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The aim of the study to compare the clinical effectiveness of Episodic use of Bioactive Silica Based versus continuous use of fluoride based desensitizing toothpastes in management of dentin hypersensitivity (DH) of adult patients over 6m follow up and evaluating patient satisfaction regarding the treatment provided. Episodic use will be tested as it reflects the effectiveness in a clinical scenario regarding patient compliance and adherence to the treatment where some of the Egyptian patients stop the treatment once improvement occurs due to financial constraints
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 Episodic use of Refix booster Bioactive Silica with calcium booster toothpaste | Experimental |
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| Group 2: Episodic use of Regenerador Sentitive: Bioactive Silica Based toothpaste, | Experimental |
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| Group 3: Episodic use of (Sensodyne Rapid action) Fluoride containing desensitizing Toothpaste, | Experimental |
| |
| Group 4: Continuous use of (Sensodyne Rapid action) Fluoride containing desensitizing Toothpaste | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| episodic use of the desensitizing toothpaste | Procedure | subjects assigned to episodic treatment will use the assigned toothpaste with the same previous instructions for two 8-week treatment periods, followed by an 8-week phase in which they will use the conventional fluoride dentifrice (Signal Complete 8 Original, Unilever, Egypt), which has no documented desensitizing efficacy |
| Measure | Description | Time Frame |
|---|---|---|
| Degree of Dentin hypersensitivity | Visual analog scale (VAS) | change from the baseline, 1month, 2months, 4 months, 6 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Examiner Assessment to level of patient pain | Schiff sensitivity scale [SSS] | change from the baseline, 1month, 2months, 4 months, 6 months after treatment |
| Patient satisfaction with the Treatment |
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Inclusion Criteria:
Patients with DH, VAS ≥ 3 and Schiff sensitivity score needed to be ≥2, indicating that application of a jet of air makes the patient respond and move or requests discontinuation of the stimuli application.
• Teeth with DH related to Non- carious Cervical lesions (abrasion, abfracture, erosion).
• Teeth with gingival recession and exposed root dentin.
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Exclusion Criteria:
Systematic disease and/ or physical disabilities that may affect participation. • Patients who did any periodontal surgeries within the previous 3 months.
• Patients with orthodontic appliances, or restorative work that might interfere with evaluation.
• Patient who frequently use analgesics or any drugs that could affect the pain level.
• Home or in-office bleaching and/ or in office fluoride application for 6 months before beginning of treatment.
• Pregnant females with frequent vomiting attacks.
• Smokers.
• Systemic conditions that cause or predispose patients to develop dentin hypersensitivity (for example, gastroesophageal reflux disease, GERD).
• Excessive dietary or environmental exposure to acids.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rawda Hesham Abd ElAziz | Contact | +201001097200 | rawda.hesham@dentistry.cu.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cairo University | Cairo | 11331 | Egypt |
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| continuous use of the conventional desensitizing toothpaste | Procedure | The patients will be instructed to use 1 inch amount of the assigned desensitizing toothpaste and soft bristle toothbrushes with the same brushing technique they will be taught in the intervention visit for 2 minutes twice a day (morning and last thing at night ) without further rinsing, only spitting of the excess material every day along the whole study period for the continuous treatment group. |
|
4-point Likert scale
| change from the baseline, 1month, 2months, 4 months, 6 months after treatment |
| ID | Term |
|---|---|
| D003807 | Dentin Sensitivity |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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