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Treatment of dentin hypersensitivity: a systematic review of randomized Clinical trials

Aim: Dentin hypersensitivity (DH) is generally described as “a brief, sharp, and acute pain emanating from exposed dentin in response to thermal, tactile, osmotic, or chemical stimuli, as well as exposure to air that cannot be attributed to any dental anomaly or pathology”. Several products have been assessed in regard to their effects on DH, including home remedies containing strontium fluorides or chlorides, and more recently substances such as bioactive glass-ceramics and arginine. These products have generally been shown to be safe and beneficial for patients afflicted by DH. The aim of this work was to provide a systematic review of randomized clinical trials (RCT) of the various therapeutic solutions for DH that have been described in the literature from the 1st of January 2009 to the 30th of September 2015. Materials and Methods: Several electronic databases such as Cochrane Oral Health Group Trials Register, the Cochrane Central Register of Controlled Trials (CENTRAL), Medline and Embase were accessed. In addition, some studies were identified by hand searching. Results: The electronic and manual search strategies with which we examined the target databases returned 301 articles that were then listed in a QUOROM flow diagram to demonstrate the selection process for the written materials that were retained for a final analysis. Only 17 articles were finally selected. Conclusion: Comparisons between the various therapeutic options did not reveal any significant short-term differences, although the laser-based treatments proved to be much more effective in the long run. The same can be said for cyanoacrylate, which was found to be as effective as low-intensity laser treatment for reducing dentin hypersensitivity. Further, it is a more readily accessible and less costly procedure that is entirely safe for use in treating dentin hypersensitivity.

Auteur(s) : Leye Benoist F, Niang So, Faye B, Sarr M, Seck A, Ndiaye D, Baldé O, Touré B.
Pages : 1-10
Année de publication : 2016
Revue : Journal of Dentistry and Oral Care Medicine
N° de volume : 2(2)
Type : Article
Mise en ligne par : FAYE Babacar