201 patients were diagnosed as having dentine hypersensitivity, giving a prevalence figure of 4.1%. The commonest teeth affected were the upper premolar teeth and the commonest initiating factor was cold drinks. A tendency for a greater number of sensitive teeth was also found for patients with periodontal disease who also smoked. There was also a tendency for the patients with sensitive teeth to come from higher social groups.
At the time of conducting this study, the European Federation of Periodontology had not recommended that sensitive teeth associated with periodontal disease and treatment be termed root sensitivity (RS). The title of this paper was therefore chosen to reflect this decision, and the data represent teeth both within and between subjects with DH and RS.
Objective To measure the surface and intra-pulpal temperature increases in vitro on upper and lower anterior teeth during tooth whitening procedures. Method A thermocouple was used to measure the temperature increase on the surface of an extracted upper central incisor tooth. Intra-pulpal temperature readings were made on upper and lower central incisors, lateral incisors and canines. Four lamps recommended for tooth bleaching were tested; a plasma arc lamp, a xenon-halogen lamp, a standard halogen lamp and a diode laser lamp. Temperature measurements were made with and without the bleaching agent present on the labial tooth surface. Results The increase in surface temperature readings ranged from 0.44°C (luma arch) to 86.3°C (laser) with no bleaching gel present. Intrapulpal temperature increases ranged from 0.30°C to 15.96°C. The presence of the bleaching gel reduced temperature increases seen at the tooth surface and within the pulp. Conclusions The increase in the intrapulpal temperature with most bleaching lamps was below the critical threshold of a 5.50°C increase thought to produce irreversible pulpal damage. The only lamp that produced an intrapulpal temperature increase above this threshold was the laser-based lamp and caution is advised when using this equipment.
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