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

Pinna, Roberto; Milia, E; Usai, P; Crivelli, P; Pagano, S; Sotgiu, G; 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. Springer-Verlag 10.1007/s00784-019-03081-x

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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. CLINICAL RELEVANCE HNC patients with hyposalivation may be a new risk group for DH.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology

UniBE Contributor:

Schmalz, Gottfried Hans

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1432-6981

Publisher:

Springer-Verlag

Language:

English

Submitter:

Doris Burri

Date Deposited:

03 Feb 2020 09:01

Last Modified:

26 Jun 2020 01:31

Publisher DOI:

10.1007/s00784-019-03081-x

PubMed ID:

31728731

Uncontrolled Keywords:

Dentin hypersensitivity Dry mouth Head and neck cancer Hyposalivation Radiation therapy

BORIS DOI:

10.7892/boris.138034

URI:

https://boris.unibe.ch/id/eprint/138034

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