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Metals, fluoride and bioactive glass on dentin hypersensitivity and quality of life: A 6-month double-blind randomized clinical trial

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Autor(es):
Mosquim, Victor ; Santin, Daniella Cristo ; Jacomine, Juliana Carvalho ; Zabeu, Giovanna Speranza ; Gillam, David Geoffrey ; Hill, Robert Graham ; Wang, Linda
Número total de Autores: 7
Tipo de documento: Artigo Científico
Fonte: Journal of Dentistry; v. 160, p. 8-pg., 2025-09-01.
Resumo

Objectives To investigate whether a TiF4 varnish, a SnCl2/AmF/NaF and chitosan-containing toothpaste (Elmex Opti-namel), and a fluoride-calcium-phospho-silicate-containing toothpaste (Biomin F) can reduce dentin hypersensitivity (DH) and improve oral health-related quality of life (OHRQoL) similarly to NaF varnish over 6 months. Methods Fifty-one patients/241 teeth were randomized into four groups. DH was measured using a 10-point visual analog scale after evaporative and tactile stimuli at baseline, immediately after application, and after 1, 3, and 6 months. OHRQoL was evaluated using the OHIP-14 questionnaire at baseline and after 1, 3, and 6 months. Statistical analyses included one-way ANOVA, Fisher's exact test, Kruskal-Wallis and DSCF post-hoc, Friedman's test and Durbin-Conover post-hoc, and mixed factorial ANOVA with Tukey post-hoc (alpha=0.05). Results All products reduced DH pain over time (p < 0.001). For evaporative stimulus, NaF varnish was outperformed by both toothpastes at 3 months, and by Elmex Opti-namel at 6 months (p = 0.048). For tactile stimulus, Biomin F was less effective than NaF varnish immediately after application (p = 0.028), but no other inter-group differences were observed. All products equally improved OHRQoL (p < 0.001), but the improvement was classified as low. Conclusion All products improved OHRQoL, but Elmex Opti-namel provided the most effective pain relief after 6 months. Clinical Significance All products relieved pain and improved OHRQoL. However, both toothpastes presented higher DH pain relief than the NaF varnish after 3 months, and Elmex Opti-namel outperformed the NaF varnish after 6 months. Therefore, bioactive glass- and polyvalent metal-containing toothpastes are effective, noninvasive options for managing DH and enhancing patient comfort. (AU)

Processo FAPESP: 19/21128-1 - O papel dos agentes bioativos, resinosos e fluoretados no tratamento da hipersensibilidade dentinária e sua interação com a dentina hígida e erodida: estudos in vitro e clínico
Beneficiário:Victor Mosquim
Modalidade de apoio: Bolsas no Brasil - Doutorado
Processo FAPESP: 21/07513-0 - Oclusão dos túbulos dentinários após a aplicação de dentifrícios experimentais contendo vidros bioativos: uma análise de ressonância magnética nuclear (MAS-NMR)
Beneficiário:Victor Mosquim
Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Doutorado
Processo FAPESP: 23/16722-7 - Desenvolvimento de sistemas adesivos autocondicionantes combinados a partículas bioativas contendo flúor e estrôncio com ou sem sódio e zinco: análise de propriedades adesivas e remineralização da matriz dentinária
Beneficiário:Victor Mosquim
Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
Processo FAPESP: 23/05793-0 - Impacto de tecnologias bioativas em dentina alterada por desgaste dentário erosivo ou pós irradiado por radioterapia: análise biológica por zimografia in situ e físico mecânicas relacionadas
Beneficiário:Linda Wang
Modalidade de apoio: Auxílio à Pesquisa - Regular