APPROACH TO THE PROBLEM OF DENTAL HYPERESTHESIA CAUSED BY THE USE OF ABRASIVE TOOTHPASTES
Abstract and keywords
Abstract (English):
Subject of study. One of the causes of dental hyperesthesia is uncontrolled use of whitening toothpastes. The issues of diagnostics (especially in terms of interpretation of the obtained results) and treatment of hypersensitivity of hard tissues of teeth, for which various methods and preparations based on remineralization and sealing are used, do not lose their relevance. Objectives. The purpose of the study was to examine the influence of the whitening toothpastes usage on the occurrence and nature of the course of hyperesthesia of hard tissues of teeth, as well as to evaluate the effectiveness of its treatment. Materials and methods. A questionnaire survey of 162 respondents aged from 19 to 29 years was conducted, as well as further clinical examination and treatment of 72 patients suffering from hyperesthesia of hard tissues of teeth, which occurred against the background of using whitening toothpastes. To assess the intensity of hyperesthesia we used: the index of dental hyperesthesia intensity (IHI) and the NRS scale. These patients were divided into 2 clinical groups depending on the method of hyperesthesia treatment (group 1 – Gluftored; group 2 – Admira Protect). The results of the performed hyperesthesia treatment were evaluated on the 3rd, 10th days, as well as 3 months after its implementation. Results. By the 3rd day of hyperesthesia treatment, Admira Protect demonstrated greater efficacy compared to Gluftorod according to the dynamics of IHI and NRS (p < 0.05). By the end of the following week, stabilization of the above-mentioned indices and their comparable values in the groups were observed (p > 0.05). However, by the 3rd month of observation in the 1st group there was a statistically significant increase in IHI and NRS (p < 0.05). Conclusions. The use of whitening toothpastes without a dentist's prescription has a high prevalence among young adults (77.7%), which may lead to hyperesthesia of hard dental tissues. Most of the examined individuals using abrasive toothpastes had symptoms of hyperesthesia (57.1%). The study revealed high efficacy of Gluftored and Admira Protect, however, the time of desensitizing effect and stability of clinical result in the 2nd group was higher than in the 1st group (p < 0.05).

Keywords:
dental hyperesthesia, the index of dental hyperesthesia intensity (IHI), NRS, whitening toothpastes, Gluftored, Admira Protect
References

1. Pihur O.L., Tishkov D.S., Iordanishvili A.K. Giperesteziya tverdyh tkaney zuba: sovremennyy vzglyad na etiopatogenez, profilaktiku i lechenie. Stomatologiya detskogo vozrasta i profilaktika. 2020;20(4):330-336. [Pikhur O.L., Tishkov D.S., Iordanishvili A.K. Hyperesthesia of hard tooth tissues: modern view of etiopathogenesis, prevention and treatment. Pediatric dentistry and dental profilaxis. 2020;20(4):330-336. (In Russ.)]. https://doi.org/10.33925/1683-3031-2020-20-4-330-336

2. Aleshina N.F., Popova A.N., Piterskaya N.V., Kraynov S.V., Chaplieva E.M. Effektivnost' ispol'zovaniya vinirov pri restavracii peredney gruppy zubov. Fundamental'nye issledovaniya. 2014;(7, ch. 5):890-893. [Aleshina N.F., Popova A.N., Piterskaya N.V., Kraynov S.V., Chaplieva E.M.. Effectiveness of using veneers in restoration the front group of teeth. Fundamental research. 2014;(7 Pt 5):890-893. (In Russ.)]. https://www.elibrary.ru/download/elibrary_23386560_91666543.pdf

3. Lyubomirskiy G.B., Serkin R.E. Analiz klinicheskoy effektivnosti otbelivayuschih zubnyh past na osnove kontroliruemoy abrazivnosti. Institut stomatologii. 2022;(1):44-46. [Lyubomirskiy G.V., Serkin R.E. Analysis of clinical efficiency of whitening toothpasts based on controlled abrasivity. The Dental Institute. 2022;(1):44-46. (In Russ.)]. https://www.elibrary.ru/download/elibrary_48213672_33325021.pdf

4. Kerimli N.K., Orudzhev A.V., Damirchieva M.V. Sovremennye metody profilaktiki i lecheniya giperestezii zubov. International Independent Scientific Journal. 2021;(28):28-30. [Kerimli N.K., Orujov A.V., Damirchiyeva M.V. Modern methods of prevention and treatment of dental hypersensitivity. International Independent Scientific Journal. 2021;(28):28-30. (In Russ.)]. https://www.elibrary.ru/download/elibrary_46175182_26145455.pdf

5. Clark D., Levin L. Non-surgical management of tooth hypersensitivity. International Dental Journal. 2016;66(5):249-256. https://doi.org/10.1111/idj.12247

6. Ahmedbeyli P.A., Ahmedbeyli R.M., Mamedov F.Yu., Ahmedbeyli D.R. Povyshenie effektivnosti lecheniya giperestezii zubov. Klinicheskaya stomatologiya. 2019;(2):30-33. [Ahmedbeyli P.A., Ahmedbeyli R.M., Mammadov F.Y., Ahmedbeyli C.R. Efficiency increase of hyperesthesia treatment. Clinical Dentistry. 2019;(2):30-33. (In Russ.)]. https://doi.org/10.37988/1811-153X_2019_2_30

7. Kuttubaeva K.B., Abaskanova P.D., Bekturova B.B. Sravnitel'nyy analiz sovremennyh metodov lecheniya giperestezii posle otbelivaniya zubov. Vestnik Kyrgyzskoy gosudarstvennoy medicinskoy akademii imeni I.K. Ahunbaeva. 2022;(2):120-126. [Kuttubaeva K.B., Abaskanova P.D., Bekturova B.B.. Comparative analysis of modern methods of treatment of hyperesthesia after teeth whitening. Vestnik KSMA n.a. I.K. Akhunbaev. 2022;2:120-126. (In Russ.)]. https://doi.org/10.54890/1694-6405_2022_2_120

8. Mehta D., Gowda V.S., Santosh A., Finger W.J., Sasaki K. Randomized controlled clinical trial on the efficacy of dentin desensitizing agents. Acta odontologica Scandinavica. 2014;72(8):936-941. https://doi.org/10.3109/00016357.2014.923112

9. Osipova V.A., Burdina P.A. Sravnitel'nyy analiz effektivnosti ispol'zovaniya stomatologicheskih preparatov dlya snizheniya giperestezii zubov. Uchenye zapiski Pervogo Sankt-Peterburgskogo gosudarstvennogo medicinskogo universiteta imeni akademika I. P. Pavlova. 2020;27(2):57-62. [Osipova V.A., Burdina P.A. Comparative analysis of the effectiveness of the use of dental drugs to reduce tooth hyperesthesia. The Scientific Notes of Pavlov University. 2020;27(2):57-62. (In Russ.)]. https://doi.org/10.24884/1607-4181-2020-27-2-57-62

10. Iordanishvili A.K. Effektivnost' ustraneniya giperestezii zubov i komplaens - dve storony odnoy medali. Parodontologiya. 2021;26(2):159-162. [Iordanishvili A.K. The effective treatment of tooth sensitivity and adherence: two sides of the same coin. Parodontologiya. 2021;26(2):159-162. (In Russ.)]. https://doi.org/10.33925/1683-3759-2021-26-2-159-162

11. Naveena R., Nagarathana S., Sakunthala V. Remineralizing Agent -Then and Now -An Update. Dentistry. 2014;4(9):1000256. https://doi.org/10.4172/2161-1122.1000256


Login or Create
* Forgot password?