Assessment of Pain Intensity in Patients with Dentin Hypersensitivity After Application of Prophylaxis Paste Based on Calcium Sodium Phosphosilicate Formula
Renata Chałas, Ilona Wójcik-Chęcińska, Jolanta Zamościńska, Teresa Bachanek
Department of Conservative Dentistry and Endodontics, Medical University of Lublin, Lublin, Poland
Med Sci Monit 2015; 21:2950-2955
One of many functions of the pulp-dentin complex is sensory function. Acute, situated, receding pain after the cessation of the stimulus action is called dentin pain. Dentin hypersensitivity has been described as one of the most painful and least successfully treated chronic ailments of teeth. The aim of this research was the clinical evaluation of the effectiveness of professional polishing paste containing calcium sodium phosphosilicate formula (NovaMin) in eliminating dentin hypersensitivity after a single application.
MATERIAL AND METHODS: The study comprised 92 teeth with dentin hypersensitivity diagnosed on the basis of history and clinical examination. The pain reaction of exposed dentine was induced by tactile and dehydrating stimuli, asking patients to assess the severity of pain on the VAS scale. Clinical trial and survey were carried out twice: before and 1 week after the application of the polishing paste.
RESULTS: After the application of the examined paste, the percentage of teeth reacting with a severe pain to the touch of the probe decreased from 16.3% to 4.3%, and with a moderate pain from 42.4% to 12%. Examination after applying dehydrating stimulus a week after carrying out the application showed a decrease in the proportion of teeth with strong pain from 28.3% to 0% and moderate pain from 38% to 15.2%. The lack of pain increased from 12% to about 50%.
CONCLUSIONS: The use of prophylactic professional paste with NovaMin formula in in-office procedure provides the reduction of dentin hypersensitivity noticeable by 1 week after application.
Keywords: Dental Pulp - drug effects, Adult, Dentin Sensitivity - prevention & control, Drug Combinations, Fluorides - chemistry, Glass - chemistry, Nitrates - chemistry, Pain - diagnosis, pain management, Pain Measurement - methods, Phosphates - chemistry, Tooth - drug effects, Toothbrushing, Toothpastes, visual analog scale, young adult