationCorresponding author. Graduate School of Dentistry, Chung Shan Medical University, 110, Chien-Kuo North Road, Section 1, Taichung 40201, Taiwan

Received 17 August 2009; accepted 20 November 2009.

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 

  1. Addy M . Etiology and clinical implications of dentine hypersensitivity . Dent Clin North Am . 1990;34:503–514
  2. Irwin C , McCusker P . Prevalence of dentine hypersensitivity in a general dental population . J Ir Dent Assoc . 1997;43:7–9
  3. Curro F . Tooth hypersensitivity in the spectrum of pain . Dent Clin North Am . 1990;34:429–437
  4. Ide M . The differential diagnosis of sensitive teeth . Dent Update . 1998;25:462–466
  5. Berman LH . Dentinal sensation and hypersensitivity: a review of mechanisms and treatment alternatives . J Periodontol . 1984;56:216–222
  6. Walters PA . Dentinal hypersensitivity: a review . J Contemp Dent Pract . 2005;6:107–117
  7. Dowell P , Addy M . Dentine hypersensitivity—a review . J Clin Periodontol . 1983;10:341–350
  8. Dababneh RH , Khouri AT , Addy M . Dentine hypersensitivity—an enigma? A review of terminology, epidemiology, mechanisms, aetiology and management . Br Dent J . 1999;187:606–611
  9. Brannstrom M . In: A Hydrodynamic Mechanism in the Transmission of Pain Producing Stimuli Through the Dentine . Oxford: Pergamon; 1962;p. 73–79
  10. Wara-aswapati N , Krongnawakul D , Jiraviboon D , Adulyanon S , Karimbux N , Pitiphat W . 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
  11. Gillam DG , Newman HN . Assessment of pain in cervical dentinal sensitivity studies: a review . J Clin Periodontol . 1993;20:383–394
  12. Clark GE , Troullos ES . Designing hypersensitivity clinical studies . Dent Clin North Am . 1990;34:531–544
  13. Scott J , Huskisson EC . Graphic representation of pain . Pain . 1976;2:175–184
  14. Pamir T , Ozyazici M , Baloğlu E , Onal B . The efficacy of three desensitizing agents in treatment of dentine hypersensitivity . J Clin Pharm Ther . 2005;30:73–76
  15. Graf H , Galasse R . Morbidity, prevalence and intraoral distribution of hypersensitive teeth . J Dent Res . 1977;56(Spec Iss A):162; [Abstract 479]
  16. Liu HU , Lan WH , Hsieh CC . Prevalence and distribution of cervical dentin hypersensitivity in a population in Taipei, Taiwan . J Endod . 1998;24:45–47
  17. Salvato AR , Clark GE , Gingold J , Curro FA . Clinical effectiveness of a dentifrice containing potassium chloride as a desensitizing agent . Am J Dent . 1992;5:303–306
  18. West NX . Dentine hypersensitivity: preventive and therapeutic approaches to treatment . Periodontol 2000 . 2008;48:31–41
  19. Pashley DH . Mechanisms of dentin sensitivity . Dent Clin North Am . 1990;34:449–473
  20. Ohnhaus E , Adler R . Methodological problems in the measurement of pain: a comparsion between the verbal rating scale and the visual analogue scale . Pain . 1975;1:379–384
  21. Silverman G , Gingold J , Curro FA . Desensitizing effect of a potassium chloride dentifrice . Am J Dent . 1994;7:9–12
  22. Chesters R , Kaufman HW , Wolff MS , Huntington E , Kleinberg I . 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
  23. Sowinski J , Ayad F , Petrone M , et al.   Comparative investigations of the desensitizing efficacy of a new dentifrice . J Clin Periodontol . 2001;28:1032–1036
  24. Markowitz K , Bilotto G , Kim S . Decreasing intradental nerve activity in the cat with potassium and divalent cations . Arch Oral Biol . 1991;36:1–7
  25. Peacock JM , Orchardson R . Effects of potassium ions on action potential conduction in Aand C-fibers of rat spinal nerves . J Dent Res . 1995;74:634–641
  26. Peacock JM , Orchardson R . 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

Journal of Dental Sciences
Volume 4, Issue 4 , Pages 173-177, December 2009