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Comparative evaluation of NovaMin desensitizer and Gluma desensitizer on dentinal tubule occlusion: a scanning electron microscopic study

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Joshi Surabhi, Gowda Ashwini Shivananje, Joshi Chintan,
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 ( Joshi Surabhi ) - Karnavati School of Dentistry Department of Periodontics
 ( Gowda Ashwini Shivananje ) - M.S. Ramaiah Dental College Department of Periodontics
 ( Joshi Chintan ) - Karnavati School of Dentistry Department of Conservative and Endodontics

Abstract


Purpose: In this study, the effect of calcium sodium phosphosilicate (NovaMin) desensitizing agent, which is a powder-based system, and hydroxyethyl methacrylate and glutaraldehyde (Gluma desensitizer), which is liquid-based system, on dentinal tubule occlusion was analyzed by scanning electron microscope. The effects of the above two along with one control group were compared to determine the more effective method of sealing the dentinal tubules after initial application.

Methods: Twenty specimens were allocated to each of 3 groups: Control, Gluma desensitizer, and NovaMin. Two additional samples were also prepared and treated with Gluma and NovaMin; these samples were longitudinally fractured. The specimens were prepared from extracted sound human premolars and were stored in 10% formalin at room temperature. The teeth were cleaned of gross debris and then sectioned to provide one to two dentin specimens. The dentin specimens were etched with 6% citric acid for 2 minutes and rinsed in distilled water. Control discs were dried, and the test discs were treated with the desensitizing agents as per the manufacturer¡¯s instructions. The discs as well as longitudinal sections were later analyzed under the scanning electron microscope. The proportions of completely occluded, partially occluded, and open tubules within each group were calculated. The ratios of completely and partially occluded tubules to the total tubules for all the groups was determined, and the data was statistically analyzed using nonparametric tests and statistical significance was calculated.

Results: NovaMin showed more completely occluded tubules (0.545¡¾0.051) while Gluma desensitizer showed more partially occluded tubules (0.532¡¾0.075). The differences among all the groups were statistically significant (P¡Â 0.05).

Conclusion: Both materials were effective in occluding dentinal tubules but NovaMin appeared more promising in occluding tubules completely after initial application.

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Dentin sensitivity ; Gluma desensitizer ; NovaMin ; Scanning electron microscopy

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