Clinical Assessment Of Bonding Agent v/s Fluoride Varnish In Dentinal Hypersensitivity
DOI:
https://doi.org/10.51985/JBUMDC2018022Keywords:
Dentin hypersensitivity, Pain score, Bonding agent, Fluoride varnishAbstract
Objective: To compare the mean reduction in pain scores between Bonding agent (GLUMA® Comfort® Bond+ Desensitizer,
and Fluoride varnish.
Methodology: The study was conducted at Operative Dentistry, Department at Altamash Institute of Dental Medicine,
Karachi from July 2015 to August 2016. Total 152 patients were selected. Patients were randomly allocated into two groups
A and B. Gluma comfort bond plus desensitizer® was applied to the patients in group A and Duraphet® was applied to
the patients in group B. Initial assessment was done after the application of the above products and thermal test was
performed. The outcomes were based on a Visual Analogue Scale (VAS). Re-Evaluation was done again after 30 days of
treatment in terms of mean reduction in pain from baseline by applying thermal test on visual analogue scale.
Results: The average age of the patients was 37.4 ±8.38 years. After 30 days, mean Visual Analog Scale was significantly
low in Group A i.e. 2.95±0.0.86 as compared to Group B i.e. 4.01±0.79(p=0.0005). Significant more reduction in mean
pain score was observed in Bonding agent (Gluma desensitizer) as compared to Fluoride varnish Duraphat.
Conclusion: In our study we found that bonding agent ( Gluma Desensitizer) is more effective in treating Dentine
Hypersensitivity compared to fluoride varnish (Duraphat desensitizer group).
References
Mehmood Z, Shah JA, Javed MU, Mehmood Z, Shah JA, Javed MU, et al. Efficacy of gluma desensitizer and duraphat in relieving dentinal hypersensitivity in non-carious cervical lesions. Pak Oral Dent J. 2011;31:183-6.
Richard D, Oquendo A. Treatment of dentin hypersensitivity. Dent Clin N Am. 2011;55:599–608.
Guentscha A, Seidlera K, Nietzscheb S. Biomimetic mineralization longterm observations inpatients with dentin sensitivity. Dent Mater. 2012;10:1-3.
Yashen S, Tsai CH, Yang LC, Chan YC. Clinical efficacy of toothpaste containing potassium citrate in treating dentin hypersensitivity. J Dent Sci. 2009;4:173-7.
Dababneh RH, Khouri AT, Addy M. Dentine hypersensitivity an enigma, a review of terminology, epidemiology, mechanisms, aetiology and management. Br Dent J. 1999;187:11.
Al-Sabbagh M, Amanda B, Thomas MV. In office treatment of dentinal hypersensitivity. Dent Clin N Am. 2009;53:47-60.
Al-Sabbagh M, Harrison E, Thomas MV. Patient applied treatment of dentinal Hypersensitivity. Dent Clin N Am. 2009;53:61–70.
Assis CA, Antoniazzi RP, Zanatta FB, Rösing CK. Efficacy of Gluma Desensitizer® on dentin hypersensitivity in periodontallytreated patients. Braz Oral Res. 2006;20:252-6.
Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R. Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J ClinPeriodontol. 1997;24:808-13.
Dowell P, Addy M, Drummer P. Dentine hypersensitivity: aetiology, differential diagnosis and management. Br J Dent. 1985;158:92.
Markowitz K, Pashley DH. Discovering new treatments for sensitive teeth. The long path from biology to therapy. J Oral Rehabil. 2007;35:300–15.
Addy M. Dentine hypersensitivity: New perspectives on an old problem. Int Dent J. 2002;52(5):367-375.
Brännström M. Dentin sensitivity and aspiration of odontoblasts. J Am Dent Assoc. 1963;66:366-70
Cummins D. Dentin hypersensitivity. From diagnosis to a breakthrough therapy for everyday sensitivity relief. J Clin Dent. 2009;20(1):1–9.
Dijkman GE, Jongebloed WL, de Vries J, Ogaard B, Arends J. Closing of dentinal tubules by glutardialdehyde treatment. A scanning electron microscopy study. Scand J Dent Res. 1994;102(3):144-50.
Bergenholtz G, Jontell M, Tuttle A, Knutsson G. Inhibition of serum albumin flux across exposed dentine following conditioning with GLUMA primer, glutaraldehyde or potassium oxalates. J Dent. 1993;21(4):220-7.
Felton DA, Bergenholtz G, Kanoy BE. Evaluation of the desensitising effect of Gluma dentine bond on teeth prepared for complete-coverage restorations. Int J Prosthodont. 1991;4(3):292-8.
Kakaboura A, Rahiotis C, Thomaidis S, Doukoudakis S. Clinical effectiveness of two agents on the treatment of tooth cervical hypersensitivity. Am J Dent. 2005;18(4):291-5.
Ishihata H, Kanehira M, Nagai T, Finger WJ, Shimauchi H, Komatsu M. Effect of desensitising agents on dentine permeability. Am J Dent. 2009;22(3):143-6.
Sobral MA, Garone-Netto N, Luz MA, Santos AP. Prevention of postoperative tooth sensitivity. a preliminary clinical trial. J Oral Rehabil. 2005;32(9):661-8.
deAssis C, Antoniazzi RP, Zanatta FB, Rösing CK. Efficacy of GlumaDesensitiser on dentine hypersensitivity in periodontally treated patients. Braz Oral Res. 2006;20(3):252-6.
Aranha AC, Pimenta LA, Marchi GM. Clinical evaluation of desensitizing treatments for cervical dentin hypersensitivity. Braz Oral Res. 2009;23(3):333-9.
Petrou I, Heu R, Stranick M, Lavender S, Zaidel L, Cummins D, et al. A breakthrough therapy for dentine hypersensitivity. how dental products containing 8% arginine and calcium carbonate work to deliver effective relief of sensitive teeth. J Clin Dent. 2009;20(1):23-31.
Gaffar A. Treating hypersensitivity with fluoride varnishes. CompendContinEduc Dent. 1988;19:1088-97.
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Copyright (c) 2019 Jamshed Ahmed, Syed Abrar Ali, Rizwan Jouhar, Haroon Shah
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