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Clinical evaluation of the effect of a remineralizing toothpaste on dentinal sensitivity.

Dentinal hypersensitivity is a common dental problem without a satisfactory solution. Most therapies have focused on either trying to block the stimulation of dentinal nerves or on sealing open dentinal tubules. This study evaluated, in a double blind clinical trial, the effect of Enamelon, a dentifrice containing sodium fluoride, calcium salts and phosphate salts (calcium separated from the phosphate and fluoride by a plastic divider in the tube to prevent interaction) on dentinal hypersensitivity over an 8-week period. A conventional OTC dentifrice containing NaF without calcium and phosphate enhancement served as the control. A third dentifrice, containing sodium monofluorophosphate enhanced by calcium and phosphate salts, was also tested. Based upon subjective anecdotal information, net numbers of sensitive teeth which became non-sensitive, and a logit analysis of the change in the proportion of sensitive teeth over the study time period, Enamelon was the most effective product, and the OTC control the least effective.

Analysis of Variance↗

[Clinical and histological studies on the effect of a surfactant containing toothpaste on the gingiva].

A clinical double blind trial on 98 volunteers was undertaken with the aid of the SB Index to show the effects on the gum of a tooth paste containing detergents. It resulted in a significant increase of the SBI after 6 weeks of a tooth paste with a high content of surface active substances. With the light microscope changes are demonstrable in the Stratum spinosum which could be identified electron-microscopically as a strong increase of bundles of filament in the cytoplasm. The contradiction between clinical and morphological findings is explained by the assumption that the greatincrease in filament bundles leads to a lowering of the adaptability of the epithelium and consequently to increased tendency to bleed, especially in response to mechanical irritation.

Adult↗