Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical Trial

Introduction: Dentinal hypersensitivity is a prevalent and distressing dental condition characterised by acute, transient pain or discomfort arising from exposed dentin in response to external stimuli, such as variations in temperature, mechanical stimuli, or consumption of acidic or sweet foods...

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Main Authors: Ramesh Nagarajappa, Priyanca Panigrahi, Dharmashree Satyarup, Jagruti Nanda, Radha Prasanna Dalai, Sourav Chandra Bidysagar Bal, Sashikant Sethi
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/18532/64972_CE[Ra1]_F[SK]_QC(SHK_IS)_PF1(AP_SS)_PFA(KM)_PB(AP_OM)_PN(KM).pdf
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author Ramesh Nagarajappa
Priyanca Panigrahi
Dharmashree Satyarup
Jagruti Nanda
Radha Prasanna Dalai
Sourav Chandra Bidysagar Bal
Sashikant Sethi
author_facet Ramesh Nagarajappa
Priyanca Panigrahi
Dharmashree Satyarup
Jagruti Nanda
Radha Prasanna Dalai
Sourav Chandra Bidysagar Bal
Sashikant Sethi
author_sort Ramesh Nagarajappa
collection DOAJ
description Introduction: Dentinal hypersensitivity is a prevalent and distressing dental condition characterised by acute, transient pain or discomfort arising from exposed dentin in response to external stimuli, such as variations in temperature, mechanical stimuli, or consumption of acidic or sweet foods. Dentinal Hypersensitivity (DH) impacts daily activities, such as eating, drinking, and oral hygiene practices. Dentifrices are commonly used in the treatment of hypersensitivity, as they relieve sensitivity by obstructing nerve pathways through the formation of compounds. Aim: The aim of the study is to evaluate and compare the efficacy of two types of desensitising toothpastes, Vantej and Dente 91, in treating DH. Materials and Methods: A randomised controlled clinical trial was conducted with 40 patients who had a minimum of two hypersensitive teeth. The clinical investigation took place in a dental set-up in Bhubaneswar, Odisha, from July to August 2022. The patients were randomly allocated to two groups (20 in each group) in a 1:1 ratio for the Vantej and Dente 91 groups. Over a four-week period, the patients were instructed to use the prescribed toothpaste twice daily. DH assessment techniques included a Verbal Response Scale (VRS), air blast stimulation, and cold stimulation, both at baseline and after the four-week duration. Statistical analyses were performed using the Mann-Whitney U test and Wilcoxon signed-rank test, with the significance level set at p<0.05. Results: The fourth-week scores compared to baseline scores for the verbal scale, air blast stimulus, and cold sensitivity methods in both groups showed a reduction in DH. In the inter group comparison, the Dente 91 group exhibited greater effectiveness compared to the Vantej group, with a significant reduction in VRS (p=0.02) and air blast stimulus (p=0.01), but not in cold sensitivity (p=0.09). Conclusion: Both Vantej and Dente 91 toothpastes significantly reduced dentinal hypersensitivity. However, the percentage reduction was higher in the latter group, suggesting more effective management of DH. Dente 91 could be considered a promising alternative to the existing over-the-counter desensitising toothpastes.
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spelling doaj.art-ad58b82a08554f229527370fe3359be52023-10-23T09:55:52ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-10-011710010410.7860/JCDR/2023/64972.18532Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical TrialRamesh Nagarajappa0Priyanca Panigrahi1Dharmashree Satyarup2Jagruti Nanda3Radha Prasanna Dalai4Sourav Chandra Bidysagar Bal5Sashikant Sethi6Professor and Head, Department of Public Health Dentistry, The Oxford Dental College and Hospital, Banglore, Karanataka, India.Post Graduate Trainee, Department of Public Health Dentistry, Institute of Dental Sciences, Bhubaneswar, Odisha, India.Professor and Head, Department of Public Health Dentistry, Institute of Dental Sciences, Bhubaneswar, Odisha, India.Post Graduate Trainee, Department of Public Health Dentistry, Institute of Dental Sciences, Bhubaneswar, Odisha, India.Assistant Professor, Department of Public Health Dentistry, Institute of Dental Sciences, Bhubaneswar, Odisha, India.Assistant Professor, Department of Public Health Dentistry, Institute of Dental Sciences, Bhubaneswar, Odisha, India.Tutor, Department of Public Health Dentistry, Institute of Dental Sciences, Bhubaneswar, Odisha, India.Introduction: Dentinal hypersensitivity is a prevalent and distressing dental condition characterised by acute, transient pain or discomfort arising from exposed dentin in response to external stimuli, such as variations in temperature, mechanical stimuli, or consumption of acidic or sweet foods. Dentinal Hypersensitivity (DH) impacts daily activities, such as eating, drinking, and oral hygiene practices. Dentifrices are commonly used in the treatment of hypersensitivity, as they relieve sensitivity by obstructing nerve pathways through the formation of compounds. Aim: The aim of the study is to evaluate and compare the efficacy of two types of desensitising toothpastes, Vantej and Dente 91, in treating DH. Materials and Methods: A randomised controlled clinical trial was conducted with 40 patients who had a minimum of two hypersensitive teeth. The clinical investigation took place in a dental set-up in Bhubaneswar, Odisha, from July to August 2022. The patients were randomly allocated to two groups (20 in each group) in a 1:1 ratio for the Vantej and Dente 91 groups. Over a four-week period, the patients were instructed to use the prescribed toothpaste twice daily. DH assessment techniques included a Verbal Response Scale (VRS), air blast stimulation, and cold stimulation, both at baseline and after the four-week duration. Statistical analyses were performed using the Mann-Whitney U test and Wilcoxon signed-rank test, with the significance level set at p<0.05. Results: The fourth-week scores compared to baseline scores for the verbal scale, air blast stimulus, and cold sensitivity methods in both groups showed a reduction in DH. In the inter group comparison, the Dente 91 group exhibited greater effectiveness compared to the Vantej group, with a significant reduction in VRS (p=0.02) and air blast stimulus (p=0.01), but not in cold sensitivity (p=0.09). Conclusion: Both Vantej and Dente 91 toothpastes significantly reduced dentinal hypersensitivity. However, the percentage reduction was higher in the latter group, suggesting more effective management of DH. Dente 91 could be considered a promising alternative to the existing over-the-counter desensitising toothpastes.https://www.jcdr.net/articles/PDF/18532/64972_CE[Ra1]_F[SK]_QC(SHK_IS)_PF1(AP_SS)_PFA(KM)_PB(AP_OM)_PN(KM).pdfdentin desensitising agentslactoferrintoothpastes
spellingShingle Ramesh Nagarajappa
Priyanca Panigrahi
Dharmashree Satyarup
Jagruti Nanda
Radha Prasanna Dalai
Sourav Chandra Bidysagar Bal
Sashikant Sethi
Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical Trial
Journal of Clinical and Diagnostic Research
dentin desensitising agents
lactoferrin
toothpastes
title Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical Trial
title_full Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical Trial
title_fullStr Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical Trial
title_full_unstemmed Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical Trial
title_short Comparison of Vantej and Dente 91 Toothpastes in the Management of Dentin Hypersensitivity: A Randomised Clinical Trial
title_sort comparison of vantej and dente 91 toothpastes in the management of dentin hypersensitivity a randomised clinical trial
topic dentin desensitising agents
lactoferrin
toothpastes
url https://www.jcdr.net/articles/PDF/18532/64972_CE[Ra1]_F[SK]_QC(SHK_IS)_PF1(AP_SS)_PFA(KM)_PB(AP_OM)_PN(KM).pdf
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