Comparative efficacy of BioMin-F, Colgate Sensitive Pro-relief and Sensodyne Rapid Action in relieving dentin hypersensitivity: a randomized controlled trial

Background Dentin hypersensitivity (DH) is a sharp toothache that influences a patients' oral health-related quality of life. Oral dentifrices have been marketed for pain relief within a minute for DH. The permanent management of DH is being investigated with the remineralisation potential of bioactive agents in dentinal tubules. This study investigated the relief from pain in DH in one minute after applying over the counter (OTC) dentifrices with Pro-Argin™ and strontium acetate and directly compared them with fluoro-calcium phospho-silicate (FCPS)-based dentifrices for immediate and sustained inhibition of painful stimulus provoking DH. Methods A randomised, controlled, triple-blinded clinical trial was conducted with 140 participants clinically diagnosed with DH and equally randomized into four groups with parallel treatment assignment of FCPS, Pro-Argin™, 8% strontium acetate, and sodium fluoride-based OTC dentifrices, and tested for DH with air blast, mechanical, and water jet stimuli on SCHIFF cold air sensitivity scale (SCASS) and visual analogue scale (VAS) at interim efficacy intervals of one minute, three days, two, four, and six weeks, subsequently. Results A total of 128 participants completed the trial. All the treatment groups showed statistically significant improvement in DH with p < 0.001 relative to baseline at all time points. Pro-Argin™ showed a greater reduction in DH with mean scores of (1.34 ± 0.68) (4.20 ± 1.70) (3.05 ± 2.17) followed by strontium acetate (1.57 ± 0.81) (4.65 ± 1.87) (3.75 ± 1.97) on SCASS and VAS for mechanical and water jet stimuli, one minute after application. There was no statistically significant treatment difference between the two (p = 0.499). FCPS showed the highest reduction in DH on SCASS and VAS for waterjet stimuli with mean scores of (0.97 ± 0.68) (1.80 ± 1.73) and Pro-Argin™ on VAS for mechanical stimuli with mean scores of (2.15 ± 1.92) in six weeks. Conclusion OTC dentifrices with Pro-argin™ and strontium acetate are effective for immediate pain relief from DH, and FCPS could be the best possible treatment option for long term management of DH. Trial registration ID: NCT04249336 (https://clinicaltrials.gov/ct2/show/NCT04249336), Date of Registration: January 30, 2020 (Retrospectively registered).

Evaluation of Dentinal Changes Following Application of Three Different Desensitizing Agents

The aim of this in vitro study was to evaluate the effect of three desensitizing tooth pastes on the dentinal tubule occlusion. Thirty dentin discs having a thickness of 3 mm were obtained by cutting human teeth. The discs were submersed in citric acid for 30 seconds to open the dentin tubules. Then the discs were cut in two halves. In each group 10 halves were kept in 0.9% NaCl solution) and the other 10 halves were exposed to the action of one of the tested desensitizing toothpastes. The dentin samples were placed in the machine designed to simulate tooth brushing. Three commercial desensitizing toothpastes were chosen to be applied on dentin surface. The morphology of dentin samples and the level of tubule occlusion was scored using scanning electron microscope. All the three desensitizing toothpastes demonstrated significant effects on dentinal tubule occlusion. The tooth paste containing arginine and calcium carbonate as active ingredients showed the highest degree of tubule occlusion, followed by the dentifrice containing strontium acetate and sodium fluoride.

Synthesis and characterization of nanocrystalline barium strontium titanate powder by a modified sol-gel processing

In this research work, nanocrystalline BST (Ba0.6Sr0.4TiO3) powders were synthesized through a modified sol-gel process, using barium acetate, strontium acetate and titanium isopropoxide as the precursors. In this process, stoichiometric proportions of barium acetate and strontium acetate were dissolved in acetic acid and titanium (IV) isopropoxide was added to form BST gel. The as-formed gel was dried at 200 °C and then calcined in the temperature range of 600 to 850 °C for crystallization. The samples were characterized by infrared spectroscopy method (FT-IR), X-ray diffraction technique (XRD) and field emission scanning electron microscope (FESEM) and energy dispersive X-ray spectroscopy. EDS analysis of these samples confirmed the formation of the final phase with the special stoichiometry. The formation of a cubic perovskite crystalline phase with nanoscale dimension was detected using the mentioned techniques. The results showed that the obtained crystallite sizes were 33 and 37 nm for BST powder calcined at 750 and 850 °C, respectively.

Effects of Citric Acid and Desensitizing Agent Application on Nonfluorosed and Fluorosed Dentin: An In Vitro Sem Study

Fluorosis is one of the factors which bring about mineralisation changes in a dentinal structure leading to dentin. The purpose of the present study was to compare and evaluate the dentinal tubular changes in fluorosed and nonfluorosed teeth subsequent to the application of citric acid,strontium acetate based sodium fluoride (SAF) using scanning electron microscopy (SEM). Dentin specimens from healthy fluorosed and nonfluorosed teeth were included in the study. Each of them was grouped into acid treated and SAF treatment groups. Using SEM, the photomicrographs (3500x) of dentin specimens were evaluated. Results showed while there was a significant difference in tubular width of partial occlusion ≤ 25%, being more in fluorosed group compared to nonfluorosed group after application SAF. Application of desensitising agents demonstrated higher number of dentinal tubular occlusion and diameter reduction in nonfluorosed dentin compared to fluorosed dentin. Summary: Root biomodification and desensitising agent procedure brings in definite difference between fluorosed and non-fluorosed dentin specimens.

Remineralization of Demineralized Enamel by Toothpastes: A Scanning Electron Microscopy, Energy Dispersive X-Ray Analysis, and Three-Dimensional Stereo-Micrographic Study

Remineralization of hard dental tissues is thought to be a tool that could close the gap between prevention and surgical procedures in clinical dentistry. The purpose of this study was to examine the remineralizing potential of different toothpaste formulations: toothpastes containing bioactive glass, hydroxyapatite, or strontium acetate with fluoride, when applied to demineralized enamel. Results obtained by scanning electron microscopy (SEM) and SEM/energy dispersive X-ray analyses proved that the hydroxyapatite and bioactive glass-containing toothpastes were highly efficient in promoting enamel remineralization by formation of deposits and a protective layer on the surface of the demineralized enamel, whereas the toothpaste containing 8% strontium acetate and 1040 ppm fluoride as NaF had little, if any, remineralization potential. In conclusion, the treatment of demineralized teeth with toothpastes containing hydroxyapatite or bioactive glass resulted in repair of the damaged tissue.