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고분자 기반 코팅형 상아질 지각 과민 처치제의 효과에 대한 비교 연구

Comparison of high molecular coating type dentine hypersensitivity desensitizers

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초록

ABSTRACT : Purpose : The aim of this study was to evaluate the clinical efficacy of two commercially available desensitizing agents over 3 weeks on patients with dentin hypersensitivity. Materials and Methods : An oxalate-based solution, Sensblok ( NIBEC Inc. Seoul, Korea) & Superseal (Pheonix Inc. Michigan, USA), and a distilled water placebo were compared in a clinical setting. Seven volunteers exhibiting three or more teeth that were sensitive to tactile & air were enrolled in the study (35 teeth total). A visual analog scale (VAS) was used for recording each patient’s level of sensitivity to tactile & air stimuli. A Florida probe was rubbed across the exposed dentin three times with a constant pressure 20 grams to measure the tactile stimulus. The air stimulus was generated by dental unit air syringe for 1-second blast from 1/2 inch distance. The desensitizing agents were applied according manufacture’s guideline. VAS scores were recorded at baseline, 1 minute after treatment, at 1 week, 2weeks, 3weeks. VAS score were analyzed using a repeated measures ANOVA (α=0.05). Results : The Sensblok, Superseal, and distilled water placebo all decreased dentin sensitivity. A statistically significant difference existed between Sensblok and placebo when tactile stimulus was applied (P<0.05), but no significant difference was found among other desensitizing agents and tactile and air stimuli.

Abstract

ABSTRACT : Purpose : The aim of this study was to evaluate the clinical efficacy of two commercially available desensitizing agents over 3 weeks on patients with dentin hypersensitivity. Materials and Methods : An oxalate-based solution, Sensblok ( NIBEC Inc. Seoul, Korea) & Superseal (Pheonix Inc. Michigan, USA), and a distilled water placebo were compared in a clinical setting. Seven volunteers exhibiting three or more teeth that were sensitive to tactile & air were enrolled in the study (35 teeth total). A visual analog scale (VAS) was used for recording each patient’s level of sensitivity to tactile & air stimuli. A Florida probe was rubbed across the exposed dentin three times with a constant pressure 20 grams to measure the tactile stimulus. The air stimulus was generated by dental unit air syringe for 1-second blast from 1/2 inch distance. The desensitizing agents were applied according manufacture’s guideline. VAS scores were recorded at baseline, 1 minute after treatment, at 1 week, 2weeks, 3weeks. VAS score were analyzed using a repeated measures ANOVA (α=0.05). Results : The Sensblok, Superseal, and distilled water placebo all decreased dentin sensitivity. A statistically significant difference existed between Sensblok and placebo when tactile stimulus was applied (P<0.05), but no significant difference was found among other desensitizing agents and tactile and air stimuli.

참고문헌 (13)

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  2. Flávio L. P, "Effect of a 3% potassium oxalate topical application on dentinal hypersensitivity after subgingival scaling and root planing", J Periodontol, 75(11), pp.1461~4 (2004)
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  5. T. Pamir, "Clinical evaluation of three desensitizing agents in relieving dentin hypersensitivity", Oper Dent, 32(6), pp.544~8 (2007)
  6. I. Duran, "The long-term effectiveness of five current desensitizing products on cervical dentine sensitivity", J Oral Rehabil, 31(4), pp.351~6 (2004)
  7. Brämström M, "The hydrodynamic theory of pain : sensation in preparation, caries, and the dentinal crack syndrome", J endodont, 12, pp.453~457 (1986)
  8. Pashley, D. H, "The effects of oxalate treatment on the smear layer of ground surfaces on human dentin", Arch Oral Biol, 30, pp.731~ (1985)
  9. Kim, S, "Hypersensitivity teeth : Desensitization of pulpal sensory nerves", J Endo, 12, pp.482~ (1986)
  10. Markowitz, K, "The effects of various ionic solutions on pulpal nerve sensitivity", J Dent Res, 64, pp.309~ (1985)
  11. Shapiro WB, "Controlled clinical comparison between a strontium chloride and a sodium monofluorophosphate toothpaste in diminishing root hypersensitivity", J Periodontol, 41(9), pp.523~5 (1970)
  12. Levin MP, "The desensitizing effect of calcium hydroxide and magnesium hydroxide on hypersensitive dentin", Oral Surg, 35, pp.741~746 (1973)
  13. Thrash WJ, "A method to measure pain associated with hypersensitive dentin", J Periodontol, 51, pp.535~540 (1980)

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