The use of fluoride varnishes in dentinary hypersensitivity treatments: A current approach
DOI:
https://doi.org/10.53740/rsm.v11i1.321Abstract
Dentin hypersensitivity is very present in daily practice and comprehended as an exacerbated response to a sensory stimulus that usually wouldn't cause pain in a healthy tooth, is a pathology that affects individuals of both sexes in an ample part of the population and various dental groups, causing oral discomfort and inconvenience to the individual's life. It has a multifactorial etiology and several theories try to explain the pain mechanism, currently, the hydrodynamic theory is the most accepted. This work proposes to present a literature review about the usability of fluoride varnishes in the treatment. Performed by two independent researchers using the Pubmed, Virtual Health Library, Scientific Electronic Library Online (Scielo), and Google Academics databases, applying the following search descriptors in Portuguese “hipersensibilidade dentinária”, “verniz fluoretado” and in English "dentinal hypersensitivity", "fluoride varnish". Fluoride varnish shows as a powerful therapeutic resource to minimize the symptoms of dentin hypersensitivity. Acts efficiently due to the formation of a waterproofing film, sealing the dentin surface. It has the advantage of operating as a source of fluorinated compounds. Among some treatments used to treat this pathology, it is clear that, in this literature review, the use of varnish is not a treatment that lasted or long but effective and may present successes and failures. Its indication is related to the low cost of the product and its simplicity of application. Concluding that the fluoride varnish can be indicated in the treatment of hypersensitivity, that during the clinical evaluation of the condition, the dental surgeon will be able to offer the patient a timely and satisfactory treatment, based on a periodicity of return visits.
References
Matias M. N. A., Leao J. C., Menezes Filho P. F. Silva C. H. V. Hipersensibilidade dentinária: uma revisão de literatura. Odontol. Clín. Cient. (Online), 2010, Vol.9, Pag. 205-208.
Vale I. S., Bramante A. S. Hipersensibilidade dentinária: diagnóstico e tratamento. Rev Odontol Univ, 1997, Vol. 11, Pag. 207-213.
Almeida E. C. B. de., Menezes M. R. de. M., Aguiar C. M. Tratamento da hiperestesia dentinária com laser de GaAIAs. Odontologia. Clín.-Científ, 2006, Vol.5, N.2, Pag. 143-152.
Hotta T. H., Marchesan J. T., Santos T. M. dos., Silva M. A. M. R. da., Silva R. S. da., Pécora J. D. Uso de Laser e Placa Oclusal na Sensibilidade Dentinária de Bruxômeros. RGO, 2006, Vol.54, N.2, Pag. 195-198.
Fisher C., Fisher R. G., Wennberg A. Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro. Brazil. J Dent, 1992, Vol.20, N.5, Pag.272–276.
Neuhaus K. W., et al. Effectiveness of a calcium sodium phosphosilicate-containing prophylaxis paste in reducing dentine hypersensitivity immediately and 4 weeks after a single application: a double-blind randomized controlled trial. J Clin Periodontol, 2013, Vol.40, N.4, Pag. 349-357.
Brannstrom M., Astrom A. A study in the mechanisms of pain elicited from the dentin. J Dent Rest, 1964, Vol. 43, Pag. 619.
Rico A. J. Hipersensibilidad dentinal. Acta Clin Odontol, 1992, Vol. 15, Pag. 17-29.
Addy M., Mostafa P. Dentine hypersensitivity II: effects produced by the uptake in vitro of tooth pastes onto dentine. J Oral Rehabil, 1989, Vol.16, Pag. 35-48.
West N. X., Seong J., Davies M. Management of dentine hypersensitivity: efficacy of professionally and self-administered agents. J Clin Periodontol, 2015, Vol.42, Pag. S256-S302.
Yoshiyama M. Transmission electron microscopic characterization of Hypersensitive human radicular dentin. J Dent Res, 1990, Vol.69, N.6, Pag.1293- 1297.
Brännström M. The hidrodynamic theory of dentinal pain: sensation in preparations, caries and dentinal crack. Journal of Endodontics, 1986, Vol.12, N.10, Pag. 453-457.
Pereira J. C. Hiperestesia dentinária – Aspectos clínicos e formas de tratamento. Maxi-Odonto: Dentística, Vol.1, N.2, Pag.1-24.
Ribeiro P. J. T., et al. Mecanismos de ação dos recursos terapêuticos disponíveis para o tratamento da hipersensibilidade dentinária cervical. Odontol Clín Cient, 2016, Vol.15, N.2, Pag.83-90.
National Institutes of Health (NIH). Consensus development conference on diagnosis and management of dental caries throughout life. Bethesda. Conference Papers. J Dent Educ, 2001, Vol.65, N.10, Pag. 935-1179.
Beltran A. E. D., Goldstein J. W., Lockwood S. A., Fluoride V. A review of their clinical use, cariostatic mechanism, efficacy and safety. J Am Dent Assoc, 2000, Vol.131, N.5, Pag. 589-596.
Petersson L. G., Twetman S., Pakhomov G. N. Fluoride varnish for community-based caries prevention in children. Geneva: WHO, 1997.
Regiani B. C., Rocha H. N., Tognette V. M., Andrade A. P. Hipersensibilidade dentinária em lesões cervicais não cariosas: etiologia e tratamento. Arch Health Invest, 2021, Vol.10, N.1, Pag. 42-48.
Arends J., Duschner H., Ruben J. L. Penetration of varnishes into demineralized root dentine in vitro. Caries Res Basel, 1997, Vol. 31, N.3, Pag.201-205.
Gaffar A. Treating hypersensitivity with fluoride varnishes. Compend. Contin. Educ. Dent., Jamesburg, 1998, Vol.19, N.11, Pag.1088-1097.
Assis E. Q., Ciamponi A. L., Correa M. S. N. P. Vernizes com flúor: revisão da literatura. Ver Odontopediatr, 1992, Vol.1, N.1, Pag.24-34.
Sharma H. et al. Comparative evaluation of calcium phosphate-based varnish and resin-modified glass ionomer-based varnish in reducing dentinal hypersensitivity: A randomized controlled clinical trial. European Journal of Dentistry, 2017, Vol. 11, N.4, Pag. 491-495.
Ravishankar P. et al. The effect of three desensitizing agents on dentin hypersensitivity: A randomized, split-mouth clinical trial. Indian Journal of Dental Research, 2018, Vol. 29, Pag. 51.
Torres C. R. G., et al. The effect of three desensitizing agents on dentin hypersensitivity: A randomized, split-mouth clinical trial. Operative dentistry, 2014, Vol. 39, Pag. E186-E194.
Dantas E. M. et al. Clinical efficacy of fluoride varnish and low-level laser radiation in treating dentin hypersensitivity. Brazilian Dental Journal, 2016, Vol. 27, Pag. 79-82.
Rösing C. K., Gaio E. J. Tópicos especiais em periodontia: diagnóstico e tratamento da hipersensibilidade dentinária. In: Oppermann, R. V. Rösing, C. K. Periodontia Laboratorial e Clínica, 2013, Vol. 10, Pag. 117-127.
Soares P. V., Machado A. C. Restauração de lesões cervicais não cariosas e controle da hipersensibilidade dentinária: protocolos e perspectivas. In: Alto, R. M. Reabilitação estética anterior: o passo a passo da rotina clínica, 2018. Vol.8, Pag.206-221.
Ghosh A., Mazumder D. Comparative evaluation of treatment of noncarious cervical hypersensitivity by a fluoride varnish, a dentin bonding agent, and Er, Cr:YSGG laser: An in vivo study. J Conserv Dent. 2019, Vol.22, N.6, Pag.516-521.
Akanksha J., Jyoti R., Neha P., Alok S. Effectiveness of fluoride varnish, diode laser, and their combination in treatment of dentin hypersensitivity: A randomized split-mouth clinical trial. J Indian Soc Periodontol, 2020, Vol.24, N.4, Pag.369-374.
Osmari D., et al. In-office treatments for dentin hypersensitivity: a randomized split-mouth clinical trial. Oral Health Prev Den, 2018, Vol.16, N.2, Pag.125-130.
Ritter A. V., et al. Treating cervical dentin hypersensitivity with fluoride varnish: a randomized clinical study. J Am Dent Assoc, 2006, Vol.137, N.7, Pag.1013-1020.
Cavalcante S. P., de Souza Júnior V. G., Dias P. C. Efetividade de diferentes tipos de tratamento no controle da hipersensibilidade dentinária cervical. Revista, 2019, Vol. 56, Pag. 68-79.
Tonetto M. R., et al. Hipersensibilidade dentinária cervical: em busca de um tratamento eficaz. Rev Odontol, 2012, Vol.24, N.3, Pag.190-199.
Davies M., et al. Efficacy of desensitizing dentifrices to occlude dentinal tubules. Eur J Oral Sci, 2011, Vol.119, N.6, Pag. 497-503.
Ribeiro J. P. T., et al. Mecanismos de ação dos recursos terapêuticos disponíveis para o tratamento da hipersensibilidade dentinária cervical Odontol. Clín.-Cient. (Online), 2016, Vol. 15. Pag.83-90.
Clark D. C., Hanley J. A., Geoghegan, S., Vinet, D. The effectiveness of a fluoride varnish and a desensitizing toothpaste in treating dentinal hypersensitivity. Journal of Periodontal Research, 1985, Vol.20, Pag.212-219.
Guimarães C. S. R. Efeito de agentes dessensibilizantes na obliteração dos túbulos dentinários, Dissertação de Mestrado. Rio de Janeiro: UFRJ/FO; 2015. 26p.
Pandit N., Gupta R., Bansal A. Comparative evaluation of two commercially available desensitizing agents for the treatment of dentinal hypersensitivity. Indian J Dent Res, 2012, Vol.23, Pag.778-783.
Torres C. R. G. et al. The effect of three desensitizing agents on dentin hypersensitivity: A randomized, split-mouth clinical trial. Operative dentistry, 2014, Vol. 39, Pag. E186-E194.
