Hypersensitivity reactions historically have been classified according to two characteristics. Addy and his colleagues2 reported that all sensitive teeth have very low plaque scores, suggesting that toothbrushing with dentifrice may facilitate the development of dentin hypersensitivity. Muzzin et al compared 30% dipotassium oxalate do and 3% monohydrogenmonopotassium oxalate mo on the reduction of dentin hypersensitivity in vivo. Alleviating dentinal hypersensitivity inside dentistry. The pain is sharp and sudden, in response to an external stimulus. 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. Mechanism of action by far, the most widely accepted theory for dentin hypersensitivity is the hydrodynamic theory. Ali a abdulkareem introduction dentine hypersensitivity dh is defined as a short, sharp pain arising from exposed dentine in response to stimuli, typically thermal, evaporative, tactile, osmotic or chemical and which cannot. For this purpose, the authors have analyzed whole texts. Pdf diagnosis and treatment of dentinal hypersensitivity.
Studies report prevalence may be as low as 4 percent and as high as 57 percent in the general population. The management of this condition requires a good understanding of the complexity of the problem, as well as the variety of treatments available. Dentin hypersensitivity dh is a common problem encountered in clinical practice. T h o m a s 1 9 8 4 i n d i c a t e d t h a t t h e dentin surface and patent till the pulp. 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. Dentinal hypersensitivity dh is an acute intensive tooth pain which can lead to dental annoyances during eating and drinking. Dentinal hypersensitivity foundations of periodontics.
Before making a diagnosis of dentinal hypersensitivity. Epidemiology the observed increase in patients seeking help for dentinal hypersensitivity is theorized to be due to several factors. Tooth sensitivity is a common name for dentin hypersensitivity or root sensitivity. The afibers are responsible for the sensation of dentinal hypersensitivity, perceived as pain in response to all stimuli. This theory involves the flow of the dentinal fluids found in the dentinal tubules to either the pulpal or. May 15, 2019 dentin hypersensitivity is among the most frequently reported dental concerns. Dentin hypersensitivity is among the most frequently reported dental concerns. Jan, 2017 dentin hypersensitivity dh is a common problem encountered in clinical practice. The body normally responds to an antigen by producing specific antibodies antibody, protein produced by the immune system see immunity in response to the presence in the body of antigens. The processes are also surrounded by dentinal fluid which forms about 22% of the total volume of dentin. Clinical study to monitor dentinal hypersensitivity with. Dentin hypersensitivity synonyms, dentin hypersensitivity pronunciation, dentin hypersensitivity translation, english dictionary definition of dentin hypersensitivity.
This condition primarily occurs due to dentin exposure to thermal, chemical or. 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. Two types of sensory nerve fibers in dentinal tubules are. Many people with dentin sensitivity reports pain upon application of a cold stimulus. 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 prevalence rate of dentine hypersensitivity ranges from 4% to 73% 2,4,7, and it can affect patients of different ages 2. Dentin hypersensitivity is a relatively common condition. Dentists may underreport dentin hypersensitivity due to difficulty in diagnosing and managing the condition. Scientific hypothesis of dentin hypersensitivity mentioned above assists us in understanding the condition and treatment of cervical tooth sensitivity, the clinical cause is. Pdf tooth sensitivity is a very common clinical presentation which can cause. Strategies for the treatment of dentinal hypersensitivity 26 as a first line of defense against sensitivity, clinicians may wish to recommend a dentifrice with potassium salts e. Users of smokeless tobacco more frequently experience dentinal hypersensitivity. Results suggested decrease in dentin hypersensitivity following the application of 3% mo alone, and 30% do followed by 3% mo. Review of a common oral health problem abstract dentine hypersensitivity remains an enigma.
Dec 20, 2014 what are the symptoms of dentin hypersensitivity. Significantly greater proportions of left side tooth sensitivity compared with their right contralateral tooth types. Aug 07, 2014 within the dentinal tubules there are two types of nerve fibers, myelinated afibers and unmyelinated cfibers. The prevalence and aetiology of dentine hypersensitivity can range.
Dentine sensitivity ds or dentinal hypersensitivity dh is one of the most commonly encountered clinical problems. Dentin hypersensitivity and recent developments in. Dentin is the softer tooth layer that lies beneath the hard enamel surface. Dentine hypersensitivity is characterized by short, sharp pain arising from exposed dentine. Conservative dentistry open access treatment of dentin. Pdf in one form or the other, pain is the major reason for patients to visit the dentist. Dentinal hypersensitivity is a common oral condition characterised by pain derived from exposed dentine in response to chemical, thermal, tactile. Dentinal hypersensitivity may be closely related to the occlusal stress, where the occlusal forces would lead to an increase of the intrapulpal pressure, provoking an increase of the movement speed of dentinal fluid, unleashing the hypersensitivity.
The prevalence of dentinal hypersensitivity differs by population and methods of investigation. The purpose of this study was to identify the management approaches for dh among united states dentists. The fluid is completely filtrated and originates from the. Dentin hypersensitivity is characterised eating hard foods. Dentinal hypersensitivity care for patients with special needs. Although, it is known to usually present with sharp, short pain caused by one or more external stimuli, it is often inadequately understood. Dentinal hypersensitivity, dh management, etiology. When dentinal tubules in vital teeth areexposed after cementum or enamel is lost due to erosion, abrasion, dental manipulation, or a tooth defect, fluid within the dentinal. Consensusbased recommendations for the diagnosis and. The most widely accepted theory of how the pain occurs is brannstroms hydrodynamic theory of dentin hypersensitivity. Mar 19, 2018 dentinal hypersensitivity is a common pain that is estimated to occur in approximately 15% to 20% of all dental patients.
Dentin hypersensitivity is a very common clinical symptom, which consists of sharp pain arising from exposed dentin in response to various types of stimuli and thus can cause considerable. Dentinal hypersensitivity care for patients with special. Dentin hypersensitivity has been defined as a short, sharp pain arising from. This pain can not be attributed to any other type of dental defect or pathology.
Management of dentin hypersensitivity by national dental. This condition is frequently encountered by periodontists, dentists, hygienists and dental therapists. Hypersensitivity dentinal hypersensitivity can have multiple etiologies. 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. Due to differences in populations studied and methods of detection, the reported incidence ranges from 474%. 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. The first component of the theory is the observation that dentin is normally covered by cementum or enamel. Different terms have been used to describe dentin hypersensitivity a list of which has been shown in table 1. The condition has been defined by an international workshop on dh as follows 3. Jun 23, 2017 dentinal hypersensitivity is a common oral condition characterised by pain derived from exposed dentine in response to chemical, thermal, tactile or osmotic stimuli, which cannot be accounted for.
Dentinal hypersensitivity reportedly affects millions of people. Others report that there is a positive correlation between dentin hypersensitivity and plaque scores. The quid of smokeless tobacco placed between the gum and cheek is a. Introduction dentinal hypersensitivity dh is characterized by short sharp pain arising from exposed dentine in response to stimuli typically thermal, evaporative, tactile, osmotic or chemical and which cannot be ascribed to.
This disorder usually occurs as the result of loss of enamel and cementum or exposure of dentinal tubules 1, 34, 9. The management of this condition requires a good understanding of the. Stimulating exposed dentinal tubules by either kind of thermal, tactile, chemical andor osmotic stimuli is believed to be the cause of this pain. Dentin hypersensitivity an overview sciencedirect topics. Alleviating dentinal hypersensitivity with shield force. Dentin hypersensitivityetiology, treatment possibilities. Though causes of dentinal hypersensitivity can be caused by a wide range of reasons, most popular are abrasion, attrition, recession, and postinstrumentation. Dentinal hypersensitivity is one of the most common patient complaints heard in dental practice. Jan 20, 2011 dentinal hypersensitivity reportedly affects millions of people.
The quid of smokeless tobacco placed between the gum and cheek is a wellknown cause of gingival recession. Etiology and treatment of dentinal hypersensitivity. 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. Within the dentinal tubules there are two types of nerve fibers, myelinated afibers and unmyelinated cfibers. Treatment of dentin hypersensitivity pocket dentistry. When this covering is in place, the teeth are not hypersensitive.
Scientific hypothesis of dentin hypersensitivity mentioned above assists us in understanding the condition and treatment of cervical tooth sensitivity, the clinical cause is exposed and open dentinal tubules. However in the most recent study, have dentinal tubules which are open at the accurately. The authors used medline to find relevant englishlanguage literature published in the period 1999 to 2005. Dentinal hypersensitivity, as described in this section is not really periodontal disease or condition of parodont. These terms are used based on the place of occurrence of hypersensitivity and include. Concerning the type of teeth involved, canines and premolars. October 2008 volume 4, number 9 special issue dentin. It is clinically described as an exaggerated response to application of a stimulus to exposed dentine, regardless of its location. Dentinal hypersensitivity is a common pain that is estimated to occur in approximately 15% to 20% of all dental patients. It usually lasts no longer than 10 seconds and is induced by thermal, air, tactile, osmotic, or chemical stimulation of exposed dentin. Dentin hypersensitivity fdi world dental federation. They used combinations of the search terms dentin, tooth, teeth, hypersensit, desensiti and desensitiz. Dentin hypersensitivity is characterized by short sharp pain arising from exposed dentin most commonly at the tooth cervical area in response to stimuli typically thermal, evaporative, tactile, osmotic or chemical, but which cannot be ascribed to any other dental defects, diseases or restorative treatments. It is widely accepted that in almost all cases, this sensitivity is caused by rapid fluid movement in the dentinal tubules, which irritates the nerves within, and causes pain.
Laser effects on the prevention and treatment of dentinal. Dentinal hypersensitivity is a concern that i myself as a patient have experienced. Tooth crown is composed of enamel, dentin and pulp. Diagnosis and treatment of dentinal hypersensitivity. Alleviating dentinal hypersensitivity with shield force plus. This condition primarily occurs due to dentin exposure to thermal, chemical or osmotic stimuli, thereby causing.
However, dentinal hypersensitivity appears so often in the course of successful conservative periodontal treatment that clinicians should be aware of this condition, you need to understand its origin, and must be able to provide a range of treatments for the condition. I personally have benefited from the placement of desensitizing drops, gels and fluoride treatment. Figure 1 dentin hypersensitivity dh causes discomfort in 15% to 74% of all dental patients. 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.
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