comparison effect of anti sensitivity toothpaste with anti sensitivity gel and mouthwash in resolve of the root dentin hypersensitivity after scaling and root planning

Abstract

Background and Aim: Root dentin sensitivity is one of the most common abnormal conditions that is encountered especially after scaling and root planning of the patient. To manage this condition, one of the home remedies is toothpaste, gel and mouthwash containing potassium nitrate and sodium fluoride. The Present study investigated and compared the effect of these substance in tooth paste, moath wash and gel. Materials and Methods: In this study 60 patints were diagnos with moderate periodontitis which they got dentin hyper sensitivity after treatment were divided into 3 groups of 20 subjects after dentin hypersensitivity. In the test group, a patient was given a sensodyne toothpaste (SENSODYNE, PRONAMEL, MINT ESSENCE). In the control group 1, a SEN-KIN / 15ML tube was given to the patient and a bottle of SENSI KIN was given to the patient in control group 2. All of the patients were placed under the VAS (VISUAL ANALOG SCAL) before using toothpaste, gel and mouthwash and their clinical indexes were evaluated and recorded. After two weeks and one month, the patients were evaluated and recorded in terms of clinical indicators and VAS. Data were analyzed by using spss20 software. To describe the findings, a descriptive study including Mean ± standard deviation was used. to measure the mean difference in the treatment groups using Kruskal-Wallis test and to compare the two groups, the Mann-Whitney test was used and the Wilcoxon test was used for comparing each group over time. P-value <0.05 was considered. Results: In the test group, the mean value obtained from the VAS test was 4.81.002,which after two weeks of using the toothpaste was 3.11.07 and after one month was decreased to 1.350.81 and this decrease was statistically significant (p <.05). In the control group 1 that the patient used the gel, the mean of the VAS test was 5.151.13at baseline, which was two weeks After using the gel, it was 2.21.9 and one month after treatment to 0.800.83, and this decrease was statistically significant (p <.05) and in the control group 2 The patient used the mouthwash. The mean of the VAS test was 4.91.29, which was two weeks after the use of mouthwash was 3.41.42 and one month after treatment to 1.60.68, and this decrease was statistically significant (p <.05) and copmering the three products with each other gel (4.35), tooth paste (3.45) and mouth wash (3.3) gel hand most effect of releving sencivity. Conclusion: In this study, it was shown that potassium nitrate in toothpaste, mouthwash and gel has the ability to control pain due to dentinal allergy following phase one of the treatment including scaling and root planning. But comparing these three products with each other, the gel contains more potassium nitrate.