Dentin hypersensitivity an overview sciencedirect topics. Oct 29, 2016 inoffice treatment of dentinal hypersensitivity dentinal hypersensitivity is a common dental complaint, especially in periodontal patients. The most common treatment of hypersensitivity is the application of topical fluoride either through the use of sensitive toothpastes or the application of sodium fluoride varnish within the dental surgery directly to the exposed root surface. This study showed that the predisposing factors associated with the. Upon completion of this course, the participant will be able to do the following. The effectiveness of laser treatment in reducing dentinal hypersensitivity dh is controversial, with important concerns related to the high efficacy of placebo laser. Tooth sensitivity is a common name for dentin hypersensitivity or root sensitivity. Jan, 2017 dentin hypersensitivity dh is a common problem encountered in clinical practice. Consequently, treatment success would depend on the prevention of fluid flow across the dentinal tubules sodium fluoride, stannous fluoride. Jan 20, 2011 treatment of dentinal hypersensitivity at one time, two ingredients were marketed in nonprescription sensitivity toothpastes. Know the anatomical and physiological features, and the accepted theory, associated with dentinal hypersensitivity 3. A manual and pubmed literature search was conducted using the keywords.
Sensitive teeth causes and treatment sensitive teeth dentinal hypersensitivity can occur when gums pull away from your teeth at the gumline exposing the dentin layer of your tooth. Dentinal hypersensitivity dh is characterized by short. Diagnosis and treatment of dentinal hypersensitivity. Treatment of dentin hypersensitivity toothpastes can easily pass through. Most dh therapy work by either nerve desensitization or occlusion of exposed dental tubules.
If hot, cold, sweet or very acidic foods and drinks, or breathing in cold air, makes your teeth or a tooth sensitive or painful then you have sensitive teeth. The least invasive, most costeffective treatment is the use of an effective desensitizing toothpaste. Dentinal hypersensitivity dh is a common clinical condition usually associated with exposed dentinal surfaces. Moira crawford speaks to hypersensitivity expert david gillam, who considers treatment options and. Etiology and treatment of dentinal hypersensitivity. Know the incidence of dentinal hypersensitivity and risk factors for this condition 2. Due to differences in populations studied and methods of detection, the reported incidence ranges from 474%. Inoffice treatment of dentinal hypersensitivity pocket. Various methods and materials are used in the treatment of dentin hypersensitivity.
Management of dentin hypersensitivity by national dental. Pdf treatment protocol for dentin hypersensitivity researchgate. One hundred eighty five national dental practicebased research network clinicians completed a questionnaire regarding their preferred methods to diagnose and manage dh in the practice setting, and their. To be hypersensitive, dentin must be exposed and the exposed tubules must be open and patent to both the oral cavity. Its incidence is on a rise probably because its etiology is not very well understood. Dentinal hypersensitivity treatment there are different kinds of dentinal hypersensitivity treatment available, nevertheless, the ideal desensitizer agent, according to grossman20 1935, should be nonirritating to the pulp, be relatively painless, be easily applied, act quickly, be permanently effective and not discolor tooth structure. Dentin hypersensitivity causes, risk factors, diagnosis. Dentinal hypersensitivity must be differentiated from other conditions that may cause sensitive teeth prior to treatment. Dentin hypersensitivity is an oral condition characterized by sharp pain in the affected dental area in response to thermal, tactile, or chemical stimuli. One option is simply to occlude the dentinal tubules through the use of a. Oct 29, 2016 treatment of dentin hypersensitivity dentinal hypersensitivity is exemplified by brief, sharp, welllocalized pain in response to thermal, evaporative, tactile, osmotic, or chemical stimuli that cannot be ascribed to any other form of dental defect or pathology. Dentin hypersensitivity dh is a short sharply painful reaction of the exposed and innervated pulpdentin complex in response to stimuli being typically thermal, evaporative, tactile, osmotic, or chemical which reaction cannot be attributed to any dental defect or pathology. Since then, many studies have been done on laser applications for dentine hypersensitivity treatment and much information has been gathered. The disease is prevalent in the patient with the age range of 2050 years.
Management of dentin hypersensitivity springerlink. Consensusbased recommendations for the diagnosis and. It is believed to be mediated by a hydrodynamic mechanism in which various stimuli result in increased fluid flow in dentinal tubules, thereby generating action potentials in associated nerve fibers. The purpose of this study was to identify the management approaches for dh among united states dentists.
Dentin hypersensitivity is characterized by short, sharp pain arising from exposed dentin as a response to stimuli, typically thermal, evaporative, tactile, osmotic, or chemical, which cannot be ascribed to any other form of dental defect or pathology. Pdf diagnosis and treatment of dentinal hypersensitivity. However, it is more prevalent in the patient with the age range of 3040 and more preva. Advances in the treatment of root dentine sensitivity. Although many studies have been performed regarding the diagnosis and treatment of dh, dental practitioners are still confused about the definite diagnosis and treatment. Dentine hypersensitivity is a condition that is often present in individuals, leading them to seek dental treatment.
This pain can not be attributed to any other type of dental defect or pathology. Once initiated, it can either remain as sensitivity or it can trigger pain and creates severe discomfort for the patient. The use of lasers as a treatment for dentin hypersensitivity was first introduced in 1985. Special focus must thus be set on the prevention of dhs, such as to avoid erosive. Clinical evaluation of lasers and sodium fluoride gel in the treatment of dentine hypersensitivity.
Brannstroms hydrodynamic theory of dentin hypersensitivity. Montes 1 1 department of restorative dentistry, school of dentistry. Effectiveness of lasers in the treatment of dentin. Dentin hypersensitivity is a relatively common condition. When treating patients with dentin hypersensitivity, recommending a softbristled toothbrush and a desensitizing athome product is a convenient and conservative management option. The colgate prorelief starter kit is effective, easy to use and safe. Dentinal hypersensitivity has long been a dilemma of both dentists and patients. Laser treatment in dentin hypersensitivity is an interesting and controversial issue and many investigations have been done on its mechanism of action, advantages, and unclear points. Comparision of commercially available desensitizing. A thorough knowledge regarding etiology and predisposing factors is inevitable for the effective treatment approach.
The aim of this randomized prospective controlled clinical trial was to evaluate and compare the desensitizing effects of the neodymiumdoped yttrium aluminium garnet nd. Dentin is the softer tooth layer that lies beneath the hard enamel surface. Pdf dentin hypersensitivity management researchgate. Pdf on jan 1, 2017, wilfredo escalanteotarola and others published treatment protocol for dentin hypersensitivity find, read and cite all the research you. Several approaches have been investigated for treating dentinal hypersensitivity. Dentists may underreport dentin hypersensitivity due to difficulty in diagnosing and managing the condition. Effectiveness of laser in dentinal hypersensitivity treatment. Dentinal hypersensitivity is a common painful condition of the teeth, associated with the exposure of the dentin to external environment of the mouth. Dentin hypersensitivityetiology, treatment possibilities and. Treatment of dentin hypersensitivity pocket dentistry. The effectiveness of dentine hypersensitivity treatment with diode laser, with different wavelengths, has been reported in various clinical studies.
Hypersensitivity management with fluoride dimensions of. For this purpose, the authors have analyzed whole texts of relevant articles on the subject. Desensitizing treatments for dentin hypersensitivity. Number of theories have been put forward to explain the. Laser therapy in the treatment of dentine hypersensitivity. Dentinal hypersensitivity is one of the most common clinical problem for which patients seek treatment and visit dental clinics. May 15, 2019 an accurate diagnosis of dentin hypersensitivity is required before initiating any treatment.
Thus, primary prevention of dentin exposure as a result of recession formation andor dental hard tissue damage by any prophylactic measures or erosiveabrasive diet is the best way to actually treat this phenomenon and its associated painful symptoms. Dentin hypersensitivityetiology, treatment possibilities. Some of the introducing titles relating to determination, diagnosis, prevalence, etiology and treatment of dental hypersensitivity are listed as follows. Although dh has been historically linked to individuals with relatively clean mouth, more recently, the term root sensitivity or root dentin sensitivity rds or root dentin hypersensitivity rdh has been used to describe tooth sensitivity arising from periodontal disease and its treatment 15. It includes a serum applied to sensitive areas using a sonic applicator. Dentine hypersensitivity is probably caused by a change in fluid flow in the dentinal tubules, which in turn excites the nerve endings located at the pulpdentine border. The results depicted that both toothpastes showed statistically significant improvement from baseline to weeks in four. Dentinal tubules can be covered by gingival grafts or dental restorations. Dentinal hypersensitivity is one of the most common patient complaints heard in dental practice. Pdf in one form or the other, pain is the major reason for patients to visit the dentist. The medical history will help to establish pain intensity, pain stability and factors that exaggerate. With teeth being maintained longer, there has been an increased demand placed upon the dentist to manage the sensitivity of cervically exposed dentin.
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