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Effects of a mouthwash containing potassium nitrate, sodium fluoride, and cetylpyridinium chloride on dentin hypersensitivity: a randomized, double-blind, placebo-controlled study

  • Hong, Ji-Youn (Department of Periodontology, Periodontal-Implant Clinical Research Institute, Kyung Hee University School of Dentistry) ;
  • Lim, Hyun-Chang (Department of Periodontology, Periodontal-Implant Clinical Research Institute, Kyung Hee University School of Dentistry) ;
  • Herr, Yeek (Department of Periodontology, Periodontal-Implant Clinical Research Institute, Kyung Hee University School of Dentistry)
  • 투고 : 2015.11.20
  • 심사 : 2015.12.29
  • 발행 : 2016.02.15

초록

Purpose: We evaluated the efficacy of a mouthwash containing potassium nitrate ($KNO_3$) as its main component, along with sodium fluoride (NaF) and cetylpyridinium chloride (CPC). The primary endpoint was the relief of dentin hypersensitivity (DH) against the cold stimuli. The effects on other DH tests and periodontal inflammation were also evaluated. Methods: We used a single-center, double-blind, placebo-controlled, randomized design. A total of 82 patients with DH (40 in the test group, 42 placebo controls) were analyzed using visual analog scales (VASs) for a cold test, a tactile test, a compressive air test, and self-reported pain during daily activities, as well as clinical parameters including plaque index, gingival index, modified sulcular bleeding index (mSBI), gingival recession, and probing depth, which were collected at baseline and after four and six weeks of mouthwash use. Results: VAS scores for cold sensations, tactile sensations, the compressive air test, and self-reported pain significantly decreased from baseline during the six weeks in both groups (P<0.01), and no significant differences between the groups were found. In male patients (10 in the test group and 7 in the control group), both groups showed significant reductions in VAS scores for the cold test over the six weeks, and greater reductions were found in the test group than in the control group between four and six weeks (P=0.01) and between baseline and six weeks (P<0.01). In addition, the mSBI in the test group significantly decreased from baseline during the six weeks (P<0.01), and the changes at four and six weeks from baseline were significantly greater in the test group compared to the control group (P=0.03 and P=0.02, respectively). Conclusions: A mouthwash containing a mixture of $KNO_3$, NaF, and CPC reduced DH and gingival inflammation, however, the efficacy was comparable to the control group.

키워드

참고문헌

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피인용 문헌

  1. The Influence of Toothpaste Containing Australian Melaleuca alternifolia Oil and Ethanolic Extract of Polish Propolis on Oral Hygiene and Microbiome in Patients Requiring Conservative Procedures vol.22, pp.11, 2016, https://doi.org/10.3390/molecules22111957
  2. Evaluation of the efficacy of dentin hypersensitivity treatments—A systematic review and follow‐up analysis vol.46, pp.10, 2016, https://doi.org/10.1111/joor.12842