In vitro efficacy of a novel potassium oxalate hydrogel for dentin hypersensitivity

Eur J Oral Sci. 2017 Apr;125(2):151-159. doi: 10.1111/eos.12334. Epub 2017 Mar 1.

Abstract

A novel potassium oxalate-based hydrogel is proposed for treating dentin hypersensitivity and this study evaluates its in vitro performance as a remineralizing, desensitizing agent. Etched disks of human dentin were treated for 10 or 20 min using the test hydrogel, to mimic a professional application with dental mouth guards. Dentin disks were evaluated in terms of permeability indexes in a fluid-filled system, the surface morphology was assessed by scanning electron microscopy, and the structural properties were studied using X-ray diffraction analysis. The potassium oxalate hydrogel significantly reduced dentin permeability, in a time-dependent manner, and occluded most of the patent dentinal tubules via crystal precipitation, forming a remineralized layer. After hydrogel treatments, an acid solution (pH 4.2) was applied to the disks for 30 s, or 1, 2, or 5 min, in order to reproduce a plaque-like oral acidity, and further analysis showed a good resistance of the remineralized layer to the acid challenge. The potassium oxalate-based hydrogel showed a better performance over commercially available products and artificial saliva, appearing a promising candidate for the treatment of dentin hypersensitivity.

Keywords: dentin desensitizing agents; dentinal fluid; tooth remineralization.

MeSH terms

  • Dentin Desensitizing Agents / chemical synthesis
  • Dentin Desensitizing Agents / pharmacology*
  • Dentin Permeability / drug effects
  • Dentin Sensitivity / drug therapy*
  • Humans
  • Hydrogel, Polyethylene Glycol Dimethacrylate / chemical synthesis
  • Hydrogel, Polyethylene Glycol Dimethacrylate / pharmacology*
  • In Vitro Techniques
  • Microscopy, Electron, Scanning
  • Oxalic Acid / pharmacology*
  • Saliva, Artificial / pharmacology
  • X-Ray Diffraction

Substances

  • Dentin Desensitizing Agents
  • Saliva, Artificial
  • Hydrogel, Polyethylene Glycol Dimethacrylate
  • Oxalic Acid