by Dr Ailin Teo, Ailin Teo Dental Surgery, Geelong, VIC
I have been using this professional paste since it was first released in early 2009. The pro-argin technology works by occluding exposed dentine tubules with a calcium-rich layer.
What’s good about it
For patients with dentine hypersensitivity, I use this paste prior to scaling and cleaning. After a routine application of topical anaesthetic on the gingiva, I place a thin layer of Pro-Relief paste on the exposed root surfaces, distributing it and rubbing it into the teeth with my fingers. I find this method to be less messy and more efficacious than spinning with a prophy cup, as this eliminates the splatter that often occurs when the cup/paste catches saliva.
Patients like it because it reduces their sensitivity and many remark on how ‘painless’ the clean was.
It is also useful for reducing post-op sensitivity in deep cavity preparations. I use a microbrush to apply a small amount of Pro-Relief paste onto the base of the cavity, rubbing it into the dentine with the microbrush, letting it sit for 10 to 20 seconds and then rinsing it off thoroughly. I then restore the tooth, usually placing a Vitrebond lining on the dentine prior to composite build-up.
I was concerned that it may interfere with the strength of the composite bond but this has not, to date, been an issue. Almost all patients experience no post-op sensitivity.
What’s not so good
For patients with extremely sensitive teeth, local anaesthetic administration may still be required. This is especially true in cases of severe periodontal disease where deep scaling and root planing is required.
Where did you get it