Pain Control in Dentin Hypersensitivity in Patients With MIH

University of Nove de Julho

Status and phase: Unknown; Phase 2; Phase 1

Conditions: Hypersensitivity Dentin

Treatments: Radiation: Low Level Laser Application; Procedure: Hygiene Guidance; Procedure: Sealant Application

Study type: Interventional

Funder types: Other

Identifiers

NCT04268238

HMI

Details and patient eligibility

About

This study aims to evaluate the effectiveness of different protocols in controlling dentin hypersensitivity in patients with teeth affected by MIH. The subjects will be randomly designated in four experimental groups, according to different treatments. Pain will be assessed with the visual analog scale (Visual Analogue Scale - VAS), after stimulation with air from the triple syringe and and an exploratory probe at the time of (initial) recruitment, immediately after treatment, after 1 week and 1 month, 3 and 6 months after treatment.

Enrollment: 140 estimated patients

Sex: All

Ages: 18 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Be between 18 and 35 years old;
• Present good general health;
• Present at least one tooth with dentin hypersensitivity reported in the cervical region, which must have a graduated sensitivity equal to or greater than 4 in the VAS scale.

Exclusion criteria

• Present active caries lesions or restoration defects in the tooth to be analyzed;
• Present sufficient dentin loss that requires restorative treatment or periodontal surgery;
• Volunteers who underwent any professional desensitizer treatment in the last 6 months;
• Volunteers who used desensitizing pastes in the 3 months;
• Volunteers who were using anti-inflammatory or analgesic drugs at the time of recruitment;
• Volunteers who are pregnant or breastfeeding.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

140 participants in 4 patient groups

Control group

Experimental group

Description:

Two weeks before the start of the study, the volunteers will go through a wash out period, where they should only use oral care products donated by the researchers, which should be used until the end of the study. The oral hygiene kit will contain 1 toothbrush (Professional Lab Series, Colgate Palmolive), 1 toothpaste without desensitizing agent, but with fluorine (Elmex) and 1 dental floss (Colgate). Afterwards, this group will receive no treatment. Instead of the sealant, water will be used and the laser will remain with power 0W, that is, there will be no light emission, giving the group the characteristic of the control group, no treatment.

Treatment:

Procedure: Hygiene Guidance

Sealant group

Experimental group

Description:

In this group, besides the instructions described in the control group, the teeth that will be sealed will be isolated. 35% phosphoric acid will be applied for 20 seconds and then it will be necessary to wash and dry the tooth surface. Apply a thin layer of PermaSeal (sealant) for 5 seconds to the tooth surface and light curing for 20 seconds.

Treatment:

Procedure: Sealant Application

Procedure: Hygiene Guidance

Low Level Laser Group

Experimental group

Description:

In this group, besides the instructions described in the control group, volunteers will receive irradiation with AsGaAl laser, wavelength of 780 nm (Laser XT Therapy, DMC, São Carlos, SP) with fixed power of 100mW, energy density of 35 J/cm2 (considering a spot size of 0.028 cm2 of this equipment), the dose will be 1 J per point. The irradiation will be performed at a cervical, an apical point and another point exactly on the injury, totaling a dose of 3J. Treatment should be performed in 3 sessions with an ideal 72-hour interval between them.

Treatment:

Radiation: Low Level Laser Application

Procedure: Hygiene Guidance

Low Level Laser + Sealant Group

Experimental group

Description:

In this group, patients will receive the treatments described in Control group, Sealant group and Low Level Laser Group.

Treatment:

Procedure: Sealant Application

Radiation: Low Level Laser Application

Procedure: Hygiene Guidance