A Systematic Method for the Treatment of Hypersensitive Dentin

Grossman, Louis I.

doi:10.14219/jada.archive.1935.0110

Cited by 85 publications

(79 citation statements)

References 1 publication

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“…2 Brä nnströ m's hydrodynamic theory 3 states that the movement of fluid in the dentin tubules stimulates the mechano-receptors in or near the pulp, which is the reason that the tubules' occlusion reduces dentin permeability and, proportionally, decreases the degree of dentin hypersensitivity. 4,5 Although many substances are available to treat dentin hypersensitivity, [6][7][8][9] they have turned out to be ineffective over the long term, and/or studies 10,11 have revealed contradictory results. An ideal desensitizing agent should allow occlusion of dentinal tubules without endangering the pulp, should be relatively painless, easily applied, rapid, and permanently effective, and should not discolor the teeth.…”

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confidence: 99%

“…An ideal desensitizing agent should allow occlusion of dentinal tubules without endangering the pulp, should be relatively painless, easily applied, rapid, and permanently effective, and should not discolor the teeth. 6,7 The results from research regarding the effect of lasers on the treatment of dentin hypersensitivity vary, and so do the irradiation parameters, wavelengths, and application techniques. 12 In some studies, the dentin is irradiated at low energy densities (*4 J/cm) 13,14 with the aim of stimulating the production of tertiary dentin by the odontoblasts.…”

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confidence: 99%

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Dentinal Tubules Sealing by Means of Diode Lasers (810 and 980 nm): A Preliminary In Vitro Study

Umana

Heysselaer

Tielemans

et al. 2013

Photomedicine and Laser Surgery

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Objective: The aim of this study was to evaluate the effect on dentinal surfaces of diode lasers (810 and 980 nm) at different parameters. Materials and methods: Twenty-four caries-free human impacted wisdom teeth were used. The crowns were sectioned transversely in order to expose the dentin. The smear layer was removed by a 1 min application of ethylenediaminetetraacetic acid (EDTA). Each surface was divided into four quadrants irradiated at a different output power setting for each kind of laser: 0.8, 1, 1.6, and 2 W (energy densities: 2547, 3184, 5092, and 6366 J/cm 2 , irradiation speed 1 mm/sec; optical fiber diameter: 200 lm; continuous and noncontact mode). Half of the samples were stained with a graphite paste. All specimens were sent for scanning electron microscopic (SEM) analysis. Pulp temperature increases in additional 20 teeth were measured by a thermocouple. Results: Diode laser irradiations at 0.8 and 1 W led to occlusion or narrowing of dentin tubules without provoking fissures or cracks. The application of graphite paste increased the thermal effects in dentin. Measurements of pulp temperature showed that irradiations at 0.8 and 1 W for a period of 10 sec in continuous mode increased pulp temperature (T £ 2°C). Conclusions: Diode lasers (810 and 980 nm) used at 0.8 and 1 W for 10 sec in continuous mode were able to seal the dentin tubules. These parameters can be considered harmless for pulp vitality, and may be effective in the treatment of dentinal hypersensitivity.

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confidence: 99%

mentioning

confidence: 99%

Dentinal Tubules Sealing by Means of Diode Lasers (810 and 980 nm): A Preliminary In Vitro Study

Umana

Heysselaer

Tielemans

et al. 2013

Photomedicine and Laser Surgery

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“…Stimulus transmission across dentine in hypersensitive teeth may be mediated by a hydrodynamic mechanism (Brännströ m et al 1967, Brännströ m & Åströ m 1972, Absi et al 1987. Grossman (1935) suggested a number of requirements for treatment of this condition; these still hold true today. Therapy should be non-irritant to the pulp; relatively painless on application; easily carried out; rapid in action; effective for a long period; without staining effects; consistently effective.…”

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confidence: 99%

Treatment of dentine hypersensitivity by lasers: a review

Kimura

Wilder‐Smith

Yonaga

et al. 2000

J Clinic Periodontology

288

224

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Background, aims: Since the development of the ruby laser by Maiman in 1960, a variety of papers on potential applications for lasers in dentistry have been published. The purpose of this paper is to summarise laser applications for the treatment of dentine hypersensitivity. The effects of laser on pulp tissue and problems on laser treatment are also reviewed. This article reviews the role of lasers for the treatment of dentine hypersensitivity since 1985, summarises many research reports from the last decade, and surmises what the future may hold for lasers in this treatment. Method: To date, 4 kinds of lasers have been used for the treatment of dentine hypersensitivity, and the effectiveness ranged from 5.2 to 100%, which was dependent on the laser type and parameters used. The mechanism involved in laser treatment of dentine hypersensitivity are relatively unknown. Results: These require clarification to result in safely effective treatment optimization. In general, the efficiency for the treatment of dentine hypersensitivity using lasers is higher than other methods, but in severe cases, it is less effective. Conclusion: It is necessary to consider the severity of dentine hypersensitivity before laser use.

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“…Procedures such as periodontal grafting procedures and laser therapy have also been used. Grossman [41] listed the requirements for an ideal dentine desensitising agent as: rapidly acting with long-term effects, non-irritant to pulp, painless and easy to apply, and should not stain the tooth. In spite of the different array of surface treatments for DH, no single treatment meets all of the ideal criteria.…”

Section: Treatmentmentioning

confidence: 99%

Dentine Hypersensitivity: Review of a Common Oral Health Problem

Pi¹,

Asa²,

Mohammed³

et al. 2017

J Den Craniofac Res

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Dentine hypersensitivity remains an enigma. Although, it is known to usually present with sharp, short pain caused by one or more external stimuli, it is often inadequately understood. Controversies therefore abound concerning the appropriate terminology for the condition, variations in prevalence, and what is most important to the patients suffering from the condition -a treatment that provides immediate relief with long lasting effect. Available interventions using desensitizing agents provide only temporary relief. The interest of dental practitioners and researchers in dentine hypersensitivity remains very high as it is still a common complaint among patients globally. The myriad array of treatments available and claims of efficacy has not lessened the clinician's dilemma. As a guide and update for clinicians, the aim of this paper is to review the published literature and provide current opinion on the prevalence, aetiology, mechanism, clinical features, treatment as well as the concept of oral health related quality of life among patients with dentine hypersensitivity. A manual and PubMed literature search was conducted using the keywords: dentine hypersensitivity, tooth sensitivity, cervical dentine hypersensitivity, root dentine hypersensitivity in combination with the words prevalence, epidemiology, diagnosis, mechanism, aetiology, clinical features, treatment, oral health or quality of life. The recently developed treatment agents appear promising but will require more randomized clinical trials. Dentine hypersensitivity remains a common condition with significant effect on daily life. The incorporation of a measure of oral health related quality of life is recommended as one of the outcome measures for new treatment modalities.

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A Systematic Method for the Treatment of Hypersensitive Dentin

Cited by 85 publications

References 1 publication

Dentinal Tubules Sealing by Means of Diode Lasers (810 and 980 nm): A Preliminary In Vitro Study

Dentinal Tubules Sealing by Means of Diode Lasers (810 and 980 nm): A Preliminary In Vitro Study

Treatment of dentine hypersensitivity by lasers: a review

Dentine Hypersensitivity: Review of a Common Oral Health Problem

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