Efficacy of an anhydrous stannous fluoride toothpaste for relief of dentine hypersensitivity: A randomized clinical study

Danying Tao, Martin R Ling, Xi-Ping Feng, John Gallob, Audrey Souverain, Wenjie Yang, Anousheh Alavi, Danying Tao, Martin R Ling, Xi-Ping Feng, John Gallob, Audrey Souverain, Wenjie Yang, Anousheh Alavi

Abstract

Aim: To compare efficacy of an anhydrous 0.454% w/w stannous fluoride/sodium fluoride toothpaste (Test) versus a sodium monofluorophosphate toothpaste (Negative control) and a stannous chloride/sodium fluoride toothpaste (Positive control) for dentine hypersensitivity relief after 8 weeks' twice-daily use.

Materials and methods: In this randomized, examiner-blind, stratified, parallel study, primary and secondary efficacy variables were mean changes in Schiff score (evaporative [air] sensitivity) and tactile threshold (Yeaple probe), respectively, from baseline to Week 8 between Test (n = 62) and Negative control (n = 62). Test and Positive control (n = 61) comparisons were exploratory objectives.

Results: All groups significantly improved from baseline on both dentine hypersensitivity measures (p < .0001). Difference between adjusted mean changes from baseline in Schiff sensitivity scores at Week 8 for Test versus Negative control groups was 0.19 (95% CI 0.002, 0.374), in favour of the Negative control (p = .0476; 12.57% difference). Difference in tactile threshold was -7.20 g (95% CI -16.376, 1.975), and this was not statistically significant (p = .3715; -21.83% difference). Test group showed no significant difference versus Positive control for either measure. Toothpastes were generally well tolerated.

Conclusion: While twice-daily use of Test toothpaste significantly reduced dentine hypersensitivity from baseline, there was no significant advantage over negative or positive controls.

Study registration: Clinicaltrials.gov; NCT03310268.

Keywords: Stannous fluoride; dentifrice; dentine sensitivity; pain; toothpaste.

Conflict of interest statement

ML, AS and AA are employees of GSK Consumer Healthcare, who provided funding for this study. DT, XF and WY are employees of Shanghai Jiao Tong University, and JG is an employee of Consumer Research Consulting, both of which received funding from the study sponsor.

© 2020 The Authors. Journal of Clinical Periodontology published by John Wiley & Sons Ltd.

Figures

FIGURE 1
FIGURE 1
Study flow
FIGURE 2
FIGURE 2
Raw mean (±SE) Schiff sensitivity scores at baseline, Week 4 and Week 8 according to treatment group (mITT population)
FIGURE 3
FIGURE 3
Raw mean (±SE) tactile threshold at baseline, Week 4 and Week 8 according to treatment group (mITT population)

References

    1. Absi, E. G. , Addy, M. , & Adams, D. (1987). Dentine hypersensitivity. A study of the patency of dentinal tubules in sensitive and non‐sensitive cervical dentine. Journal of Clinical Peridontology, 14, 280–284. 10.1111/j.1600-051X.1987.tb01533.x
    1. Addy, M. (2000). Dentine hypersensitivity: Definition, prevalence, distribution and aetiology In Addy M., Embery G., Egar M., & Orchardson R. (Eds.), Tooth wear and sensitivity (pp. 239–248). London, UK: Martin Dunitz.
    1. Bae, J. H. , Kim, Y. K. , & Myung, S. K. (2015). Desensitizing toothpaste versus placebo for dentin hypersensitivity: A systematic review and meta‐analysis. Journal of Clinical Peridontology, 42, 131–141. 10.1111/jcpe.12347
    1. Basaran, S. , & Celik, C. (2018). Turkish adaptation of Dentine Hypersensitivity Experience Questionnaire (DHEQ). Community Dental Health, 35, 47–51. 10.1922/CDH_4151Basaran05
    1. Benedetti, F. , Carlino, E. , & Piedimonte, A. (2016). Increasing uncertainty in CNS clinical trials: The role of placebo, nocebo, and Hawthorne effects. The Lancet Neurology, 15, 736–747. 10.1016/s1474-4422(16)00066-1
    1. Brännström, M. (1962). A hydrodynamic mechanism in the transmission of pain producing stimuli through dentin In Anderson D. (Ed.), Sensory mechanisms in dentin (pp. 73–79). Oxford, UK: Pergamon Press.
    1. Cunha‐Cruz, J. , & Wataha, J. C. (2015). The burden of dentine hypersensitivity In Robinson P. G. (Ed.), Dentine hypersensitivity: Developing a person‐centred approach to oral care (pp. 33–43). London, UK: Elsevier Inc.
    1. Douglas‐De‐Oliveira, D. W. , Lages, F. S. , Paiva, S. M. , Cromley, J. G. , Robinson, P. G. , & Cota, L. O. M. (2018). Cross‐cultural adaptation of the Brazilian version of the Dentine Hypersensitivity Experience Questionnaire (DHEQ‐15). Brazillian Oral Research, 32, e37 10.1590/1807-3107bor-2018.vol32.0037
    1. Gallob, J. , Sufi, F. , Amini, P. , Siddiqi, M. , & Mason, S. (2017). A randomised exploratory clinical evaluation of dentifrices used as controls in dentinal hypersensitivity studies. Journal of Dentistry, 64, 80–87. 10.1016/j.jdent.2017.06.009
    1. Gernhardt, C. R. (2013). How valid and applicable are current diagnostic criteria and assessment methods for dentin hypersensitivity? An overview. Clinical Oral Investigations, 17(Suppl. 1), S31–S40. 10.1007/s00784-012-0891-1
    1. Gibson, B. J. , Boiko, O. V. , Baker, S. R. , Robinson, P. G. , Barlow, A. P. , & Player, T. (2010). The everyday impact of dentine sensitivity: Personal and functional aspects. Social Science and Dentistry, 1, 11–20.
    1. He, S. L. , & Wang, J. H. (2015). Reliability and validity of the Chinese version of the short form of the Dentine Hypersensitivity Experience Questionnaire (DHEQ‐15). Quality of Life Research, 24, 1465–1469. 10.1007/s11136-014-0856-8
    1. He, S. L. , Wang, J. H. , & Wang, M. H. (2012). Development of the Chinese version of the Dentine Hypersensitivity Experience Questionnaire. European Journal of Oral Sciences, 120, 218–223. 10.1111/j.1600-0722.2012.00962.x
    1. He, T. , Barker, M. , Biesbrock, A. R. , & Sharma, N. (2014). A clinical study to assess the effect of a stabilized stannous fluoride dentifrice on hypersensitivity relative to a marketed sodium fluoride/triclosan control. The Journal of Clinical Dentistry, 25, 13–18.
    1. He, T. , Barker, M. L. , Qaqish, J. , & Sharma, N. (2011). Fast onset sensitivity relief of a 0.454% stannous fluoride dentifrice. Journal of Clinical Dentistry, 22, 46–50.
    1. He, T. , Chang, J. , Cheng, R. , Li, X. , Sun, L. , & Biesbrock, A. R. (2011). Clinical evaluation of the fast onset and sustained sensitivity relief of a 0.454% stannous fluoride dentifrice compared to an 8.0% arginine‐calcium carbonate‐sodium monofluorophosphate dentifrice. American Journal of Dentistry, 24, 336–340.
    1. He, T. , Cheng, R. , Biesbrock, A. R. , Chang, A. , & Sun, L. (2011). Rapid desensitizing efficacy of a stannous‐containing sodium fluoride dentifrice. Journal of Clinical Dentistry, 22, 40–45.
    1. Hines, D. , Xu, S. , Stranick, M. , Lavender, S. , Pilch, S. , Zhang, Y. P. , … Williams, M. (2019). Effect of a stannous fluoride toothpaste on dentinal hypersensitivity: in vitro and clinical evaluation. The Journal of the American Dental Association, 150(4), S47–S59. 10.1016/j.adaj.2019.01.006
    1. Holland, G. R. , Narhi, M. N. , Addy, M. , Gangarosa, L. , & Orchardson, R. (1997). Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. Journal of Clinical Periodontology, 24, 808–813. 10.1111/j.1600-051X.1997.tb01194.x
    1. Kehua, Q. , Yingying, F. , Hong, S. , Menghong, W. , Deyu, H. , & Xu, F. (2009). A cross‐sectional study of dentine hypersensitivity in China. International Dental Journal, 59, 376–380. 10.1922/IDJ_2293Xu05
    1. Kirsch, I. (2013). The placebo effect revisited: Lessons learned to date. Complementary Therapeis in Medicine, 21, 102–104. 10.1016/j.ctim.2012.12.003
    1. Laster, L. , Laudenbach, K. W. , & Stoller, N. H. (1975). An evaluation of clinical tooth mobility measurements. Journal of Periodontology, 46, 603–607. 10.1902/jop.1975.46.10.603
    1. Liang, X. , Wei, Z. , Hu, D. , & Ruan, J. (2017). Prevalence of dentin hypersensitivity among the residents of Xi'an city, China. Acta Odontologica Scandinavica, 75, 387–393. 10.1080/00016357.2017.1323348
    1. Lin, L. , Que, K. H. , Li, X. , Hu, D. Y. , Fu, Y. Y. , & Wang, M. H. (2011). Epidemiological survey of dentine hypersensitivity of 630 adults in rural of Sichuan province. West China Journal of Stomatology, 29, 157–160.
    1. Lobene, R. R. , Weatherford, T. , Ross, N. M. , Lamm, R. A. , & Menaker, L. (1986). A modified gingival index for use in clinical trials. International Journal of Clinical Preventive Dentistry, 8, 3–6.
    1. Makin, S. A. (2013). Stannous fluoride dentifrices. American Journal of Dentistry, 26, Spec No A, 3A–9A, 10.1038/sj.ebd.6400507
    1. Ni, L. X. , He, T. , Chang, A. , & Sun, L. (2010). The desensitizing efficacy of a novel stannous‐containing sodium fluoride dentifrice: an 8‐week randomized and controlled clinical trial. American Journal of Dentistry, 23, Spec No B, 17B–21B.
    1. Olley, R. C. , & Sehmi, H. (2017). The rise of dentine hypersensitivity and tooth wear in an ageing population. British Dental Journal, 223, 293–297. 10.1038/sj.bdj.2017.715
    1. Orchardson, R. , & Collins, W. J. (1987). Clinical features of hypersensitive teeth. British Dental Journal., 162, 253–256. 10.1038/sj.bdj.4806096
    1. Orchardson, R. , Gangarosa, L. P., Sr. , Holland, G. R. , & Pashley, D. H. (1994). Towards a standard code of practice for evaluating the effectiveness of treatments for hypersensitive dentine. Archives of Oral Biology, 39(Suppl.), 121S–124S. 10.1016/0003-9969(94)90198-8.1016/0003-9969(94)90198-8
    1. Parkinson, C. , Hughes, N. , Jeffery, P. , Jain, R. , Kennedy, L. , Qaqish, J. , … Mason, S. (2013). The efficacy of an experimental dentifrice containing 0.454% w/w stannous fluoride in providing relief from the pain of dentin hypersensitivity: An 8‐week clinical study. American Journal of Dentistry, 26, Spec No A, 25A–31A.
    1. Parkinson, C. , Jain, R. , Seong, J. , Macdonald, E. , Claydon, N. , & West, N. (2015). Dentine tubule occlusion conferred by a stannous fluoride dentifrice, applied using dry or wet brushing. Caries Research, 49, 313. Abstract 335.
    1. Parkinson, C. R. , Jeffery, P. , Milleman, J. L. , Milleman, K. R. , & Mason, S. (2015). Confirmation of efficacy in providing relief from the pain of dentin hypersensitivity of an anhydrous dentifrice containing 0.454% with or without stannous fluoride in an 8‐week randomized clinical trial. American Journal of Dentistry, 28, 190–196.
    1. Parkinson, C. , Nehme, M. , Horton, J. , Hara, A. T. , & Zero, D. (2016). A modified in‐situ model to evaluate the anti‐erosion properties of a fluoride dentifrice. Caries Research, 50, 247. Abstract 150.
    1. Polson, A. M. , Caton, J. G. , Yeaple, R. N. , & Zander, H. A. (1980). Histological determination of probe tip penetration into gingival sulcus of humans using an electronic pressure‐sensitive probe. Journal of Clinical Periodontology, 7, 479–488. 10.1111/j.1600-051x.1980.tb02154.x
    1. Que, K. , Guo, B. , Jia, Z. , Chen, Z. , Yang, J. , & Gao, P. (2013). A cross‐sectional study: Non‐carious cervical lesions, cervical dentine hypersensitivity and related risk factors. Journal of Oral Rehabilitation, 40, 24–32. 10.1111/j.1365-2842.2012.02342.x
    1. Que, K. , Ruan, J. , Fan, X. , Liang, X. , & Hu, D. (2010). A multi‐centre and cross‐sectional study of dentine hypersensitivity in China. Journal of Clinical Periodontology, 37, 631–637. 10.1111/j.1600-051X.2009.01513.x
    1. Rong, W. S. , Hu, D. Y. , Feng, X. P. , Tai, B. J. , Zhang, J. C. , & Ruan, J. P. (2010). A national survey on dentin hypersensitivity in Chinese urban adults. Chinese Journal of Stomatology, 45, 141–145.
    1. Schiff, T. , Dotson, M. , Cohen, S. , De Vizio, W. , McCool, J. , & Volpe, A. (1994). Efficacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM/MA copolymer, and sodium fluoride on dentinal hypersensitivity: A twelve‐week clinical study. Journal of Clinical Dentistry, 5, Spec No, 87–92.
    1. Schiff, T. , He, T. , Sagel, L. , & Baker, R. (2006). Efficacy and safety of a novel stabilized stannous flouride and sodium hexametaphosphate dentifrice for dental hypersensitivity. Journal of Contemporary Dental Practice, 7, 1–10. 10.5005/jcdp-7-2-1
    1. Schiff, T. , Saletta, L. , Baker, R. , Winston, J. L. , & He, T. (2005). Desensitizing effect of a stabilized stannous fluoride/Sodium hexametaphosphate dentifrice. Compendium of Continuing Education in Dentistry, 26(9 Suppl. 1), 35–40.
    1. Wang, Y. , Que, K. , Lin, L. , Hu, D. , & Li, X. (2012). The prevalence of dentine hypersensitivity in the general population in China. Journal of Oral Rehabilitation, 39, 812–820. 10.1111/j.1365-2842.2012.02334.x
    1. West, N. X. , Addy, M. , Jackson, R. J. , & Ridge, D. B. (1997). Dentine hypersensitivity and the placebo response. A comparison of the effect of strontium acetate, potassium nitrate and fluoride toothpastes. Journal of Clinical Periodontology, 24, 209–215. 10.1111/j.1600-051X.1997.tb01833.x
    1. Ye, W. , Feng, X. P. , & Li, R. (2012). The prevalence of dentine hypersensitivity in Chinese adults. Journal of Oral Rehabilitation, 39, 182–187. 10.1111/j.1365-2842.2011.02248.x

Source: PubMed

3
Abonneren