Query: Toothpaste for sensitive teeth

title: Short clinic efficacy of Shanghai Anti cavity Toothpaste for Sensitive Teeth (Plus) on the treatment of dentinal hypersensitivity
abstract: To evaluate the clinic efficacy of Shanghai Anti cavity toothpaste for Sensitive Teeth (Plus) on the treatment of dentinal hypersensitivity.  Ninety patients used No.1, No.2 and No.3 dentifrice randomly and double blindly were divided into 3 groups. Before and after tooth brushing immediately, after one day and after a week, the sensitive teeth were examined and their air blast and tactile sensitivity scores were recorded.  Before tooth brushing, after tooth brushing immediately and after one day, air blast sensitivity scores has no statisticall difference among the three dentifrices;whereas after a week, there was significant difference statistically (P0.05) There was significant statistically between No.1 and No.2, also between No.2 and No.3. However, there was no statisticall difference between No.1 and No.3. The mean score of No.2 dentifrice was the lowest. It meant that the efficacy to restrain air blast sensitivity of No.2 dentifrice was the best. No.2 dentifrice was Shanghai Anti cavity Toothpaste for Sensitive Teeth (Plus)  Anti cavity toothpaste for Sensitive Teeth (Plus) has significant clinic efficacy on the treatment of dentinal hypersensitivity.

title: Acceptance of Sensodyne toothpaste for sensitive teeth. Council on Dental Therapeutics.

title: Evaluation of 3 different treatment modalities for conservative management of attrited, sensitive molar teeth A preliminary 12 week report.
abstract: Management of symptomatic attrited molar teeth presents various challenges. Aim of the study was to manage and evaluate the outcome of sensitive, attrited molar teeth using three different treatment options, including bioglass containing desensitising toothpaste, Gluma desensitiser and coronal a pulpotomy using a calcium silicate based product, Biodentine. A total of 61 attrited molar teeth, for which the patients had expressed tooth sensitivity, were included. Depending on the pulp status, treatment groups were allotted using block randomisation. Post treatment sensitivity was assessed at 48 h, 4 and 12 weeks using 10 point visual analog scale (VAS) and Schiff Cold Air Sensitivity Scale (SCASS) Data were analysed using non parametric statistical tests. Pulpotomies achieved significantly the least post treatment sensitivity scores at all scheduled recalls. This interim 12 week report on management concludes that a pulpotomy, using Biodentine, was able to achieve significantly higher number of asymptomatic teeth when compared to other treatment choices.

title: Effects of brushing with a dentifrice for sensitive teeth on tubule occlusion and abrasion of dentin.
abstract: By using a dentifrice or toothpaste for sensitive teeth, the brushing induced effects on dentinal tubule occlusion and abrasion of human sound dentin were investigated with a scanning electron microscope and a scanning laser microscope. The dentifrice contained diatomaceous earth and silica as abrasives and strontium chloride hexahydrate as an active ingredient. Thirty dentin pieces of human premolar teeth with an average of 20% occluded dentinal tubules were attached to resin plates and exposed to the oral cavities of five adult subjects for 2, 4, and 8 weeks. Brushing with and without dentifrice was performed 1 min per day, respectively. Brushing with the dentifrice gradually decreased the mean average of occluded tubules from about 91 to 77% during 2 to 8 weeks, although there were no significant differences among the individual values. However, the mean abrasive loss of the dentin surfaces brushed with dentifrice significantly increased from about 52 to 143 microm in depth. The brushed surfaces of the dentin showed a rough topography with numerous toothbrush scratches but no organic pellicle was found. On the other hand, brushing without dentifrice caused about 99% of the dentinal tubules to occlude in 2 and 4 weeks and 100% in 8 weeks. The brushed dentin surfaces at 8 weeks were entirely covered with organic pellicle containing fine mineral granules derived from saliva, and the abrasive loss was about 1.4 microm in mean depth. Such results indicate that brushing with abrasive dentifrices for sensitive teeth remarkably erodes dentin, and suggest that the brushing should cause the dentinal tubules to open again for a certain period of time.

title: Do something about sensitive teeth
abstract: Recently qualified dentist and BDA/Dentsply Student Clinician of the Year 2013 Yatisha Patel has launched Dentify, an evidence based smartphone app that provides self care strategies for dental pain and preventative oral health care advice. Dentify was developed for patients to: Investigate common causes of dento alveolar pain and identify signs and symptoms that are sensitive to the initial complaint Explore answers to relevant pain history questions in relation to the dento alveolar feeling anxiety, frustration and annoyance because of their sensitive teeth. The condition can cause sufferers to change their habits and avoid foods or drinks they may otherwise enjoy. There are too many patients that feel they must 'just get on with it' It's important to recognise that some patients are suffering and that your recommendation could be their pathway to minimising their symptoms. Use of a desensitising toothpaste is a simple yet effective way to manage dentine hypersensitivity. Brushing twice daily should already be part of a NEW PRODUCTS AND FOCUS ON

title: A randomised controlled trial to compare the efficacy of an aluminium lactate/potassium nitrate/hydroxylapatite toothpaste with a control toothpaste for the prevention of dentine hypersensitivity.
abstract: To determine the efficacy of a cosmetic aluminium lactate/potassium nitrate/hydroxylapatite toothpaste for the reduction of dentine hypersensitivity (DH) pain as compared to a control toothpaste containing potassium nitrate.  The study was a randomised, examiner blind, two treatment arm, parallel controlled trial in healthy adults with at least 2 sensitive teeth (Schiff >2) At baseline, immediately after treatment and at 7 and 14 days of twice daily brushing of the test or control toothpaste the sensitivity of 2 test teeth was measured following iced water (Schiff and VAS) and tactile (Yeaple probe) stimuli, and a whole mouth plaque score was obtained. Participants also completed a whole mouth VAS and DHEQ15 quality of life questionnaire at baseline, 7 and 14 days.  Both toothpastes reduced DH in test teeth, but pain reduction in the test group was significantly better at all timepoints and by all measures (p 0.005, tooth level VAS immediately after brushing; p 0.001 all other comparisons) There was a relative risk reduction of Schiff sensitivity of 55% immediately after brushing which rose to 81% after 7 and 88.6% after 14 days (all p 0.001) There were no differences in plaque, whole mouth VAS or DHEQ15 scores at any time point.  This study demonstrated the efficacy of an aluminium lactate/potassium nitrate/hydroxylapatite toothpaste compared to a potassium nitrate control toothpaste for the prevention of dentine hypersensitivity both immediately and over a 2 week period. This agent appears to have potential for pain alleviation from the common oral pain condition of DH and further research is warranted.  DH pain, whilst transient in nature, is arresting in magnitude, affecting quality of life. Daily application of efficacious toothpastes can relieve DH pain however, as yet, there is no gold standard treatment. The results of this study support further investigation of an aluminium lactate/potassium nitrate/hydroxylapatite toothpaste for DH management.

title: The Proper Toothpaste for Children
abstract: Oral hygiene is important in childhood and adolescence. For this reason, the need for training and the use of proper toothpaste for children is essential for parents. This article is about how to use toothpaste for children of different ages. The components of toothpaste for children are adjusted to their age. The goal is to use them to keep both children's teeth clean and remain healthy and have no special side effects for the child. Also, the packaging and flavor of children's toothpaste are generally attractive to them. Prior to this, there was a particular standard for a child's toothpaste, for example, it was suggested that children's toothpaste should contain less fluoride, but today, except for a few countries that are more sensitive to this, recommendations for the production of toothpaste with less fluoride is not required. In 2012, the participants in the American Dental Association Council meeting recommended the use of fluoride toothpastes

title: A pilot study on the effect of the ROCS Bionica Sensitive (r) toothpaste on reducing dentine hypersensitivity
abstract: Consumers are increasingly interested in finding more ecological alternatives to various products. This trend is becoming more common in the market for toothpaste as well. The ROCS Bionica Sensitive(r) toothpaste is a fluoride free product containing natural ingredients, which reduces dentine hypersensitivity and offers an ecological alternative in oral health promotion. The purpose of the study was to increase knowledge of the effects of the Bionica toothpaste for sensitive teeth on reducing dentine hypersensitivity and to collect user experiences.

title: A breakthrough therapy for dentin hypersensitivity: how dental products containing 8% arginine and calcium carbonate work to deliver effective relief of sensitive teeth.
abstract: These studies have utilized a range of state of the art surface techniques to gain insight into the mechanism of action of a new technology for dentin hypersensitivity relief based upon arginine and calcium carbonate and, in particular, to address important questions regarding the nature and extent of dentin tubule occlusion.  Confocal laser scanning microscopy (CLSM) scanning electron microscopy (SEM) and atomic force microscopy (AFM) have been used to assess tubule occlusion. Energy dispersive x ray (EDX) and electron spectroscopy for chemical analysis (ESCA) have been used to identify the composition of the dentin plug. CLSM has also been used to compare the mechanism of action of the toothpaste and the desensitizing prophylaxis paste, to address whether both the arginine and the calcium carbonate components are essential to occlusion, to identify the location of the arginine within the occluded dentin, and to demonstrate resistance of the occlusion to acid challenge. Hydraulic conductance has been used to assess the effectiveness of the arginine calcium carbonate technology in arresting dentin fluid movement, to evaluate the effects of pulpal pressure on the robustness of the occlusion, and to confirm the resistance of the occlusion to an acid challenge.  The CLSM, SEM, and AFM studies demonstrate that the arginine calcium carbonate technology is highly effective in rapidly and completely occluding dentin tubules. The EDX and ESCA studies show that the dentin surface deposit and occluded tubule plug contain high levels of calcium and phosphate, as well as carbonate. CLSM has confirmed that the toothpaste and the desensitizing prophylaxis paste have the same mechanism of action, that the arginine and calcium carbonate components are both essential to the effectiveness of these products, and that the arginine becomes incorporated into the dentin plug. The hydraulic conductance studies demonstrate that the occlusion provided by the arginine calcium carbonate technology results in highly significant reductions in dentin fluid flow, and that the tubule plug is resistant to normal pulpal pressure and acid challenge.  A breakthrough technology based upon arginine and calcium carbonate provides clinically proven benefits with respect to rapid and lasting relief of dentin hypersensitivity. It is unique in that two of its key components, arginine and calcium, are found naturally in saliva, and that the arginine and calcium carbonate work together to accelerate the natural mechanisms of occlusion to deposit a dentin like mineral, containing calcium and phosphate, within the dentin tubules and in a protective layer on the dentin surface.

title: A randomised controlled trial investigating efficacy of a novel toothpaste containing calcium silicate and sodium phosphate in dentine hypersensitivity pain reduction compared to a fluoride control toothpaste.
abstract: To compare a calcium silicate and sodium phosphate toothpaste (CSSP) with a fluoride negative control toothpaste for dentine hypersensitivity (DH) pain reduction after 14, 28 and 29 days.  This was a double blind, parallel study in 247 healthy adults with DH (Schiff score >2, tactile 10 20 g) in 2 teeth in different quadrants of the mouth. After acclimatisation, participants were randomised to CSSP or control toothpaste. After measuring baseline sensitivity products were applied twice daily by toothbrushing, and once daily massaging into the sensitive teeth. Sensitivity was assessed following airblast (Schiff and VAS) and tactile (Yeaple probe) stimuli at baseline, 14 and 28 days, and at 29 days, 12 hours after last product application. Participants completed a quality of life questionnaire at each study visit up to day 28.  After 14, 28 and 29 days the CSSP group had significantly lower Schiff, lower VAS and higher Yeaple probe scores compared to control (VAS at 14 days, p 0.04; all other comparisons, p 0.001) Quality of life scores improved in both groups, but no significant differences between groups were observed.  The CSSP toothpaste was more effective than the fluoride control toothpaste at reducing DH pain with benefit persisting 12 hours following application.  This novel calcium silicate and sodium phosphate toothpaste (CSSP) toothpaste is an effective twice daily treatment when brushed on the teeth for dentine hypersensitivity sufferers compared to brushing with a conventional fluoride paste. Twice daily brushing provides a sustained effect for long lasting pain relief from dentine hypersensitivity.