The cochranmantelhaenszel correlation test of the schiffs dentinal hypersensitivity crosstabulation showed p pdf file. The effectiveness of iontophoresis in reducing dentin hypersensitivity kathleen m. Dentinal hypersensitivity was checked and scores were recorded before initiating the treatment modalities, immediately after the treatment for iontophoresis, one week and one month post. Rohit pandey abstract dentin hypersensitivity is a common clinical condition and ageold complaint. Comparative efficacy of application of three different desensitizing. There are various treatment modalities to treat dentinal hypersensitivity. Test teeth received a 2% neutral solution of sodium fluoride using desensitron ii iontophoresis device with current and the control teeth. Hence dentist need to pay a special attention for its treatment. From time immemorial, researchers have sought herbal or natural solutions to treat. The fluoride in successive layers of dentin from 36. Abstract the exposure of cervical dentine has a multifactorial aetiology and pain may frequently be elicited by a number of stimuli. In iontophoresis treatment group, samples were inserted into a foam tray. Materials and methods this randomized, split mouth design clinical trial compared two treatment modalities, namely.
Dentin hypersensitivity as a chronic disease is increasingly prevalent among adults and some researches has been done on determining etiologic factors in causation of the disease, its diagnosis and its. Iontophoresis is one of the popular technique which allows a concentrated application of. Arginine, calcium carbonate, dentin hypersensitivity. It is important that the patients medical and social history, lifestyle, medications and supplements being taken, diet and food habits. Local pulpal inflammation, traumatic oral hygiene and dietary habits have been considered in the etiology of dentine. Dentin hypersensitivity and recent developments in. Dentinal hypersensitivity dh is a common clinical condition usually associated with exposed dentinal surfaces. Iontophoresis medical clinical policy bulletins aetna. Iontophoresis is a technique wherein desensitizing agents can. These agents should be used with extreme caution,as they are strong tissue fixatives.
Dentine hypersensitivity is a relatively common problem experienced in clinical dental practice. Comparative evaluation of efficacy of iontophoresis with 0. To treat dentinal hypersensitivity, iontophoresis was first used in the early 1960s. To compare the effectiveness of topical fluoride application and fluoride iontophoresis on. Pdf comparison of fluoride iontophoresis and dentin bonding. Iontophoresis is a technique which uses an electric current to deliver a medicine or other chemical through the skin. Dentinal hypersensitivity is a commonly occurring but less understood and poorly managed problem of the teeth. Before the discovery of local anesthetics, dentists would use toxic chemicals such as silver nitrate, zinc chloride, potash and arsenic compounds to. Abstract dentine hypersensitivity is a relatively common pain condition. Pdf comparison of fluoride iontophoresis and dentin.
Dentinal hypersensitivity can have multiple etiologies. Pdf diagnosis and treatment of dentinal hypersensitivity. Gangarosa and hill have provided extensive evidence that. Treatment of dentinal hypersensitivity using propolis. Dentin hypersensitivity dh is a recurrent condition causing discomfort and most of the time, pain to the patient, generally. Fluoride levels in dentin after iontophoresis of 2% naf. Iontophoresis and topical application of 8% argininecalcium. Iontophoresis is a procedure in which an electrical current is passed through skin soaked in tap water not distilled water, normal saline 0. Enamel paste in the treatment of dentin hypersensitivity. Iontophoresis was evaluated in dentistry such as to produce local anesthesia and treat tooth decalcification and hypersensitivity, but this technology has not been fully utilized.
In popular lay terms it is sometimes called an injection without the needle. Comparative efficacy of two treatment modalities for dentinal. Management of the condition, dentine hypersensitivity, tends to be. A doubleblind study compares the desensitizing effects of iontophoresis with sodium fluoride, iontophoresis with distilled water, sodium fluoride without iontophoresis, and distilled water without iontophoresis. Dentine hypersensitivity, iontophoresis, methyl prednisolone, sodium. Dentinal hypersensitivity dh is one of the most commonly. Incidence the incidence of dentin hypersensitivity. The effectiveness of iontophoresis in reducing dentin. To evaluate and compare the efficacy of 2 treatment modalities for dentinal hypersensitivity, iontophoresis with acidulated phosphate gel apf gel, and dentinbonding. Comparative efficacy of application of three different. It can affect patients of any age group and most commonly affects the canines and. The effectiveness of iontophoresis in reducing dentin hypersensitivity.
Minkoveffectiveness of sodium fluoride treatment with and without iontophoresis on the reduction of hypersensitive dentin. Iontophoresis is a technique wherein desensitizing agents can be transferred. Dentin hypersensitivitydh is a commonly occurring condition in majority of population seeking dental treatment. The clinical effect of diode laser versus iontophoresis. Kumar, santosh and gupta, kanishk and guddattu, vasudeva 2018 iontophoresis and topical application of 8% argininecalcium carbonate to treat dentinal hypersensitivity. All the reagents were administered through iontophoresis. Dentinal ypersensitivity etiology, diagnosis and anagement. Fluoride is a negative anion which is moved inside the dentinal tubules to block it by passage of electrical current. Hypersensitivity of dentine is a common problem and may occur in a specific tooth, in several teeth, or in one area of the mouth and with various intensity of pain.
Iontophoresis is a process of transdermal drug delivery by use of a voltage gradient on the skin. Dentin hypersensitivity is usually encountered among people aged between 20 and 50 11,12. Repeated stimuli to the hypersensitive dentin can also cause irritation to the pulp and inflammation. Iontophoresis on hypersensitive dentine nugrohowati. Dentin hypersensitivity as a chronic disease is increasingly prevalent among adults and some researches has been done on determining etiologic factors in causation of the disease, its diagnosis and its treatment 1, 6. Case report before starting the treatment dentinal hypersensitivity of selected tooth surface was checked and scores were. Laser and iontophoresis are two major treatments which are giving. Iontophoretic drug delivery in the oral cavity mdpi. This disorder usually occurs as the result of loss of enamel and cementum or exposure of dentinal tubules 1, 34, 9. Dentin hypersensitivity dh affects all age groups in a population and is perceived as pain to any stimuli. This is a technique of occlusion of exposed dentinal tubules by using a low galvanic current to allow the precipitation of insoluble calcium with fluoride gels. Pdf fluoride iontophoresis versus topical fluoride. Scribd is the worlds largest social reading and publishing site.
Brough is assistant professor, dental hygiene, department of associated dental sciences, medical college of georgia, augusta, ga 30912. Iontophoresis has been reported to provide relief in cases of. Iontophoresis and topical application of 8% arginine. Iontophoresis can be tried for intractable disabling primary hyperhidrosis when antiperspirants or pharmacotherapy are not effective. Iontophoresis a boon for treatment of dentinal hypersensitivity. The adhesive resins can seal the dentinal tubules effectively by forming. Molecules are transported across the stratum corneum by electrophoresis and electroosmosis and the. It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. Brough is assistant professor, dental hygiene, department of associated dental sciences, medical. It possibly causes calcium fluoride precipitation, which may decrease fluid movement induced by stimuli, reducing dentin hypersensitivity.
Dentin hypersensitivity dh is a frequently reported. This condition may disturb the patient during eating, drinking, brushing and sometimes even. Drugs used in iontophoresis should be those that ionize. Gangarosa and hill have provided extensive evidence that iontophoresis is useful in the treatment of aphthous ulcer. Dentin hypersensitivity causes, risk factors, diagnosis. A double blind controlled trial comparing three treatment.