A clinical effect of desensitizing agents applied on the root surface after periodontal treatment

치주 치료 후 적용된 상아질 지각과민 억제제의 임상 효과에 대한 연구

  • Park, Sung-Il (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Chung, Chin-Hyung (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Lim, Sung-Bin (Department of Periodontology, College of Dentistry, Dan-Kook University) ;
  • Hong, Ki-Seok (Department of Periodontology, College of Dentistry, Dan-Kook University)
  • 박성일 (단국대학교 치과대학 치주과학교실) ;
  • 정진형 (단국대학교 치과대학 치주과학교실) ;
  • 임성빈 (단국대학교 치과대학 치주과학교실) ;
  • 홍기석 (단국대학교 치과대학 치주과학교실)
  • Published : 2005.12.31

Abstract

The purpose of this study was to compare the effect of desensitizing agents applied on hypersensitive root surface following periodontal treatment. This study included 21 subjects(168 vital teeth). To evaluate dentin sensitivity, three clinical tests(tactile, air stream, cold water) were tried and three different densensitizing agents(MS coat, Elmex gel. Superseal) were individually applied. After application, reassessment was done at 1 minute, 1 week, 1 month and 3 months. The results were as follows : 1. The degree of dentin sensitivity was measured highly in the sequence of cold water, air stream and tactile and significantly decreased in all four groups with lapse of time(p<0.05). 2. There was no significant difference between all four groups in the tactile test with lapse of time. 3. There was no significant difference between three experimental groups in the air stream test with lapse of time. however, one minute later, it was measured highly in the sequence of Superseal, MS coat and Elmex 4. There was no significant difference between three experimental groups in the cold water test with lapse of time. As a result of this study, all of three agents were significantly effective in reducing dentin hypersensitivity and these agents could be positively employed to patients complaining of dentin hypersensitivity following periodontal treatment.

Keywords

References

  1. Curtis JW, Mclain JB, Hutchinson RA : The incidence and severity of complications and pain following periodontal surgery, J Periodontol 1985:56:597-610 https://doi.org/10.1902/jop.1985.56.10.597
  2. 최영림, 권영혁 : 치주 수술 후 동통과 기타 합병증에 관한 통계학적 연구. 대한치주과학회지 1987:17:229-243
  3. Brännström M : Dentinal and pulpal response-I : Application of reduced pressure to exposed dentine. Acta Odont scand 1960:18:1-15 https://doi.org/10.3109/00016356009026089
  4. Dowell P. Addy M : Dentin hypersensitivity. Review. Aetiology symptoms and theories of pain production. J Clin Periodontol 1983: 10: 341-350 https://doi.org/10.1111/j.1600-051X.1983.tb01283.x
  5. Absi EG. Addy M, Adams D : Dentine hypersensitivity. a study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. J Clin Periodontol 1987: 14: 280-284 https://doi.org/10.1111/j.1600-051X.1987.tb01533.x
  6. Orchardson R. Collins WJN : Thresholds of hypersensitive teeth to 2 forms of controlled stimulation. J Clin Periodontol 1987; 14:68-73 https://doi.org/10.1111/j.1600-051X.1987.tb00944.x
  7. Berman LH : Dentinal sensation and hypersensitivity : A review of mechanisms and treatment alternatives. J Periodontol 1984:56:216
  8. Brännström M, Astrom A : A study on the mechanism of pain elicited from the dentin. J Dent Res 1964:43:619 https://doi.org/10.1177/00220345640430041601
  9. Brännström M, Astrom A : The hydrodynamics of the dentin : Its possible relationship to dental pain. Int Dent J 1972:22:219-227
  10. Orban IA : Human coronal dentine : Structure and reactions. Oral Surg 1972 :33:810-823. https://doi.org/10.1016/0030-4220(72)90451-3
  11. Graf H. Galasse R : Morbidity. prevalence and intraoral distribution of hypersensitive teeth. J Dent Res(Sp. issue A) 1977; 162,56:2
  12. 신혜련, 이만섭, 권영혁 : 치주 수술 후 노출된 치근에서 발생하는 지각 과민증의 발생 양태에 관한 연구. 대한치주과학회지 1988: 174-185
  13. Selvig KA : Biologic changes at the Tooth-Saliva Interface in periodontal disease. J Dent Res 1969:48:846-855 https://doi.org/10.1177/00220345690480053901
  14. Brännström M : Sensitivity of dentin. OS, OM & OP 1966:21:516-517
  15. Lukomsky EH : Fluoride therapy for exposed dentin and alveolar atrophy. J Dent Res 1941 :20:649 https://doi.org/10.1177/00220345410200061301
  16. Kern DA, McQuade MJ, Scheidt MJ, Hanson B, Van Dyke TE : Effectiveness of sodium fluoride on tooth hypersensitivity with and without iontophoresis. J Periodontol 1989:60:386-389 https://doi.org/10.1902/jop.1989.60.7.386
  17. McFall WT Jr., Morgan WC : Effectiveness of a dentifrice containing formalin and sodium monofluorophosphate on dentin hypersensitivity. J Periodontol 1985:56:288-292 https://doi.org/10.1902/jop.1985.56.5.288
  18. Flaitz CM, Kicks MJ, Westerman GH. Berg JH. Blankenau RJ, Powell GL : Argon laser irradiation and acidulate phosphate fluoride treatment in caries-like lesion formation in enamel: an invitro study. Pediat Dent 1995: 17:31-35
  19. Tagomori S, Morioka T : Combined effects of laser and fluoride on acid resistance of human dental enamel. Caries Res 1989: 23: 225-231 https://doi.org/10.1159/000261182
  20. Weyrich T, Donly KJ, Wefel JS, Dederich D : An evaluation of the combined effects of laser and fluoride on tooth root surfaces. J Dent Res 1994:73: 146
  21. Griffiths H. Morgan G, Williams K. Addy M : Dentine hypersensitivity : the measurement in vitro of streaming potential with fluid flow acress dentine and hydroxyapatite. J Clin Periodontol 1993: 28: 60-64 https://doi.org/10.1111/j.1600-0765.1993.tb01051.x
  22. Muzzin KB : Effects of potassium oxalate in dentin hypersensitivity in vivo. J Periodontol 1989:60:151-158 https://doi.org/10.1902/jop.1989.60.3.151
  23. Pearce NX. Addy M. Newcombe RG : Dentin hypersensitivity : A clinical trial to compare 2 strontium desensitizing toothpastes with a conventional fluoride toothpaste. J Periodontol 1994:65:113-119 https://doi.org/10.1902/jop.1994.65.2.113
  24. Pashley DH : Dentin-predentin complex and its permeability : physiologic overview. J Dent Res 1985: 64(Spec Iss): 613
  25. Pashley DH : Dentin permeability. dentin hypersensitivity and treatment through tubule occlusion. J Endodon 1986: 12:465 https://doi.org/10.1016/S0099-2399(86)80201-1
  26. Michelich VJ. Schuster GS. Pashley DH : Bacterial penetration of hyman dentin in vitro. J Dent Res 1980:59: 1398 https://doi.org/10.1177/00220345800590080701
  27. Absi EG. Addy M. Adams D : Dentin hypersensitivity : the development and evaluation of a replica technique to study sensitive and non-sensitivity cervical dentin. J Clin Periodontol 1989: 16: 190
  28. Hirvonen TJ. Narhi MVO. Hakumaki MOK : The excitability of dog pulp nerves in relation to the condition of dentin surface. J Endodontol 1984: 10:294 https://doi.org/10.1016/S0099-2399(84)80182-X
  29. Hiatt WJ. Johansen E : Root preparation I. Obturation of dental tubules in treatment of root hypersensitivity. J Periodontol 1972: 43:373-380 https://doi.org/10.1902/jop.1972.43.6.373
  30. Nishida M. Katamsi D. Uchida A, Asano K : Hypersensitivity of the exposed root surface after surgical periodontal treatment. J Osaka Univ Dent Sch 1976: 16:73
  31. 이경환, 정현주 : 과민성 상아질에 대한 dentin bonding agents의 처치 효과. 대한치주과학회지 1991: 21: 331-334
  32. Kampon S, William KBS et al : Studies with different types of visual analog scale for measurement of pain. Clin Pharm and Ther 1983:34:234-239 https://doi.org/10.1038/clpt.1983.159
  33. Jeffrey P, Okeson et al : Management of temporomandibular disorders and occlusion. 고문사. 1994:26-59
  34. Muzzin KB, Johnson R : Effects of potassium oxalate on dentin hypersensitivity in vivo. J Periodontol 1989:60:151-158 https://doi.org/10.1902/jop.1989.60.3.151
  35. Thrash WJ, Jones DL : Effect of a fluoride solution on dentinal hypersensitivity. Am J Dent 1992:5:299-302
  36. Hirvonen TJ, Narhi MV, Hakumaki MO : The excitability of dog pulp nerves in relation to the condition of dentine surface. J Endod. 1984 Jul: 10(7): 294-8 https://doi.org/10.1016/S0099-2399(84)80182-X
  37. Levin MP, Yearwood LL : The desensitizing effect of calcium hydroxide and magnesium hydroxide on hypersensitive dentin. Oral Surg 1973;35:741-746 https://doi.org/10.1016/0030-4220(73)90044-3
  38. Overman PR : Calcium hypophosphate as a root desensitizing agent. Dent Hyg 1983; 57: 30-35
  39. Green BL, Green ML : Calcium hydroxide and potassium nitrate as desensitizing agents for hypersensitive root surfaces. J Periodontol. 1977:48:66-7672
  40. Hernandez F, Mohammed C : Clinical study evaluating the desensitizing effect and duration of two commercially available dentifrices. J Periodontol 1972;43: 367-372 https://doi.org/10.1902/jop.1972.43.6.367