Influence of desensitizing agents in management of noncarious cervical lesion and bonded restorations: A preliminary 12-week report

Objectives: The primary objective of this study was to investigate the effectiveness in reducing dentin hypersensitivity in noncarious cervical lesions (NCCLs) by home-based desensitizing toothpaste (TP), in-office Gluma desensitizer application, and resin-modified glass-ionomer cement (RMGIC) resto...

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Bibliographic Details
Published in:	Journal of conservative dentistry Vol. 23; no. 4; pp. 341 - 347
Main Authors:	Joe Asir, J, Sherwood, I, Amaechi, Bennett, Vaanjay, M, Swathipriyadarshini, S, Prince, P
Format:	Journal Article
Language:	English
Published:	India Wolters Kluwer India Pvt. Ltd 01-07-2020 Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Wolters Kluwer - Medknow
Subjects:	Dental cement Dentifrices Dentin Hypersensitivity Lesions Original Patient satisfaction Patients Statistical analysis dentin hypersensitivity Bioactive glass-containing desensitizing toothpaste noncarious cervical lesions Gluma desensitizer resin-modified glass-ionomer cement
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Summary:	Objectives: The primary objective of this study was to investigate the effectiveness in reducing dentin hypersensitivity in noncarious cervical lesions (NCCLs) by home-based desensitizing toothpaste (TP), in-office Gluma desensitizer application, and resin-modified glass-ionomer cement (RMGIC) restoration. The secondary objective was to evaluate the long-term outcome of the? glass-ionomer cement restoration following the application of bioactive glass-containing desensitizer TP. Materials and Methods: A total of 73 patients or 151 teeth were included in the study and randomly allotted to one of the four different treatment groups. Pre- and postoperative symptom and air-blast/tactile sensitivity scores were recorded for statistical analysis. Postoperative sensitivity was analyzed at 1, 4, and 12 weeks after treatment. Nonparametric statistical tests were employed. Results: Kruskal-Wallis test noted a significant reduction in postoperative sensitivity at all time periods with the RMGIC group compared to other treatment options. Significantly higher patient dropout was observed in desensitizing TP regimen. Conclusions: This interim 12-week report on dentin hypersensitivity management of NCCLs concludes that resin-modified glass-ionomer restoration was able to achieve a significant instant reduction in sensitivity and patient satisfaction compared to other noninvasive at-home and in-office procedures. Clinical relevance: This interim 12-week report on dentin hypersensitivity management of noncarious cervical lesions concludes that resin-modified glass-ionomer restoration was able to achieve a significant reduction in sensitivity, and patient satisfaction was higher compared to other noninvasive at-home and in-office procedures.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0972-0707 0974-5203
DOI:	10.4103/JCD.JCD_389_20