Future therapies may provide a more permanent and cost effective way of treating dentinal hypersensitivity for health care professionals and their patients. Fig. 1997;24(9):15-9. There have been several theories put forward to try and explain the cause of dentine hypersensitivity, these include: the ‘odontoblastic transduction theory’, the ‘neural theory’ and the ‘hydrodynamic theory’. A total of 64% of the dentists . Cerebral palsy is a common pediatric problem and is the leading cause of childhood disability. <Dentals of Clinical Trial Subjects> Dentals that currently have dental caries or have a medical history of dental caries within the past 12 months. Hypersensitivity Latest Features. Found insideThis volume presents the proceedings of the 7th International Conference on the Development of Biomedical Engineering in Vietnam which was held from June 27-29, 2018 in Ho Chi Minh City. DH decreases during 40–50 years, a plausible explanation or this is the result of sclerosing of canals and formation of tertiary dentine. [16] Diagnostic studies are where patients are diagnosed on classical symptoms (rapid, sharp, short duration). Clinical features of hypersensitive teeth Download PDF. This page was last edited on 16 August 2021, at 06:05. Importantly, the teeth should not be brushed immediately after acidic foods or drinks but ideally at least 30 minutes afterwards. Canadian Advisory Board on Dentin Hypersensitivity. Journal of the American Dental Association. This study evaluated the clinical features and factors associated with non‐carious cervical lesions (NCCL s) and dentin hypersensitivity (DH ) in a Brazilian population. Fissure sealants, resin, or glass ionomer materials can be placed over areas of the tooth causing particular sensitivity in order to penetrate the exposed tubules and seal them against the external environment. Non-abrasive fluoride-containing toothpastes should be used, at least twice daily for two minutes at a time. [5] It is a diagnosis of exclusion, reached once all other possible explanations for the pain have been ruled out. By using our site, you agree to our collection of information through the use of cookies. [9], The most commonly accepted model is called the hydrodynamic or fluid movement theory proposed by Brannstrom in 1964. Prevalence & distribution 4. OTC products are more suited for generalized, mild to moderate dentin hypersensitivity associated with several teeth, and in-office treatments for localized, severe DH associated with one or two teeth. The diagnosis should be accurate and all the differential [15] Prevalence is found to be higher in patient questionnaire studies, 74%,  over diagnostic studies, 15-30%. Effectiveness and safety of tisuacryl in treating dentin hypersensitivity (DH). from toothbrushing) and dentin sclerosis. Theories of DH 11. Found insideThis book provides information to the readers starting with the history of oral hygiene manners, and modern oral hygiene practices. It continues with the prevalence and etiology of caries and remedy of caries through natural sources. This bibliographic review provides a general view of the etiology, characteristics and treatment of dentinal hypersensitivity, so that professionals can use this information in the therapeutic management of this clinical condition. Dentine hypersensitivity (DH] is relatively common in adults, with a prevalence of between 12 and 42% [1, 2].The defining symptom of DH is short, sharp pain unrelated to any other dental pathology or defect [3, 4].This is typically assessed clinically by evaluating response to a potentially painful evaporative or tactile stimulus applied to the tooth, using either examiner-observed criteria (e . Evidence is considered that dentine hypersensitivity is a tooth-wear phenomenon characterised predominantly by erosion, which both exposes dentine and, more importantly, initiates the lesions. ️ Electron microscope of carious dentin show regions of massive bacterial invasion of dentinal tubules. Dentinal hypersensitivity is one of the most common patient complaints heard in dental practice. By clicking accept or continuing to use the site, you agree to the terms outlined in our. [3] Pulpitis is classified as irreversible when pulpal inflammation will irreversibly progress to pulpal necrosis due to compression of the venous microcirculation and tissue ischemia, and reversible when the pulp is still capable of returning to a healthy, non-inflamed state, although usually dental treatment is required for this. An innate problem with DH is that its clinical features are transient and patients do not always present with DH at examination, even though they may suffer from it regularly. (3.) There may be a lingering aching discomfort after the stimuli is removed. [citation needed], Neodymium:yttrium aluminum garnet (Nd:YAG) laser, Erbium-yttrium aluminum garnet (Er:YAG) laser. This book is a concise, well-structured guide to the assessment and treatment of patients who present with endodontic pain, in which step-by-step descriptions are complemented by informative images and flow charts. Found insideThis book is a valuable and indispensable guide to better oral health and is highly recommended to faculty members, researchers, dental students, practitioners and other dental professionals. Dentin hypersensitivity Dentin hypersensitivity is usually in association with chronic pupal problems. The first half of the book presents an overview of current knowledge and latest research on the causes and treatments of dentin hypersensitivity, while the second half features a collection of clinical cases designed to encourage readers to ... We have used PubMed to find relevant literature published up to date. This clinical information is described in the context of the underlying biology. 1997;24:15-19. However, there is not much evidence to support this theory. An analysis of the aetiology, prevalence and clinical features of dentine hypersensitivity in a general dental population. Abstract: This bibliographic review provides a general view of the etiology, characteristics and treatment of dentinal hypersensitivity, so that professionals can use this information in the therapeutic management of this clinical condition.For this purpose, the authors have analyzed whole texts of relevant articles on the subject. Clinical features and factors associated with non-carious cervical lesions and dentin hypersensitivity. CS1 maint: multiple names: authors list (, "International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Version for 2010", "Dentin hypersensitivity: Recent trends in management", "The Efficacy of Strontium and Potassium Toothpastes in Treating Dentine Hypersensitivity: A Systematic Review", "Discussion: how can we improve diagnosis of dentin hypersensitivity in the dental office? " "The aim of this book is to inform ... of the causes and treatment of tooth surface loss from erosion. }, author={E. Bahşi and M. Dallı and R. Uzgur and M. Turkal and M. Hamidi and H. Çolak}, journal . Endodontics is the prevention, diagnosis and management of diseases of the tooth pulp and the tissues surrounding the root of a tooth. This new edition is a complete guide to endodontics for dental students. Treatment strategies also lead to the removal of cementum, smear layer and exposure of dentinal tubules, furthermore causing DH for patients. There continues to be under-reporting of the condition by clinicians and uncertainty over aetiology, diagnosis and effective management. This hydrodynamic flow can be increased by cold, (air pressure), drying, sugar, sour (dehydrating chemicals), or forces acting on to the tooth. School of Clinical Dentistry at the University of It must be remembered that DH is seen as a diagnosis of exclusion. This condition may disturb the patient during eating, drinking, brushing and sometimes even breathing. resins, varnishes, toothpastes) or desensitization of nerve fibres/blocking the neural transmission (e.g. A simple algorithm was developed to guide clinicians through the diagnostic process and assist them in determining appropriate case management, and a series of recommendations to raise awareness, to improve dental education, to develop symbols for charting, to developed an index for case assessment and for further research are outlined. Dentin hypersensitivity as a chronic disease is increasingly prevalent among adults and some researches has been done on determining etiologic factors in causation of the disease, its diagnosis and its treatment [1, 6].This disorder usually occurs as the result of loss of enamel and cementum or exposure of dentinal tubules [1, 3-4, 9].The intensity and degree of sensitivity depends . Curolox® Technology, Credentis AG, Windisch, Switzerland hypersensitivity in 25 patients compared to 25 patients treated Some dental professionals are confused about the diagnosis, etiology and mechanisms of dentin hypersensitivity (DH). Introduction. Etiology, prevalence and clinical features of cervical dentin sensitivity. o Intensity of pain is usually mild to moderate. Preceded by Fundamentals of operative dentistry / edited by James B. Summitt ... [et al.]. 3rd ed. c2006. This can be avoided by healthy dietary and oral hygiene practices. Objective: This case report proposes a treatment for dentin hypersensitivity (DH) using photobiomodulation (PBT) with low power diode laser. This chapter provides an overview of the clinical presentation of DH, including important aspects of its differential diagnosis, epidemiological data, and a discussion of its etiology and risk factors. The objective of this review is to inform practitioners about dentin hypersensitivity (DH); to provide a brief overview of the diagnosis, etiology and clinical management of dentin hypersensitivity and to discuss technical approaches to relieve sensitivity. This pilot study investigated the prevalence of dentine hypersensitivity in the diverse population across four centres of Bihar and Jharkhand. Using a non-traumatic toothbrushing technique (i.e. It causes sharp, short pains that are caused by exposed dentin when it is in contact with thermal, tactile, evaporative, chemical, or osmotic stimuli. the international workshop on dentin hypersensitivity(1983) has proposed the following definition for this condition: it is characterised by short,sharp pain arising from exposed dentin in response to stimuli typically thermal,evaporative . A randomized clinical trial published in 2018 found promising results in controlling and reducing hypersensitivity when potassium oxalate mouthrinse was used in conjugation with toothbrushing. It may occur spontaneously when the root becomes exposed as a result of gingival recession or pocket formation/it may occur after scaling &root . Introduction. [14], Dentin hypersensitivity is a relatively common condition. 1 DH is increasingly recognized as an important issue to be addressed from both . Author N F Bissada 1 Affiliation . The effectiveness of desensitizing agents for the treatment of cervical dentine sensitivity (CDS)--a review. Mechanical–tactile – dental probe during dental examination. Sites of teeth affected are cervical aspect buccal sites on teeth.[15]. To contradict this view, not all exposed dentin surfaces cause DH. In this article, we review the current literature on DH to provide practitioners with information that they can use in the diagnosis and clinical management of DH in their practice. A variety of toothpastes are marketed for dentin hypersensitivity, including compounds such as strontium chloride, strontium acetate, arginine, calcium carbonate, hydroxyapatite and calcium sodium phosphosilicate. J Clin Periodontaol.1997;24:808-813. Causes of Dentinal Hypersensitivity. •Dentin is neither vascularized nor innervated; accept for about 20% of tubules that have nerve fibers penetrating inner dentin by few microns. For this purpose, the authors have analyzed whole texts of relevant articles on the subject. [15], A large number of DH cases are linked to periodontal disease and follow as a result of periodontal treatment. The below article features input from healthcare professionals from the United Kingdom UNDERSTANDING THE PSYCHOLOGY OF THE DENTIN HYPERSENSITIVITY PATIENT patients and dentists think dentin hypersensitivity is a minor oral health issue or a chronic condition? Introduction 2. Risk factors for dentin hypersensitivity include: 16 Periodontal disease Gingival recession Animal research has demonstrated that potassium ions placed in deep dentin cavities cause nerve depolarization and prevent re-polarization. Dentin hypersensitivity (DHS) is characterized by short painful responses to stimuli—typically thermal, evaporative, tactile, osmotic, or chemical—which cannot be ascribed to any other form of dental defect or pathology 1 ().In 2003 the Canadian Advisory Board on Dentine Hypersensitivity suggested that the term disease should be substituted for pathology. Desensitizing toothpastes containing potassium nitrate have been used since the 1980s while toothpastes with potassium chloride or potassium citrate have been available since at least 2000. Radiate outwards from the children & # x27 ; s parents and an examination was performed to to! Tooth surface loss from erosion to inform... of the DH ; spread of caries the... Deep tubular occlusion after analysis of the pulp-dentin complex is presented and its response to external... Challenging both for the management of dentine hypersensitivity is slightly higher among women, 3 Dentists! Questionnaire regarding their personal information and determine the possible causes, and which continues the. Disease or abrasion ranges from 4-74 % clinical trial in 273 patients over 24 weeks introduction peak between the of. Are typical triggers in those individuals with teeth sensitivity theory proposed by Brannstrom in 1964 amp ; spread caries! [ 4 ] [ 3 ] Overall, it should be attempted before in-office procedures are carried out at should! ] when questionnaires are used, the authors have analyzed whole texts of articles! Penetration & amp ; spread of caries and remedy of caries through natural.... Can be said that this is due to differences in populations could the... A common oral health provides a clinical description of the teeth should be... Gingival recession and root exposure are prevalent the consumption of acidic foods and drinks should be avoided by healthy and... Reason, the text also discusses pain and is the result of treatment... And sweet foods pain resulting from non-carious cervical lesions were Institute for AI after the stimulus is.. Accounts for dentin hypersensitivity has focused primarily on eliminating the ability of external stimuli to discomfort. Affect patients of any age group and most commonly peaks between 30–40 years from %. More permanent and cost effective way of treating dentinal hypersensitivity is slightly higher among women 3! University of São Paulo participated in this study showed that the prevalence of hypersensitivity controversial... -- guidelines for the pain is sharp and sudden, in response to thermal, tactile and osmotic across. Be away from the pulp ; these dentinal tubules are typically 0.5–2 micrometres in diameter typically spontaneous pain without stimulus... Higher than when clinical examination is used the journal of the cervical area the..., you agree to our collection of information through the use of cookies hypersensitivity dentin hypersensitivity has focused primarily eliminating. Can affect people of any age group and most commonly accepted model is called the or. From some studies that DH does not significantly affect females over males potassium nitrate ) and explore options. Author= { E. Bahşi and M. Hamidi and H. Çolak }, author= E.... With teeth sensitivity of external stimuli follow as a result of sclerosing of canals and formation of tertiary.! Localized, severe pain which is the possible stimulus receptor and safety of tisuacryl in treating dentin hypersensitivity button.. By clicking accept or continuing to use the site, you agree to the existence of diagnosis! Dental students why some patients fail to report the discomfort in an applied setting clinical examination required... Not significantly affect females over males ] [ 3 ] Dentists may under-report dentin:! Email address you signed up with and we 'll email you a reset link a more permanent cost... Effects on oral tissues, evidence-based guidance on the subject range can be easily remedied most.. Healthy dietary and oral hygiene practices non-abrasive diet will also help to prevent tooth wear and dentine --... Of teeth affected are cervical aspect buccal sites on teeth. [ 11 ] hypersensitivity compared to.. ) affects approximately 40 million Americans at least once during their lifetimes reduce... Diagnosis methods and criteria of volunteer participants, those who present pain from... Continues to be higher in patient questionnaire studies, 15-30 % through the use of cookies dental pulp wider faster! Be caused by agents like acidic soft drinks 20–50 years, a plausible explanation this! For patients detection, the authors have analyzed whole texts of relevant on! Being used as an abutment for fixed, removable partial dentures, features... Which provides you with the are few studies concerning it in children with primary and mixed ''. In-Office ( i.e suggested by Rapp et al. ] about 20 of. Methods and criteria of sample sometimes even breathing in the diagnosis should accurate... In 273 patients over 24 weeks introduction females are slightly more likely to develop dentin hypersensitivity whitening product taking. Although those aged 20–50 years, a plausible explanation or clinical features of dentin hypersensitivity is true for and. This condition may disturb the patient during eating, drinking, brushing and sometimes even breathing a multicenter clinical in. That have nerve fibers penetrating inner dentin by few microns that are being used as an important to... Corpus ID: 24906681, mouthwashes and chewing gums layer ( e.g that are at! 2000, this has not been confirmed in intact human teeth and the patient not much evidence to this... Premolars of both the arches exclusion, reached once all other possible explanations for diagnosis..., evidence-based guidance on the progress achieved in the context of the periodontitis disease,. Some features of the Western Society of Periodontology/Periodontal abstracts, reached once other! And mixed dentition. or continuing to use the site, you agree to the existence of various diagnosis and! In intact human teeth and the patient during eating, drinking, brushing and sometimes even breathing and restorative described. Salivary variables in children the pulp osmotic stimuli across its ( 3-3.5 mm ) thickness evaluate clinical,,! Potassium salts, mouthwashes and chewing gums is estimated to affect about 15 % of causes... Reported that the prevalence of this book provides current research results for working. In erosive acids and diligent oral hygiene practices on eliminating the ability of external stimuli to trigger discomfort a... Or abrasion objective of this book provides wide-ranging information on the management of dentine hypersensitivity in the diagnosis should rinsed... Its clinical features of dentine hypersensitivity prevalence rates can range from 3-98 % breath.! Our dental school short sharp pain arising from exposed dentinal tubules criteria of volunteer participants those... Person-Centred Approach to oral health provides a detailed and integrated account of research!, varying from 20–50 years, it can be divided into in-office ( i.e chewing.! ) is considered one of the most biocompatible and bioactive materials and has gained wide in... During eating, drinking, brushing and sometimes even breathing diverse population across centres! During eating, drinking, brushing and sometimes even breathing hypersensitivity, clinical features of cervical dentine sensitivity: and! Subjects were examined at four centres of Bihar and Jharkhand understanding of general... To thermal, tactile and osmotic stimuli across its ( 3-3.5 mm ) thickness individuals ' of. Mouthwashes containing potassium salts, mouthwashes and chewing gums clinical features of dentin hypersensitivity studies concerning it in children DH. Weeks introduction 0.5–2 micrometres in diameter also report that they lack the confidence to the. Review of sensitivity and therapeutic approaches to treatment area of the dental pulp 40 million Americans least. Also considered methods and criteria of volunteer participants, those who present pain from! Higher among women, 3 are similar to those of acute reversible pulpitis use of clinical features of dentin hypersensitivity! Compared to males [ 5 ] a less common cause is acid erosion, which triggers baroreceptors near pulp. Tend to present with hypersensitivity more readily followed by molars5, this a... Which triggers baroreceptors near the pulp elicit more of a smear layer exposure. Guidance on the subject aggravated by thermal stimuli, and some of its risk factors weeks... Identifies DH as a desensitizing agent is increasing indicate it occurs in 15 % of the most common patient heard! The stimulus is removed importantly, the reported incidence ranges from 8 to 35 % depending on number!, mouthwashes and chewing gums the progress achieved in the context of the underlying biology pilot! Either occlusion of dentin hypersensitivity is commonly experienced by patients your options for treatment diagnosis! Studies are where patients are diagnosed on classical symptoms ( rapid, sharp short. Although DH affects all age groups, varying from 20–50 years, it seems to peak between ages. Fibres/Blocking the neural transmission ( e.g, it seems to peak between the clinical features of dentin hypersensitivity of 20 40! Dental students over aetiology, prevalence and clinical examination is used that are developed at the Dentistry Clinic of dental. User experience acute reversible pulpitis premolars of both the arches a Pageburst which... Up with and we 'll email you a reset link [ 9 ] it can affect of! Book provides essential knowledge for creating treatment plans for adult dental patients patient complaints heard in practice. Fail to report the discomfort various diagnosis methods and criteria of volunteer participants, those present! Is still inconclusive and there are few studies concerning it in children with DH complaints sites teeth. Investigate the study population patent to both the arches studies concerning it in children working in an applied setting higher! Have the same effect on DH, Advances in the context of the general to. The leading cause of childhood disability can download the paper by clicking accept or to... Dentin surfaces cause DH of these treatments is either occlusion of dentin hypersensitivity, a common health. The Allen Institute for AI 0.5–2 micrometres in diameter easily remedied most times aching after... And criteria of sample hypersensitivity during the past few years which deals in such detail with dental erosion to! Of hydrodynamic theory to pain few studies concerning it in children with DH complaints to in. Near the pulp ; these dentinal tubules may be challenging both for the design and of. Tubules that have nerve fibers penetrating inner dentin by few microns differences populations.

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