Toothpastes containing potassium nitrate alone versus potassium nitrate combined with aluminum lactate in reducing dentin hypersensitivity

ISRCTN ISRCTN80733222
DOI https://doi.org/10.1186/ISRCTN80733222
Sponsor Lion Corporation (Japan)
Funder Lion Corporation
Submission date
12/12/2025
Registration date
18/12/2025
Last edited
18/12/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Oral Health
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
This study aims to evaluate whether two types of desensitizing toothpastes can reduce dentin hypersensitivity, a condition that causes short, sharp pain when exposed dentin reacts to stimuli such as touch or air. The trial compares a toothpaste containing 5% potassium nitrate alone with another containing 5% potassium nitrate combined with 2.18% aluminum lactate, against a placebo toothpaste.

Who can participate?
Adults aged 18 to 65 years in good general health who have at least one tooth with cervical or gingival recession and dentin hypersensitivity confirmed by tactile or air stimulation tests. Female participants must not be pregnant or breastfeeding.

What does the study involve?
Participants are randomly assigned to one of three groups: two test groups and one placebo group. They will use the assigned toothpaste twice daily for eight weeks. Sensitivity is assessed at baseline, immediately after the first brushing, and at 2, 4 weeks plus 24 hours, and 8 weeks using standardized tests for tactile and air stimulation.

What are the possible benefits and risks of participating?
Participants may experience relief from dentin hypersensitivity, improving comfort during eating, drinking, and oral hygiene. There are no known medical risks, as the intervention involves standard toothpaste use and is non-invasive.

Where is the study run from?
The study is conducted at the Stomatological Hospital of Chongqing Medical University, China.

When is the study starting and how long is it expected to run for?
June 2022 to December 2022.

Who is funding the study?
The Lion Corporation, Japan.

Who is the main contact?
Dr Zhi Zhou, Stomatological Hospital of Chongqing Medical University, China, zhouzhi_050918@hotmail.com

Contact information

Dr Zhi Zhou
Public, Scientific, Principal investigator

No. 426, Songshi North Road, Yubei District
Chongqing
401147
China

ORCiD logoORCID ID 0000-0001-7402-0037
Phone +86-23-88860111
Email zhouzhi_050918@hotmail.com

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingBlinded (masking used)
ControlPlacebo
AssignmentParallel
PurposeDevice feasibility
Scientific titleToothpastes containing potassium nitrate alone versus potassium nitrate combined with aluminum lactate in reducing dentin hypersensitivity: a randomized controlled trial
Study objectivesThis study is designed to assess and compare the clinical efficacy of two desensitizing toothpastes—one formulated with 5% potassium nitrate and the other with 5% potassium nitrate plus 2.18% aluminum lactate—in alleviating dentin hypersensitivity.
Ethics approval(s)

Approved 20/05/2022, Ethics Committee of the Affiliated Stomatological Hospital of Chongqing Medical University (No. 426, Songshi North Road, Yubei District, Chongqing, 401147, China; +86-023-88602305; 500119@hospital.cqmu.edu.cn), ref: 2022 Ethics Review (042)

Health condition(s) or problem(s) studiedDentin hypersensitivity in adults with at least one anterior tooth exhibiting cervical or gingival recession and sensitivity to tactile or air stimulation.
InterventionThis is a single-centre, randomized, double-blind, placebo-controlled, parallel-group clinical trial conducted to evaluate the immediate and sustained effects of desensitizing toothpastes on dentin hypersensitivity. The intervention involves the use of two test toothpastes and one placebo toothpaste. The first test group uses a toothpaste containing 5% potassium nitrate, while the second test group uses a toothpaste containing 5% potassium nitrate combined with 2.18% aluminum lactate. The placebo group uses a toothpaste with the same base formulation but without active desensitizing ingredients. All products are identical in appearance, flavor, and packaging to ensure blinding. Participants are instructed to brush their teeth twice daily for 2 minutes using the assigned toothpaste for 8 weeks. Assessments of dentin sensitivity are performed at baseline, immediately after brushing, and at 2 weeks, 4 weeks, 4 weeks plus 24 hours, and 8 weeks.

Method of randomisation:
The randomisation method used was stratified randomisation (by baseline sensitivity) with parallel assignment across three groups.
Stratification factor: Participants were first stratified by their maximum baseline Schiff sensitivity score for the two selected test teeth to ensure balance in baseline sensitivity severity across groups.
Randomisation within strata: After stratification, participants were randomly assigned to three parallel groups within each stratum.
Intervention typeDevice
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Toothpaste (5% potassium nitrate), toothpaste (5% potassium nitrate plus 2.18% aluminum lactate)
Primary outcome measure(s)
  1. Dentin hypersensitivity measured using the Dentin Sensitivity Index (DSI) for tactile stimulation (Yeaple probe, grams) and air stimulation (Schiff score) at baseline, immediately after brushing, and at 2, 4, and 8 weeks of toothpaste use
Key secondary outcome measure(s)
  1. The immediate desensitizing effect after a single brushing measured using the Dentin Sensitivity Index (DSI) for tactile and air stimulation at the initial visit
  2. The sustained desensitizing effect measured using the Dentin Sensitivity Index (DSI) for tactile and air stimulation at 24 hours, following 4 weeks of use
Completion date31/12/2022

Eligibility

Participant type(s)Patient
Age groupMixed
Lower age limit18 Years
Upper age limit65 Years
SexAll
Target sample size at registration126
Key inclusion criteria1. Adults aged 18–65 years in good general health
2. At least one dentin-sensitive tooth with cervical or gingival recession, sensitive to tactile stimulation (10–50 g) or air stimulus (Schiff score ≥ 2)
3. Able to attend all scheduled examinations during the 8-week study period
4. Willing to provide written informed consent
Key exclusion criteria1. Severe systemic or chronic diseases
2. Advanced periodontal disease or periodontal treatment within the past year
3.Teeth with extensive restorations, suspected chronic pulpitis, caries, or enamel cracks
4. Current use of desensitizing toothpaste or participation in other clinical trials within the past 3 months
5. History of allergy to oral care products or ingredients
Date of first enrolment01/06/2022
Date of final enrolment01/07/2022

Locations

Countries of recruitment

  • China

Study participating centre

West China School/Hospital of stomatology, Sichuan University
-
-
610041
China

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
IPD sharing planThe datasets generated and/or analyzed during the current study will be available upon reasonable request to the corresponding author (Dr. Zhi Zhou, zhouzhi_050918@hotmail.com). Data will be anonymized and shared only with qualified researchers for academic purposes. Participant consent was obtained, and ethical approval was granted for data use in this context.

Editorial Notes

18/12/2025: Study's existence confirmed by the Ethics Committee of the Affiliated Stomatological Hospital of Chongqing Medical University.