The effectivness of different toothpastes on dentine hypersensitivity

DENTINE HYPERSENSITIVITY

Short and sharp pain

Exposed dentine Thermal, tactile,

evaporative, osmotic or chemical stimuli

Cannot be ascribe to any other form of dental pathology 1

ETIOLOGY

Dentine with open tubes

Toothbrush abrasionDietary erosion AbfractionGingival retractionPeriodontal diseases3

Enviromental conditions

OBJECTIVE

We tryed to observe:• The effectivness of the toothpastes• The time of effectivness• The placebo effect

Non invasive treatment: The toothpaste

MATHERIALS AND METHOD

1.Sensodyne Repair & Protect

Contains Novamin (Calcium Sodium Phospholicate)

2.Colgate Sensitive Pro-Relief

Contains Arginine and calcium carbonate

MATHERIALS AND METHOD

3.La Ligne Dent Contains Fluoride

4.Maxam Classic toothpaste without

flouride

Treatment principles:•Obturate the dentinal tubes•Desensitising the nerve ends

MATHERIALS AND METHOD40 pacients diagnosed with dentine hypersensitivity based on:• Symptoms • Differential diagnosis

Divided in 4 groups , • Group A : Colgate Pro-Relief containing Arginine• Group B: Sensodyne containing Novamin• Group C: La Ligne containing fluoride• Group D: Maxam without fluoride

Pacients were required to brush their teeth twice a day for a period of 4 weeks.

MATHERIALS AND METHODEvery pacient completed a questionaire and evaluate the intensity of pain using a Visual Analogue Scale

During the treatment,in every week was recorded a new note using VAS.

No pain Moderate Unbearbable pain pain

RESULTS

Group A- Arginine Group B- Novamin

RESULTS

Group C- Fluoride Group D- Maxam

RESULTS

Comparison between the effectivness of toothpastes

50%

40%

62%

50%

DISCUTIONS

The common individual who buys a toothpaste for his dentine hypersensitivity

The most expensive is not always the best

DISCUTIONS

Placebo effect : Therapeutic value 0% = feeling better

= as well asaspirin

as well = as morphine

Some aspects that must be considerated:• Spontaneous healing with reparative dentine• Enviromental conditions• The answer of politness

CONCLUSIONS

The most effective toothpaste over all is La Ligne containing Fluoride

Colgate Pro Argine containing Arginine and Calcium Carbonate – most powerful effect in a short time

The placebo effect plays a significant role in dentine hypersensitivity treatment

BIBLIOGRAFY

1. Canadian Advisory Board onDentin Hypersensitivity. Consensusbased recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc2003;69:221–226.

2. http://www.dentalaegis.com/ida/2011/02/dentin-hypersensitivity

3. . Review Dentine hypersensitivity - an enigma? A review of terminology, mechanisms, aetiology and management.Dababneh RH, Khouri AT, Addy M Br Dent J. 1999 Dec 11; 187(11):606-11;