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http://dx.doi.org/10.17135/jdhs.2016.16.4.272

Occluding Effect of the Application of Fluoride Compounds and Desensitizers on Dentinal Tubules  

Lee, Ye-Jin (Department of Dental Hygiene, College of Health Science, Eulji University)
Jeong, Moon-Jin (Department of Oral Histology and Developmental Biology, School of Dentistry, Chosun University)
Ahn, Yong-Soon (Department of Dental Hygiene, College of Health Science, Eulji University)
Cheun, Su-Kyung (Department of Dental Hygiene, College of Health Science, Eulji University)
Jeong, Soon-Jeong (Department of Dental Hygiene, College of Health Sciences, Youngsan University)
Lim, Do-Seon (Department of Dental Hygiene, College of Health Science, Eulji University)
Publication Information
Journal of dental hygiene science / v.16, no.4, 2016 , pp. 272-283 More about this Journal
Abstract
This study compared and analyzed the occluding effects of fluoride compounds and desensitizers, which are commonly used in dental clinics, on dentinal tubules. This study also evaluated the persistence of the active ingredients over time by performing toothbrushing with an electric toothbrush. Thirty-five molar teeth, which had been extracted within the past 3 months from healthy people without tooth decays, amalgam fillings, or dental crowns, were divided into 4 pieces each. Of these, 135 teeth pieces were used as study specimens. These specimens were divided into a control group, an untreated group, and 5 experimental groups (acidulated fluoride gel, fluoride varnish, Gluma, Super Seal, and SE-Bond). The specimens were then subjected to toothbrushing equivalent to 1 week (140 times), 2 weeks (280 times), and 4 weeks (560 times), and the occluding effects on dentinal tubules in 3 regions of each specimen were examined under a scanning electron microscope. The fluoride varnish treated group showed the highest degree of dentinal tubule occlusion effects during the first, second, and fourth weeks of toothbrushing, with the SE-Bond treated group showing the second highest degree and the Gluma treated group showing the lowest degree. After 4 weeks of toothbrushing, the Gluma treated group and the Super Seal treated group showed the lowest degrees of dentinal tubule occlusion effects. In summary, the fluoride varnish treated group and the SE-Bond treated group displayed higher occlusion effects even after 4 weeks of treatment than did the other experimental groups. Therefore, it is the authors' belief that fluoride varnish and SE-Bond are effective for treating dentinal hyperesthesia.
Keywords
Dentin sensitivity; Dentinal tubules; Dentin desensitizing agents; Fluorides; Scanning electron microscope;
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Times Cited By KSCI : 7  (Citation Analysis)
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1 Baker DL, Seymour GJ: The possible pathogenesis of gingival recession. J Clin Periodontol 3: 208-219, 1976.   DOI
2 Crespi R, Barone A, Covani U: Histologic evaluation of three methods of periodontal root surface treatment in humans. J Periodontol 76: 476-481, 2005.   DOI
3 Holland GR, Narhi M, Addy M, Gangarosa L, Orchardson R: Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 24: 808-813, 1997.   DOI
4 Bissada NF: Symptomatology and clinical features of hypersensitive teeth. Arch Oral Biol 39 Suppl: 31S-32S, 1994.   DOI
5 Brannstrom M: The cause of postoperative sensitivity and its prevention. J Endod 12: 475-481, 1986.   DOI
6 Rees JS, Addy M: A cross-sectional study of dentin hypersensitivity. J Clin Periodontol 29: 997-1003, 2002.   DOI
7 Irwin CR, McCusker P: Prevalence of dentin hypersensitivity in a general dental population. J Ir Dent Assoc 43: 7-9, 1997.
8 Joshi S, Gowda AS, Joshi C: Comparative evaluation of novamin desensitizer and gluma desensitizer on dentinal tubule occlusion: a scanning electron microscopic study. J Periodontal Implant Sci 43: 269-275, 2013.   DOI
9 Brannstrom M: Dentin and pulp in restorative dentistry. J Endodontics 8: 98, 1982.   DOI
10 Pashley DH: Dentin permeability, dentin sensitivity and treatment through tubule occlusion. J Endod 12: 465-474, 1986.   DOI
11 West N, Addy M, Hughes J: Dentin hypersensitivity: the effects of brushing desensitizing toothpastes, their solid and liquid phases, and detergents on dentin and acrylic: studies in vitro. J Oral Rehabil 25: 885-895, 1998.
12 Absi EG, Addy M, Adams D: Dentin hypersensitivity: a study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. J Clin Periodontol 14: 280-284, 1987.   DOI
13 Kim EJ: The effect of desensitizing agents on dentinal fluid flow rate in vitro. Unpublished master's thesis, Gangneung-Wonju National University, Wonju, 2010.
14 Lee JR: SEM findings on the obstruction of the dentinal tubules by fluoride application methods. Int J Clin Prev Dent 6: 121-127, 2010.
15 Trowbridge HO, Silver DR: A review of current approaches to in-office management of tooth hypersensitivity. Dent Clin North Am 34: 561-581, 1990.
16 Kolker JL, Vargas MA, Armstrong SR, Dawson DV: Effect of desensitizing agents on dentin permeability and dentin tubule occlusion. J Adhes Dent 4: 211-221, 2002.
17 Addy M, Dowel P: Dentine hypersensitivity-a review. Clinical and in vitro evaluation of treatment agent. J Clin Periodontol 10: 351-363, 1983.   DOI
18 Walters PA: Dentinal hypersensitivity: a review. J Contemp Dent Pract 6: 107-117, 2005.
19 Lukomsky EH: Fluoride therapy for exposed dentin and alveol aratrophy. J Dent Res 20: 649-659, 1941.   DOI
20 Hoytt WH, Bibby BG: Use of sodium fluoride for desensitizing dentin. J Am Dent Assoc 30: 1372-1376, 1943.   DOI
21 Seo MS, Park DS, Jeong CM: The effectiveness of potassium oxalate and sodium fluoride on the reduction of dentinal hypersensitivity. Restor Dent Endod 16: 216-225, 1991.
22 Cuenin MF, Scheidt MJ, O'Neal RB, et al.: An in vivo study of dentin sensitivity: the relation of dentin sensitivity and the patency of dentin tubules. J Periodontol 62: 668-673, 1991.   DOI
23 Hong SW, Park NJ, Park YB, Lee KW. The effects of desensitizing agents, bonding resin and toothbrushing on dentin permeability, in vitro. J Korean Acad Prosthodont 52: 165-176, 2014.   DOI
24 Lee JW, Shim JS, Lee KW: The effects of desensitizing agents and tooth brushing on dentin permeability, in vitro. J Korean Acad Prosthodont 39: 208-219, 2001.
25 Oh HS: A comparative study on for the use of auxiliary oral hygiene devices and tooth brushing between dental hygiene students and non-dental hygiene students. J Dent Hyg Sci 9: 121-127, 2009.
26 Choi JS, Han GS: Analysis of factors associated with number of decayed tooth. J Dent Hyg Sci 6: 55-63, 2006.
27 Mandikos MN, McGivney GP, Davis E, Bush PJ, Carter JM: A comparison of the wear resistance and hardness of indirect composite resins. J Prosthet Dent 85: 386-395, 2001.   DOI
28 Paik DI, Kim HD, Jin BH, et al.: Clinical preventive dentistry. 5th ed. Komoonsa, Seoul, pp.228-235, 255-264, 2011.
29 Dondi DG, Malferrari S: Desensitizing effects of gluma and gluma 2000 on hypersensitive dentin. Am J Dent 6: 283-286, 1993.
30 Rovelstad GH, William ESJ: The condition of the young dental pulp after the application of sodium fluoride to freshly cut dentin. J Am Dent Assoc 39: 670-682, 1949.   DOI
31 Arrais CA, Chan DC, Giannini M: Effects of desensitizing agents on dentinal tubule occlusion. J Appl Oral Sci 12: 144-148, 2004.   DOI
32 Jang BS, Jwa SK, Choi YH: SEM findings on the dentinal tubules changes by application of the desensitization agents. Int J Clin Prev Dent 8: 43-50, 2012.
33 Lee SY: Occlusion effect of dentinal tubules of the desensitizing dentifrices marketed in Korea. J Dent Hyg Sci 11: 431-436, 2011.
34 Lee SY, Kwon HK, Kim BI: Effect of dentinal tubule occlusion by dentifrice containing nano-carbonate apatite. J Oral Rehabil 35: 847-853, 2008.   DOI