Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trial

Aim: Hypersensitivity is the most common clinical problem which is encountered by most of dental patients undergoing a vital tooth preparation for a fixed crown prosthesis. The aim of this study is to evaluate the effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing d...

Full description

Bibliographic Details
Main Authors: K Savitha, P S Manoharan, J Balaji, G Ezhumalai, B T Pradeep Raja, Sanchayita Roy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:The Journal of Indian Prosthodontic Society
Subjects:
Online Access:http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=2;spage=143;epage=151;aulast=Savitha
_version_ 1817983702715596800
author K Savitha
P S Manoharan
J Balaji
G Ezhumalai
B T Pradeep Raja
Sanchayita Roy
author_facet K Savitha
P S Manoharan
J Balaji
G Ezhumalai
B T Pradeep Raja
Sanchayita Roy
author_sort K Savitha
collection DOAJ
description Aim: Hypersensitivity is the most common clinical problem which is encountered by most of dental patients undergoing a vital tooth preparation for a fixed crown prosthesis. The aim of this study is to evaluate the effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing dentinal hypersensitivity following vital tooth preparation. Settings and Design: This study is a randomized control trial performed on 119 teeth of 68 patients who are in need of fixed prosthesis treatment. Materials and Methods: After a thorough clinical examination, patients were allocated into any of the randomly assigned four groups (Control, silver diamine fluoride, potassium nitrate, and glutaraldehyde) and the level of hypersensitivity was measured by blasting air on the surface of tooth at five different intervals (before preparation, after preparation, after application of desensitizers, before cementation and after a follow up period of about 30 days) and is graded using Schiff 's cumulative hypersensitivity index. Statistical Analysis Used: Kruskal wallis test is used to compare the rate of sensitivity between the 4 groups. Friedman and Wilcoxon test is used to compare the rate of sensitivity at 5 different intervals. Results: All the desensitizers used in this study reduced the level of hypersensitivity. Among which, silver diamine fluoride was found to be more effective after application, before cementation, and after a follow up period of about 30 days followed by GLUMA and potassium nitrate. Conclusion: The results of this study suggest that silver diamine fluoride was found to be more effective after application, before cementation of the definitive prosthesis and after a follow up period of 30 days.
first_indexed 2024-04-13T23:36:26Z
format Article
id doaj.art-a6d33e0cf60b42da9acaa058e62dcb45
institution Directory Open Access Journal
issn 0972-4052
1998-4057
language English
last_indexed 2024-04-13T23:36:26Z
publishDate 2022-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series The Journal of Indian Prosthodontic Society
spelling doaj.art-a6d33e0cf60b42da9acaa058e62dcb452022-12-22T02:24:43ZengWolters Kluwer Medknow PublicationsThe Journal of Indian Prosthodontic Society0972-40521998-40572022-01-0122214315110.4103/jips.jips_254_21Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trialK SavithaP S ManoharanJ BalajiG EzhumalaiB T Pradeep RajaSanchayita RoyAim: Hypersensitivity is the most common clinical problem which is encountered by most of dental patients undergoing a vital tooth preparation for a fixed crown prosthesis. The aim of this study is to evaluate the effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing dentinal hypersensitivity following vital tooth preparation. Settings and Design: This study is a randomized control trial performed on 119 teeth of 68 patients who are in need of fixed prosthesis treatment. Materials and Methods: After a thorough clinical examination, patients were allocated into any of the randomly assigned four groups (Control, silver diamine fluoride, potassium nitrate, and glutaraldehyde) and the level of hypersensitivity was measured by blasting air on the surface of tooth at five different intervals (before preparation, after preparation, after application of desensitizers, before cementation and after a follow up period of about 30 days) and is graded using Schiff 's cumulative hypersensitivity index. Statistical Analysis Used: Kruskal wallis test is used to compare the rate of sensitivity between the 4 groups. Friedman and Wilcoxon test is used to compare the rate of sensitivity at 5 different intervals. Results: All the desensitizers used in this study reduced the level of hypersensitivity. Among which, silver diamine fluoride was found to be more effective after application, before cementation, and after a follow up period of about 30 days followed by GLUMA and potassium nitrate. Conclusion: The results of this study suggest that silver diamine fluoride was found to be more effective after application, before cementation of the definitive prosthesis and after a follow up period of 30 days.http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=2;spage=143;epage=151;aulast=Savithadentinal hypersensitivitydesensitizersvital tooth preparation
spellingShingle K Savitha
P S Manoharan
J Balaji
G Ezhumalai
B T Pradeep Raja
Sanchayita Roy
Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trial
The Journal of Indian Prosthodontic Society
dentinal hypersensitivity
desensitizers
vital tooth preparation
title Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trial
title_full Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trial
title_fullStr Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trial
title_full_unstemmed Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trial
title_short Effect of silver diamine fluoride, potassium nitrate, and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity: A randomized controlled trial
title_sort effect of silver diamine fluoride potassium nitrate and glutaraldehyde in reducing the post vital tooth preparation hypersensitivity a randomized controlled trial
topic dentinal hypersensitivity
desensitizers
vital tooth preparation
url http://www.j-ips.org/article.asp?issn=0972-4052;year=2022;volume=22;issue=2;spage=143;epage=151;aulast=Savitha
work_keys_str_mv AT ksavitha effectofsilverdiaminefluoridepotassiumnitrateandglutaraldehydeinreducingthepostvitaltoothpreparationhypersensitivityarandomizedcontrolledtrial
AT psmanoharan effectofsilverdiaminefluoridepotassiumnitrateandglutaraldehydeinreducingthepostvitaltoothpreparationhypersensitivityarandomizedcontrolledtrial
AT jbalaji effectofsilverdiaminefluoridepotassiumnitrateandglutaraldehydeinreducingthepostvitaltoothpreparationhypersensitivityarandomizedcontrolledtrial
AT gezhumalai effectofsilverdiaminefluoridepotassiumnitrateandglutaraldehydeinreducingthepostvitaltoothpreparationhypersensitivityarandomizedcontrolledtrial
AT btpradeepraja effectofsilverdiaminefluoridepotassiumnitrateandglutaraldehydeinreducingthepostvitaltoothpreparationhypersensitivityarandomizedcontrolledtrial
AT sanchayitaroy effectofsilverdiaminefluoridepotassiumnitrateandglutaraldehydeinreducingthepostvitaltoothpreparationhypersensitivityarandomizedcontrolledtrial