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Published in: Clinical Oral Investigations 1/2018

01-01-2018 | Original Article

Reducing dentine hypersensitivity with nano-hydroxyapatite toothpaste: a double-blind randomized controlled trial

Authors: M. Vano, G. Derchi, A. Barone, R. Pinna, P. Usai, U Covani

Published in: Clinical Oral Investigations | Issue 1/2018

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Abstract

Objectives

The present randomized double-blind clinical trial aimed to compare the efficacy in reducing dentin hypersensitivity of a dentifrice formulation containing nano-hydroxyapatite with a fluoride dentifrice and a placebo.

Methods and materials

One hundred and five subjects were recruited to participate in the study. A computer-generated random table with blocking to one of the three study treatments was used in order to have 35 subjects per group: (1) nano-hydroxyapatite 2% gel toothpaste fluoride free; (2) fluoride gel toothpaste; (3) placebo. Groups 1, 2, and 3 were instructed to treat their teeth for 10 min twice a day with the provided toothpaste gel. The participant’s dentin hypersensitivity was evaluated at baseline and after 2 and 4 weeks using airblast and tactile tests. In addition, a subjective evaluation using a visual analogue scale was used.

Results

Significant lower values of cold air sensitivity and tactile sensitivity (p < 0.05) were found for the test group at 2 weeks and 4 weeks. In addition, statistically significant (p < 0.05) lower values of sensitivity were reported for group 1 compared to those for groups 2 and 3 at 2 and 4 weeks, respectively. The VAS scores were significantly lower (p < 0.05) in the test group at 2 and 4 weeks compared to those at baseline and in the control groups.

Conclusion

The application of nano-hydroxyapatite in gel toothpaste fluoride free is an effective desensitizing agent providing relief from symptoms after 2 and 4 weeks.
Literature
1.
go back to reference Bristol AM (2005) Tooth brushing, tooth wear and dentine hypersensitivity—are they related? Int Dental J 55:261–267CrossRef Bristol AM (2005) Tooth brushing, tooth wear and dentine hypersensitivity—are they related? Int Dental J 55:261–267CrossRef
2.
go back to reference Rees JS, Addy M (2002) A cross-sectional study of dentine hypersensitivity. J Clin Periodontol 29:997–1003CrossRefPubMed Rees JS, Addy M (2002) A cross-sectional study of dentine hypersensitivity. J Clin Periodontol 29:997–1003CrossRefPubMed
3.
go back to reference Brännström M, Linden LA, Johnson G (1968) Movement of dentinal and pulpal fluid caused by clinical procedures. J Dent Res 47:679–682CrossRefPubMed Brännström M, Linden LA, Johnson G (1968) Movement of dentinal and pulpal fluid caused by clinical procedures. J Dent Res 47:679–682CrossRefPubMed
5.
go back to reference Absi EG, Addy M, Adams D (1987) Dentine hypersensitivity. A study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. J Clin Periodontol 14:280–284CrossRefPubMed Absi EG, Addy M, Adams D (1987) Dentine hypersensitivity. A study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. J Clin Periodontol 14:280–284CrossRefPubMed
6.
go back to reference Milia E, Castelli G, Bortone A, Sotgiu G, Manunta A, Pinna R, Gallina G (2013) Short-term response of three resin-based materials as desensitizing agents under oral environmental exposure. Acta Odontol Scand 71:599–609CrossRefPubMed Milia E, Castelli G, Bortone A, Sotgiu G, Manunta A, Pinna R, Gallina G (2013) Short-term response of three resin-based materials as desensitizing agents under oral environmental exposure. Acta Odontol Scand 71:599–609CrossRefPubMed
7.
go back to reference Chidchuangchai W, Vongsavan N, Matthews B (2007) Sensory transduction mechanisms responsible for pain caused by cold stimulation of dentine in man. Arch Oral Biol 52:154–160CrossRefPubMed Chidchuangchai W, Vongsavan N, Matthews B (2007) Sensory transduction mechanisms responsible for pain caused by cold stimulation of dentine in man. Arch Oral Biol 52:154–160CrossRefPubMed
9.
go back to reference Markowitz K, Pashley DH (2007) Personal reflections on a sensitive subject. J Dent Res 86:292–295CrossRefPubMed Markowitz K, Pashley DH (2007) Personal reflections on a sensitive subject. J Dent Res 86:292–295CrossRefPubMed
10.
go back to reference Lin PY, Cheng YW, Chu CY, Chien KL, Lin CP, Tu YK (2013) In-office treatment for dentin hypersensitivity: a systematic review and network meta-analysis. J Clin Periodontol 40:53–64. doi:10.1111/jcpe.12011 CrossRefPubMed Lin PY, Cheng YW, Chu CY, Chien KL, Lin CP, Tu YK (2013) In-office treatment for dentin hypersensitivity: a systematic review and network meta-analysis. J Clin Periodontol 40:53–64. doi:10.​1111/​jcpe.​12011 CrossRefPubMed
12.
go back to reference Vano M, Derchi G, Barone A, Covani U (2014) Effectiveness of nano-hydroxyapatite toothpaste in reducing dentin hypersensitivity: a double-blind randomized controlled trial. Quintessence Int 45:703–711. doi:10.3290/j.qi.a32240 PubMed Vano M, Derchi G, Barone A, Covani U (2014) Effectiveness of nano-hydroxyapatite toothpaste in reducing dentin hypersensitivity: a double-blind randomized controlled trial. Quintessence Int 45:703–711. doi:10.​3290/​j.​qi.​a32240 PubMed
13.
go back to reference Vano M, Derchi G, Barone A, Genovesi A, Covani U (2015) Tooth bleaching with hydrogen peroxide and nano-hydroxyapatite: a 9-month follow-up randomized clinical trial. Int J Dent Hyg 13:301–307. doi:10.1111/idh.12123 CrossRefPubMed Vano M, Derchi G, Barone A, Genovesi A, Covani U (2015) Tooth bleaching with hydrogen peroxide and nano-hydroxyapatite: a 9-month follow-up randomized clinical trial. Int J Dent Hyg 13:301–307. doi:10.​1111/​idh.​12123 CrossRefPubMed
14.
go back to reference Najibfard K, Ramalingam K, Chedjieu I, Amaechi BT (2011) Remineralization of early caries by a nano-hydroxyapatite dentifrice. J Clin Dent 22:139–143PubMed Najibfard K, Ramalingam K, Chedjieu I, Amaechi BT (2011) Remineralization of early caries by a nano-hydroxyapatite dentifrice. J Clin Dent 22:139–143PubMed
18.
go back to reference Roveri N, Battistella E, Bianchi CL, Foltran I, Foresti E, Iafasco M, Lelli M, Naldoni A, Palazzo B, Rimondini L (2009) Surface enamel remineralization: biomimetic apatite nanocrystals and fluoride ions different effects. J Nanomater 1:1–9. doi:10.1155/2009/746383 CrossRef Roveri N, Battistella E, Bianchi CL, Foltran I, Foresti E, Iafasco M, Lelli M, Naldoni A, Palazzo B, Rimondini L (2009) Surface enamel remineralization: biomimetic apatite nanocrystals and fluoride ions different effects. J Nanomater 1:1–9. doi:10.​1155/​2009/​746383 CrossRef
20.
go back to reference Roveri, N, Foresti E, Lelli M, Lesci, IG. (2009) Recent advancements in preventing teeth health hazard: the daily use of hydroxyapatite instead of fluoride. Recent Patents on Biomedical Engineering 197–215. doi: 10.2174/1874764710902030197 Roveri, N, Foresti E, Lelli M, Lesci, IG. (2009) Recent advancements in preventing teeth health hazard: the daily use of hydroxyapatite instead of fluoride. Recent Patents on Biomedical Engineering 197–215. doi: 10.​2174/​1874764710902030​197
24.
go back to reference Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R (1997) Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 24:808–813CrossRefPubMed Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R (1997) Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 24:808–813CrossRefPubMed
25.
go back to reference Schulz KF, Altman DG, Moher D (2010) CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Trials 11:32CrossRefPubMedPubMedCentral Schulz KF, Altman DG, Moher D (2010) CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. Trials 11:32CrossRefPubMedPubMedCentral
26.
go back to reference Plagmann HC, König J, Bernimoulin JP, Rudhart AC, Deschner J (1997) A clinical study comparing two high-fluoride dentifrices for the treatment of dentinal hypersensitivity. Quintessence Int 28:403–408PubMed Plagmann HC, König J, Bernimoulin JP, Rudhart AC, Deschner J (1997) A clinical study comparing two high-fluoride dentifrices for the treatment of dentinal hypersensitivity. Quintessence Int 28:403–408PubMed
27.
go back to reference Schiff T, Dotson M, Cohen S, De Vizio W, McCool J, Volpe A (1994) Efficacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer, and sodium fluoride on dentinal hypersensitivity: a twelve-week clinical study. J Clin Dent 5:87–92PubMed Schiff T, Dotson M, Cohen S, De Vizio W, McCool J, Volpe A (1994) Efficacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer, and sodium fluoride on dentinal hypersensitivity: a twelve-week clinical study. J Clin Dent 5:87–92PubMed
28.
go back to reference Sowinski J, Ayad F, Petrone M, DeVizio W, Volpe A, Ellwood R, Davies R (2001) Comparative investigations of the efficacy of a new toothpaste containing potassium nitrate and triclosan 57 desensitising efficacy of a new dentifrice. J Clin Periodontol 28:1032–1036CrossRefPubMed Sowinski J, Ayad F, Petrone M, DeVizio W, Volpe A, Ellwood R, Davies R (2001) Comparative investigations of the efficacy of a new toothpaste containing potassium nitrate and triclosan 57 desensitising efficacy of a new dentifrice. J Clin Periodontol 28:1032–1036CrossRefPubMed
29.
go back to reference Pereira R, Chava V (2001) Efficacy of a 3% potassium nitrate desensitizing mouthwash in the treatment of dentinal hypersensitivity. J Periodontol 72:1720–1725CrossRefPubMed Pereira R, Chava V (2001) Efficacy of a 3% potassium nitrate desensitizing mouthwash in the treatment of dentinal hypersensitivity. J Periodontol 72:1720–1725CrossRefPubMed
30.
go back to reference Singal P, Gupta R, Pandit N (2005) 2% sodium fluoride-iontophoresis compared to a commercially available desensitizing agent. J Periodontol 76:351–357CrossRefPubMed Singal P, Gupta R, Pandit N (2005) 2% sodium fluoride-iontophoresis compared to a commercially available desensitizing agent. J Periodontol 76:351–357CrossRefPubMed
31.
go back to reference Orsini G, Procaccini M, Manzoli L, Giuliodori F, Lorenzini A, Putignano A (2010) A double-blind randomized-controlled trial comparing the desensitizing efficacy of a new dentifrice containing carbonate/hydroxyapatite nanocrystals and a sodium fluoride/potassium nitrate dentifrice. J Clin Periodontol 37:510–517. doi:10.1111/j.1600-051X.2010.01558.x CrossRefPubMed Orsini G, Procaccini M, Manzoli L, Giuliodori F, Lorenzini A, Putignano A (2010) A double-blind randomized-controlled trial comparing the desensitizing efficacy of a new dentifrice containing carbonate/hydroxyapatite nanocrystals and a sodium fluoride/potassium nitrate dentifrice. J Clin Periodontol 37:510–517. doi:10.​1111/​j.​1600-051X.​2010.​01558.​x CrossRefPubMed
32.
go back to reference Earl J, Leary R, Muller K, Langford R, Greenspan D (2011) Physical and chemical characterization of dentin surface following treatment with NovaMin technology. J Clin Dent 22:62–67PubMed Earl J, Leary R, Muller K, Langford R, Greenspan D (2011) Physical and chemical characterization of dentin surface following treatment with NovaMin technology. J Clin Dent 22:62–67PubMed
33.
go back to reference Mason S, Hughes N, Sufi F, Bannon L, Maggio B, North M, Holt J (2010) A comparative clinical study investigating the efficacy of a dentifrice containing 8% strontium acetate and 1040 ppm fluoride in a silica base and a control dentifrice containing 1450 ppm fluoride in a silica base to provide immediate relief of dentine hypersensitivity. J Clin Dent 21:42–48PubMed Mason S, Hughes N, Sufi F, Bannon L, Maggio B, North M, Holt J (2010) A comparative clinical study investigating the efficacy of a dentifrice containing 8% strontium acetate and 1040 ppm fluoride in a silica base and a control dentifrice containing 1450 ppm fluoride in a silica base to provide immediate relief of dentine hypersensitivity. J Clin Dent 21:42–48PubMed
34.
go back to reference Hughes N, Mason S, Jeffery P, Welton H, Tobin M, O’Shea C, Browne M (2010) A comparative clinical study investigating the efficacy of a test dentifrice containing 8% strontium acetate and 1040 ppm sodium fluoride versus a marketed control dentifrice containing 8% arginine, calcium carbonate, and 1450 ppm sodium monofluorophosphate in reducing dentinal hypersensitivity. J Clin Dent 21:49–55PubMed Hughes N, Mason S, Jeffery P, Welton H, Tobin M, O’Shea C, Browne M (2010) A comparative clinical study investigating the efficacy of a test dentifrice containing 8% strontium acetate and 1040 ppm sodium fluoride versus a marketed control dentifrice containing 8% arginine, calcium carbonate, and 1450 ppm sodium monofluorophosphate in reducing dentinal hypersensitivity. J Clin Dent 21:49–55PubMed
35.
go back to reference Seong J, Macdonald E, Newcombe RG, Davies M, Jones SB, Johnson S, West NX (2013) In situ randomised trial to investigate the occluding properties of two desensitising toothpastes on dentine after subsequent acid challenge. Clin Oral Investig 17:195–203CrossRefPubMed Seong J, Macdonald E, Newcombe RG, Davies M, Jones SB, Johnson S, West NX (2013) In situ randomised trial to investigate the occluding properties of two desensitising toothpastes on dentine after subsequent acid challenge. Clin Oral Investig 17:195–203CrossRefPubMed
36.
go back to reference Peacock JM, Orchardson R (1995) Effects of potassium ions on action potential conduction in A- and C-fibers of rat spinal nerves. J Dent Res 74:634–641CrossRefPubMed Peacock JM, Orchardson R (1995) Effects of potassium ions on action potential conduction in A- and C-fibers of rat spinal nerves. J Dent Res 74:634–641CrossRefPubMed
37.
go back to reference Waraaswapati N, Krongnawakul D, Jiraviboon D, Adulyanon S, Karimbux N, Pitiphat W (2005) The effect of a new toothpaste containing potassium nitrate and triclosan on gingival health, plaque formation and dentine hypersensitivity. J Clin Periodontol 32:53–58CrossRef Waraaswapati N, Krongnawakul D, Jiraviboon D, Adulyanon S, Karimbux N, Pitiphat W (2005) The effect of a new toothpaste containing potassium nitrate and triclosan on gingival health, plaque formation and dentine hypersensitivity. J Clin Periodontol 32:53–58CrossRef
38.
go back to reference Kim SY, Kim EJ, Kim DS, Lee IB (2013) The evaluation of dentinal tubule occlusion by desensitizing agents: a real-time measurement of dentinal fluid flow rate and scanning electron microscopy. Oper Dent 38:419–428. doi:10.2341/11-504-L CrossRefPubMed Kim SY, Kim EJ, Kim DS, Lee IB (2013) The evaluation of dentinal tubule occlusion by desensitizing agents: a real-time measurement of dentinal fluid flow rate and scanning electron microscopy. Oper Dent 38:419–428. doi:10.​2341/​11-504-L CrossRefPubMed
39.
go back to reference Frechoso C, Menendez M, Guisasola C, Arregui I, Tejerina J, Sieilsa A (2003) Evaluation of the efficacy of two potassium nitrate bioadhesive gels (5% and 10%) in the treatment of dentinal hypersensitivity: a randomized clinical trail. J Clin Periodontol 30:315–320CrossRefPubMed Frechoso C, Menendez M, Guisasola C, Arregui I, Tejerina J, Sieilsa A (2003) Evaluation of the efficacy of two potassium nitrate bioadhesive gels (5% and 10%) in the treatment of dentinal hypersensitivity: a randomized clinical trail. J Clin Periodontol 30:315–320CrossRefPubMed
42.
go back to reference Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A (2013) Lasers for the treatment of dentin hypersensitivity: a meta-analysis. J Dent Res 92:492–499CrossRefPubMed Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A (2013) Lasers for the treatment of dentin hypersensitivity: a meta-analysis. J Dent Res 92:492–499CrossRefPubMed
43.
go back to reference Gillam D, Newman H, Davies E, Bulman J (1992) Clinical efficacy of a low abrasive dentifrice for the relief of cervical dentinal hypersensitivity. J Clin Periodontol 19:197–201CrossRefPubMed Gillam D, Newman H, Davies E, Bulman J (1992) Clinical efficacy of a low abrasive dentifrice for the relief of cervical dentinal hypersensitivity. J Clin Periodontol 19:197–201CrossRefPubMed
44.
go back to reference Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X (2010) Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 20:CD007868. doi:10.1002/14651858.CD007868.pub2 Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X (2010) Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 20:CD007868. doi:10.​1002/​14651858.​CD007868.​pub2
45.
go back to reference Sharma D, McGuire JA, Amini P (2013) Randomized trial of the clinical efficacy of a potassium oxalate-containing mouthrinse in rapid relief of dentin sensitivity. J Clin Dent 24:62–67PubMed Sharma D, McGuire JA, Amini P (2013) Randomized trial of the clinical efficacy of a potassium oxalate-containing mouthrinse in rapid relief of dentin sensitivity. J Clin Dent 24:62–67PubMed
46.
go back to reference Colloca L, Benedetti F (2005) Placebos and painkillers: is mind as real as matter? Nat Rev Neurosci 6:545–552CrossRefPubMed Colloca L, Benedetti F (2005) Placebos and painkillers: is mind as real as matter? Nat Rev Neurosci 6:545–552CrossRefPubMed
47.
go back to reference Di Blasi Z, Harkness E, Ernst E, Georgiu A, Kleijnen J (2001) Influence of context effect on health outcomes. A systematic review. Lancet 375:757–762CrossRef Di Blasi Z, Harkness E, Ernst E, Georgiu A, Kleijnen J (2001) Influence of context effect on health outcomes. A systematic review. Lancet 375:757–762CrossRef
48.
go back to reference Barrett B, Muller D, Rakel D, Rabago D, Marchand L, Scheder JC (2006) Placebo, meaning, and health. Perspect Biol Med 49:178–198CrossRefPubMed Barrett B, Muller D, Rakel D, Rabago D, Marchand L, Scheder JC (2006) Placebo, meaning, and health. Perspect Biol Med 49:178–198CrossRefPubMed
Metadata
Title
Reducing dentine hypersensitivity with nano-hydroxyapatite toothpaste: a double-blind randomized controlled trial
Authors
M. Vano
G. Derchi
A. Barone
R. Pinna
P. Usai
U Covani
Publication date
01-01-2018
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 1/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-017-2113-3

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