Efficiency of desensitizing materials in xerostomic patients with head and neck cancer: a comparative clinical study

Pinna, Roberto and Milia, E. and Usai, P. and Crivelli, P. and Pagano, S. and Sotgiu, G. and Schmalz, G. (2020) Efficiency of desensitizing materials in xerostomic patients with head and neck cancer: a comparative clinical study. CLINICAL ORAL INVESTIGATIONS, 24 (7). pp. 2259-2269. ISSN 1432-6981, 1436-3771

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Abstract

Objectives To assess the clinical effectiveness of four desensitizing materials in patients who are xerostomic due to radiotherapy for head and neck cancer (HNC) in comparison to a healthy group with normal salivation. Methods and materials The study was conducted as a split-mouth randomized clinical trial. Forty HNC patients (group A) and 46 healthy patients (group B) suffering from dentin hypersensitivity (DH) were included. Salivary flow was determined through a scialometric test. Hypersensitivity was assessed with air stimulus and tactile stimulus. The materials used as desensitizing agents were Vertise Flow, Universal Dentin Sealant, Clearfil Protect Bond, and Flor-Opal Varnish. The response was recorded before application of the materials, immediately after, and at 1 week, 4 weeks, and 12 weeks. Results Salivary flow rates in groups A/B were 0.15/0.53 mL/min (unstimulated) and 0.54/1.27 mL/min (stimulated), respectively. In group A, 100 hypersensitive teeth were included. Application of the desensitizing agents significantly decreased the hypersensitivity immediately and throughout the 4-week follow-up (p < 0.001). However, after the 12-week timepoint, a loss of efficacy was detected in all agents (p = 0.131). In group B, 116 hypersensitive teeth were included. The materials performed a more stable action, although a loss of effectiveness was detected at 12-week control (p = 0.297). Conclusion The efficiency of the desensitizing agents after the first application was similar in both groups. In the radiated group, this effect lasted for shorter periods than in healthy controls.

Item Type: Article
Uncontrolled Keywords: QUALITY-OF-LIFE; DENTIN HYPERSENSITIVITY; CERVICAL DENTIN; RADIATION-THERAPY; DOUBLE-BLIND; SENSITIVITY; COMPOSITE; CARIES; BIODEGRADATION; RADIOTHERAPY; Dry mouth; Hyposalivation; Dentin hypersensitivity; Radiation therapy; Head and neck cancer
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Zahnerhaltung und Parodontologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 Mar 2021 11:42
Last Modified: 19 Mar 2021 11:42
URI: https://pred.uni-regensburg.de/id/eprint/44317

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