The reader may develop a form similar to the one described in this article, or may contact the author for a figure 1dfed form requires a diagnosis. The successful use of potassiumcontaining products to treat both types of tooth sensitivity justifies the thorough treatment of the clinical condition. Dentin hypersensitivity is a relatively common condition. Many people with dentin sensitivity reports pain upon application of a cold stimulus. Dentin hypersensitivity is exemplified by brief, sharp, welllocalized pain in response to thermal, evaporative, tactile, osmotic, or chemical stimuli that cannot be.
Similarly, cdh has been an enigma for many years, and. Dentin hypersensitivity and emerging concepts for treatments. Dentin hypersensitivity is one of the most common problems in dentistry, the management of dentin hypersensitivity always presented a challenge for clinicians 2. A cross sectional study of dentin hypersensitivity among dental students and interns muhammad ashraf nazir1, khalid almas1, muhammad irfan majeed2, abdul majeed 3, syed zubairuddin ahmed 1. Cervical dentin hypersensitivity cdh and noncarious cervical lesions nccls are common findings in modern clinical practice. Despite its high prevalence, many aspects of dentin hypersensitivity remain unknown. This article discusses the etiology, diagnosis, and. This pain can not be attributed to any other type of dental defect or pathology. Diagnosis of dentin hypersensitivity pocket dentistry. Know the anatomical and physiological features, and.
Review diagnosis to exclude periodontal pain, referred pain, neuropathic pain and chronic pain syndrome, confirm the diagnosis continue dentin hypersensitivity treatment with altering predisposing factors, using desensitizing toothpastes, and other treatment methods. Basic steps in the diagnosis of dentin hypersensitivity holland and coworkers 1997 described dentin hypersensitivity as a condition that manifests as a brief and acute pain that cannot be attributed to any other form of dental pathology or defect. Dentin hypersensitivityetiology, treatment possibilities and. Guideline for the diagnosis and management of dentin. There continues to be underreporting of the condition by clinicians and uncertainty over aetiology, diagnosis and effective management.
Algorithm for diagnosis and management of dentin hypersensitivity. The diagnosis of dentin hypersensitivity may be challenging. Holland and coworkers described dentin hypersensitivity as a condition that manifests as a brief and acute pain that cannot be attributed to any other form of dental pathology or defect. Enamel paste in the treatment of dentin hypersensitivity.
The purpose of this study was to identify the management approaches for dh among united states dentists. Recently, the term root sensitivity or root dentin sensitivity rds or root dentin hypersensitivity has been used to describe sensitivity arising from periodontal disease and its treatment 10, 31. Dentinal hypersensitivity, dentin sensitivity etiology, dentin sensitivity therapy. Dentin hypersensitivity is a relatively common pain symptom caused by evaporative, chemical, thermal, tactile, or osmotic stimuli. From this survey we have a better understanding of treatment and diagnosis of dentin hypersensitivity. While 4%74% of the population is affected by dh, it is more prevalent in the age group of 2040 years. Treatment of dentin hypersensitivity pocket dentistry. Current treatments for dentin hypersensitivity include desensitizers and adhesive materials. Due to differences in populations studied and methods of detection, the reported incidence ranges from 474%. Canadian advisory board on dentin hypersensitivity.
Dentin hypersensitivity dh is a common problem for about half of adults in their thirties and forties 1. Etiology and treatment of dentinal hypersensitivity. Before the discovery of local anesthetics, dentists would use toxic chemicals such as silver nitrate, zinc chloride, potash and arsenic compounds to obtund dentin. Montes1 1 department of restorative dentistry, school of dentistry, university of pernambuco 2 faculty of health and biological science, superior. Dentin hypersensitivity is an oral condition characterized by sharp pain in the affected tooth or teeth. Two methods of treatment of dentin hypersensitivity are tubular occlusion and blockage of nerve activity. Jan 08, 20 recently, the term root sensitivity or root dentin sensitivity rds or root dentin hypersensitivity has been used to describe sensitivity arising from periodontal disease and its treatment 10, 31. Hypersensitivity management with fluoride dimensions of.
A better understanding of the etiology and factors involved in dentin hypersensitivity will help the management of the hypersensitivity teeth. Most respondents use a combination of products to treat dentin hypersensitivity 85%, with the most common treatment plan being a. Jan, 2017 dentin hypersensitivity dh is a common problem encountered in clinical practice. Differential diagnosis, to exclude all other dental conditions 4.
Dentin hypersensitivityetiology, treatment possibilities. 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. Although research has shown that nccls are a multifactorial condition involving the three mechanisms of stress, biocorrosion, and friction, few dentists know how to treat them effectively. An accurate diagnosis of dentin hypersensitivity is required before initiating any treatment. A cross sectional study of dentin hypersensitivity among dental students and interns muhammad ashraf nazir1, khalid almas1. The medical history will help to establish pain intensity, pain stability and factors that exaggerate.
Dentin hypersensitivity an overview sciencedirect topics. Dentin hypersensitivity is a widespread painful dental problem that is characterized by short sharp pain. Identification of etiologic and predisposing factors 3. Oct 29, 2016 two methods of treatment of dentin hypersensitivity are tubular occlusion and blockage of nerve activity. Future treatment modalities for dentin hypersensitivity are currently under development that might. The etiology, diagnosis, and management of dentin hypersensitivity. Consensusbased recommendations for the diagnosis and management of dentin hypersensitivity.
A differential diagnosis needs to be accomplished before any treatment. Therefore, dentin hypersensitivity is characterized as a diagnosis of exclusion 3, 4. There is no universally accepted, goldstandard treatment which reliably relieves the pain of dental hypersensitivity in the long term, and consequently many. Dentine hypersensitivity advances in diagnosis, management.
To be hypersensitive, dentin must be exposed and the exposed tubules must be open and patent to both the oral cavity. However, it is more prevalent in the patient with the age range of 3040 and more preva. Few published reports have presented concordance between treatment choices selected by dentists in hypothetical clinical scenarios and treatment choices made by the same dentists in actual clinical practice. Current diagnosis of dentin hypersensitivity in the dental. Sep 26, 2017 most respondents use a combination of products to treat dentin hypersensitivity 85%, with the most common treatment plan being a. Dentists may underreport dentin hypersensitivity due to difficulty in diagnosing and managing the condition. The final common path for dentin hypersensitivity is the activation of pulpal nerves. Dentin hypersensitivity causes, risk factors, diagnosis. Dentin hypersensitivity is a painful clinical condition which requires knowledge of the neuroanatomy of the pulp dentin complex, the physiology of pain and methods of interpreting it to reach a. A cross sectional study of dentin hypersensitivity among. If present, treatment of all conditions with symptoms similar to dentin hypersensitivity 5.
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. To evaluate the perceptions of dental students and interns about diagnosis and treatment of dentin hypersensitivity. Concordance between practitioner questionnaire responses and observed clinical treatment recommendations for treatment of dentin hypersensitivity. 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. The aim of this paper is to summarize existing information regarding pathogenesis, etiology and prevalence, assessment strategies, self care strategies and treatment approach of dentin hypersensitivity. Management of dentin hypersensitivity by national dental. Dentinal hypersensitivity dh is characterized by short.
Aug 07, 2014 correct diagnosis of dentin hypersensitivity including a patients history screening and a brief clinical examination 2. The management of this clinical condition requires a good understanding of the complexity of the problem as well as the variety of treatments available. Introduction prevalence of dentin hypersensitivity etiology of dentin hypersensitivity the. Upon completion of this course, the participant will be able to do the following. Correct diagnosis of dentin hypersensitivity including a patients history screening and a brief clinical examination 2. October 2008 volume 4, number 9 special issue dentin. Many patients may complain of sensitive teeth, particularly in response to hot or cold food and drink, and the management of dentine hypersensitivity has been. Dentinal hypersensitivity, dh management, etiology. The definition of dentin hypersensitivity is a short, sharp pain arising from exposed dentin in response to stimuli typically thermal, evaporative, tactile, osmotic or chemical and which cannot be ascribed to any other form of dental defect or disease according to the canadian advisory board on dentin hypersensitivity.
Concordance between practitioner questionnaire responses and. For this purpose, the authors have analyzed whole texts of relevant articles on the subject. One of the most frequent patient complaints is related to cold stimuli, although pain may also occur when. Dentine hypersensitivity is a troublesome clinical condition that continues to perplex the clinician despite the vast array of available treatments that have been formulated to resolve the problem.
Tooth crown is composed of enamel, dentin and pulp. To be hypersensitive, dentin must be exposed and the exposed tubules must be open and patent to. Dentinal hypersensitivity, dentin sensitivityetiology, dentin sensitivitytherapy. The prevalence and aetiology of dentine hypersensitivity can. Know the incidence of dentinal hypersensitivity and risk factors for this condition 2. It is a diagnosis of exclusion, reached once all other possible explanations for the pain have been ruled out. The disease is prevalent in the patient with the age range of 2050 years. All dental professionals should be familiar with dentin hypersensitivity, such that they are able to effectively relieve patients of their pain. This disorder usually occurs as the result of loss of enamel and cementum or exposure of dentinal tubules 1, 34, 9. The successful use of potassiumcontaining products to treat both types of tooth sensitivity justifies the thorough treatment of.
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 dh is one of the most frequently encountered complaints of patients in dental practice. First line therapy for this condition typically involves the use of desensitizing toothpaste, which most commonly. We have used pubmed to find relevant literature published up to date. May 15, 2019 an accurate diagnosis of dentin hypersensitivity is required before initiating any treatment. Achieving longevity in esthetic dentistry by the proper. 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. Department of preventive dental sciences, college of dentistry, imam abdulrahman bin faisal university, saudi arabia. The prevalence and aetiology of dentine hypersensitivity can range. It occurs when the dentin gets exposed to the stimuli. Gillam editor this book provides wideranging information on the progress achieved in the diagnosis, treatment and management of dentine hypersensitivity during the past few years.
Diagnosis and treatment of dentinal hypersensitivity. Currently, however, most of the reported prevalence studies do not distinguish between dhs and rds, and as a consequence, there are limited data. The aim of the current crosssectional study, conducted within the management of dental hypersensitivity mdh study, was to assess the potential value of. Dentine exposure may result from the following factors.
The most common age of onset is between 30 and 40 but women experience a higher incidence of dentin hypersensitivity at a younger age than men 3. Dentin hypersensitivity dh has been defined as a short, sharp pain arising from exposed dentin in response to stimuli, typically thermal, evaporative, tactile, osmotic or chemical, and that cannot be ascribed to any other form of dental defect or pathology. 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. Dentin hypersensitivity fdi world dental federation. Consensusbased recommendations for the diagnosis and. Advances in diagnosis, management, and treatment pdf author. Sep 26, 2015 the definition of dentin hypersensitivity is a short, sharp pain arising from exposed dentin in response to stimuli typically thermal, evaporative, tactile, osmotic or chemical and which cannot be ascribed to any other form of dental defect or disease according to the canadian advisory board on dentin hypersensitivity.
Sep 05, 2010 topically applied desensitizing agents. Children and patients with poor manual dexterity will often benefit. Similarly, cdh has been an enigma for many years, and practitioners often try. Treatment of dentinal hypersensitivity using propolis. Pdf diagnosis and treatment of dentinal hypersensitivity. Dentinal hypersensitivity is one of the most common patient complaints heard in dental practice. Concordance between practitioner questionnaire responses.
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