This review and network meta-analyses of the effectiveness of self-applied dentifrices in the management of dentine hypersensitivity included 68 studies. Findings indicated that formulations including stannous, potassium +/- stannous, and arginine result in significant short ( 2-weeks) and long term inprovements. However the studies were hetrogeneous and only 4 were at low risk of bias.
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In her first blog for the Dental Elf Rebecca Manson takes a look at an in-vitro review of bioactive glass and hydroxyapatite for the occlusion of dentinal tubules. The findings provide some evidence that that bioactive glass/hydroxyapatite are effective in occluding dentinal tubules in an in-vitro setting. Well conducted long term clinical trials are needed to assess effectiveness in a clinical setting.
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This review examining the association between oral manifestations and the use of oral piercings included 54 studies. Damage to periodontal health and tooth structure were the most commonly reported complications however the quality of the evidence is of very low certainty.
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This review of the effect of surgical root coverage (RC) on dentine hypersensitivity (DH) associated with gingival recession included 13 RCTs. The findings suggest that RC techniques are associated with a reduction in DH a majority of the included studies were small and DH was only a secondary outcome.
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This review of the effectiveness of toothpastes containing bioactive glass,applied either at-home or in-office for the treatment of dentine hypersensitivity included 15 studies. The included studies showed marked variation in the length of follow up, and the concentration of the bioactive material so meta-analyses was not possible.
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This review assessing the efficacy of low-level light therapy (LLLT) on dentine hypersensitivity included 35 studies 27 of which were RCTs. The findings showed an immediate, interim and persistant benifical effect compared to placebo. However the certainty of the evidence was only low to very low.
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This Cochrane review of the effectiveness of lasers in the treatment of dentine hypersensitivity included 23 RCTs. The findings suggest that lasers may reduce pain intensity at short, medium, or long term when compared to placebo/no treatment. However the evidence is limited and of low to very low certainty.
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Non-surgical periodontal treatment is the mainstay of treatment for the management of periodontitis. A number of adjunctive treatments have been used to improve outcomes including, local and systematic antibiotics and photodynamic therapy. It has been suggested that boric acid may be beneficial as boron compounds have antimicrobial, anti-inflammatory and immune regulatory effects and beneficial effects [read the full story…]
This review comparing the effectiveness of lasers and topical desensitising agent treatments for dentine hypersensitivity included 13 studies. None of the studies was at low risk of bias so the evidence is of low-quality and insufficient to draw any conclusions on the superiority of lasers or conventional topical desensitising agents.
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This review of the effects of different types of lasers on dentine hypersensitivity included 11 RCTs suggesting no significant differences between Er,Cr:YSGG, Nd:YAG, Er:YAG, and GaAlAs lasers both in the immediate term and at 1 month.
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