Clinical effectiveness of a potassium chloride containing chewing gum in the treatment of hypersensitive teeth.
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Abstrakt
Dental hypersensitivity has been observed in an increasing number of younger patients over the past few decades. The reasons for this include forced or false tooth-brushing techniques, and abrasions caused by bruxism or orthodontic procedures. The aim of the present study was to assess the possible benefits of a potassium chloride (KCl) containing chewing gum in dental hypersensitivity. The study population consisted of 59 selected university students (age: 25 +/- 4.4 years). Each subject suitable for entry into the study had more than 3 teeth sensitive to thermal stimulation (air stimulus range of 30-80 mm on a 100mm visual analogue scale (VAS), and showed signs of facial/cervical erosion, abrasion and/or gingival recession. Exclusion criteria were daily doses of medication, teeth with deep restorations, a gingival score of > 2, or periodontal surgery within the past 6 months. The total number of hypersensitive teeth was 217. Over a period of 3 weeks the subjects brushed with a non-desensitising toothpaste and, in addition, used the KCl chewing gum up to 6 times daily for 10 min on each occasion. This was followed by a period of 3 weeks of non-desensitising toothpaste use alone. The subjects were questioned on the severity of intraoral pain and asked to indicate the intensity of the pain on the VAS (baseline, 1, 3 and 6 weeks). Mean thermal sensitivity at baseline was 54.5 +/- 9 mm. There was a drop to 40.8 mm ( 1.9) after 1 week and to 28.6 mm (+/- 2) after 3 weeks. The reduction was statistically significant (p <0.001) at both measurement points. The mean rating increased to 29.1 mm after 6 weeks. The results of this study demonstrate that the daily use of a KCl containing chewing gum is a useful non-invasive method of reducing dental hypersensitivity over an extended period of time.