Effectiveness of an in-office arginine-calcium carbonate paste on dentine hypersensitivity in periodontitis patients: a double-blind, randomized controlled trial

J Clin Periodontol. 2015 Jan;42(1):37-45. doi: 10.1111/jcpe.12319. Epub 2014 Dec 26.

Abstract

Aim: The aim of this single-centre, two-cell, double-blind, randomized controlled clinical study was to evaluate the effectiveness of an in-office desensitizing paste containing 8% arginine and calcium carbonate in providing relief on dentine hypersensitivity immediately after scaling and root planing and its sustained relief over a 6-week period.

Materials and methods: Fifty periodontitis subjects presenting hypersensitivity were subjected to scaling and root planing and in-office application of either 8% arginine and calcium carbonate desensitizing paste (25 subjects, test group) or fluoride-free prophylaxis paste (25 subjects, control group). Air-blast hypersensitivity was assessed using Schiff and Visual Analogue (VAS) scales at baseline, post-scaling, post-application, 2, 4 and 6 weeks.

Results: At all evaluation times, the test group presented significant % reduction in hypersensitivity relative to post-scaling (t-test, p < 0.05) (Schiff - Test: 57, 58.6, 60.2, 68;

Control: 28.6, 22.2, 23, 23) (VAS - Test: 60, 55.6, 60.1, 68.4;

Control: 25.9, 18.2, 20.6, 22.7) and significant % hypersensitivity difference relative to control (ancova, p < 0.05) (Schiff: 38.9, 45.9, 47.4, 57.7; VAS: 49.1, 48.9, 52.6, 61).

Conclusion: The single in-office application of the 8% arginine-calcium carbonate desensitizing paste after scaling and root planing provided significant immediate reduction in dentine hypersensitivity, which sustained over a 6-week period.

Keywords: arginine; calcium carbonate; clinical trial; desensitizing paste; hypersensitivity; placebo; prophylaxis paste.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Arginine / therapeutic use*
  • Calcium Carbonate / therapeutic use*
  • Dental Scaling / methods
  • Dentin Desensitizing Agents / therapeutic use*
  • Dentin Sensitivity / diagnosis
  • Dentin Sensitivity / drug therapy*
  • Double-Blind Method
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Periodontal Index
  • Periodontitis / therapy*
  • Root Planing / methods
  • Toothpastes / therapeutic use*
  • Treatment Outcome
  • Visual Analog Scale
  • Young Adult

Substances

  • Dentin Desensitizing Agents
  • Toothpastes
  • Arginine
  • Calcium Carbonate