Management of Dentin Hypersensitivity

Gillam, DG

doi:10.1007/s40496-015-0047-x

Cited by 13 publications

(13 citation statements)

References 41 publications

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“…Prior to considering any treatment strategy for the management of DHS, it is important to note from the published literature that there are a number of individuals who may be at risk from dentin hypersensitivity, for example [33], as follows:Overenthusiastic brushersPeriodontal treated patientsBulimicsPeople with xerostomiaHigh-acid food/drink consumersOlder people exhibiting gingival recessionChewing ‘smokeless’ or ‘snuff’ tobacco…”

Section: Discussionmentioning

confidence: 99%

Current diagnosis of dentin hypersensitivity in the dental office: an overview

Gillam

2013

Clin Oral Invest

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ObjectivesThe aim of this overview is to consider the problems that may be associated with making a diagnosis of dentin hypersensitivity (DHS) and to provide a basis for clinicians to effectively diagnose and manage this troublesome clinical condition.Materials and methodsA PUBMED literature research was conducted by the author using the following MESH terms: (‘diagnosis’[Subheading] OR ‘diagnosis’[All Fields] OR ‘diagnosis’[MeSH Terms]) AND (‘therapy’[Subheading] OR ‘therapy’[All Fields] OR ‘treatment’[All Fields] OR ‘therapeutics’[MeSH Terms] OR ‘therapeutics’[All Fields]) AND (‘dentin Sensitivity’[MeSH Terms] OR (‘dentin’[All Fields] AND ‘sensitivity’[All Fields]) OR ‘dentin sensitivity’[All Fields]). Variations to the above MeSH terms using terms such as ‘cervical’, ‘dentine’ and ‘hypersensitivity’ as substitutes were also explored, but these searches failed to add any further information.ResultsThe literature search provided only limited data on specific papers relating to the clinical diagnosis of DHS by dental professionals. Evidence from these published studies would therefore indicate that clinicians are not routinely examining their patients for DHS or eliminating other possible causes of dental pain (differential diagnosis) prior to subsequent management and may rely on their patients’ self-reporting of the problem. Furthermore, the findings of the Canadian Consensus Document (2003) would also suggest that clinicians are not confident of successfully treating DHS.ConclusionsIt is apparent from reviewing the published literature on the diagnosis of DHS that there are a number of outstanding issues that need to be resolved, for example, (1) is the condition under- or overestimated by dentists, (2) is the condition adequately diagnosed and successfully managed by dentists in daily practice, (3) is the impact of DHS on the quality of life of sufferers adequately diagnosed and treated and (4) is the condition adequately monitored by clinicians in daily practice. These and other questions arising from the workshop forum should be addressed in well-conducted epidemiological and clinical studies in order for clinicians to be confident in both identifying and diagnosing DHS and subsequent management that will either reduce or eliminate the impact of DHS on their patients’ quality of life.Clinical relevanceClinicians should be made aware not only of the importance of identifying patients with DHS but also of the relevance of a correct diagnosis that may exclude any confounding factors from other oro-facial pain conditions prior to the successful management of the condition.

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Section: Discussionmentioning

confidence: 99%

Current diagnosis of dentin hypersensitivity in the dental office: an overview

Gillam

2013

Clin Oral Invest

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“…3,4 The main causes of dentin hypersensitivity are vigorous brushing, intake of citric food, and grinding of teeth due to stress. 5 Countless surveys have revealed that the exposure of root surfaces and recession of gingival tissue permits extra fast exposure of dentinal tubules as the thin layer of cementum covering the root gets detached effortlessly and causes sensitivity. 6 Cold and hot stimulus are the most common stimuli, whereas dietary acid has important role in evoking Dentine Hypersensitivity.…”

Section: Introductionmentioning

confidence: 99%

Dentine Hypersensitivity and Its Associated Factors: A Cross-Sectional Study Conducted on Patients Visiting Dental Hospital of Karachi, Pakistan

Alam¹,

Khan²,

Abbasi³

et al. 2019

J Pak Dent Assoc

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OBJECTIVE:The aim of the study was to assess the frequency and to analyze different factors associated with dentine hypersensitivity among the patients visiting the dental outpatient department of Bahria University medical and dental college Karachi. METHODOLOGY:A Cross sectional questionnaire based study was conducted over a period of seven months among 366 patients visiting the dental OPD of Bahria University Medical and Dental College. Survey utilized for this study was adopted from the study conducted by Braimoh and Ilochonwu. All participants answered questions related to knowledge regarding dentine hypersensitivity, factors hurting the teeth, measures taken to reduce the pain and teeth commonly affected. Statistical analysis was done using Chi-square test and descriptive statistics. RESULTS: The frequency of DH was 36% among the surveyed respondents. DH was considerably higher in females as compared to males. A total of 36.6% males and 50.8% females had awareness regarding DH. While 19% male and 17% female patients chewed from one side of mouth. Vigorous brushing of teeth was noted in 16% males whereas brushing for longer duration was identified in 15.3% of females. Maxillary posteriors were most sensitive teeth. CONCLUSION: The frequency of DH among the patients was 36.3% with a predilection for females gender. Cold foods were commonly identified factors for causing sensitivity in teeth. KEY WORDS: Dentine hypersensitivity, Dental patients, Frequency, Cross sectional study. HOW TO CITE: Alam BF, Khan U, Abbasi N, Nayab T. Dentine hypersensitivity and its associated factors: a cross-sectional study conducted on patients visiting dental hospital of karachi, pakistan.

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“…Dentine hypersensitivity (DH) affects approximately 10–30% of the adult population and may have a direct impact on the individual's quality of life [ 1 ]. There are numerous over-the-counter (OTC) and professionally applied (in-office) products and techniques available for the treatment of DH.…”

Section: Introductionmentioning

confidence: 99%

“…Currently, most of the research activity focusses on the hydrodynamic theory as the basis for the therapeutic treatment of DH. The rationale being that, by blocking the dentinal tubules (tubular occlusion), there will a corresponding reduction of the fluid flow through dentine (dentine permeability) and a subsequent relief of pain [ 1 , 3 ]. The mechanisms underpinning the hydrodynamic theory are generally investigated in several recognized models, for example, in vitro, in situ, in vivo human studies and animal studies (for nerve desensitizing mechanisms).…”

Section: Introductionmentioning

confidence: 99%

Dentine Tubule Occlusion by Novel Bioactive Glass-Based Toothpastes

Cruz

Hill

Chen

et al. 2018

International Journal of Dentistry

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There are numerous over-the-counter (OTC) and professionally applied (in-office) products and techniques currently available for the treatment of dentine hypersensitivity (DH), but more recently, the use of bioactive glasses in toothpaste formulations have been advocated as a possible solution to managing DH. Aim. The aim of the present study, therefore, was to compare several bioactive glass formulations to investigate their effectiveness in an established in vitro model. Materials and Methods. A 45S5 glass was synthesized in the laboratory together with several other glass formulations: (1) a mixed glass (fluoride and chloride), (2) BioMinF, (3) a chloride glass, and (4) an amorphous chloride glass. The glass powders were formulated into five different toothpaste formulations. Dentine discs were sectioned from extracted human teeth and prepared for the investigation by removing the cutting debris (smear layer) following sectioning using a 6% citric acid solution for 2 minutes. Each disc was halved to provide test and control halves for comparison following the brushing of the five toothpaste formulations onto the test halves for each toothpaste group. Following the toothpaste application, the test discs were immersed in either artificial saliva or exposed to an acid challenge. Results. The dentine samples were analyzed using scanning electron microscopy (SEM), and observation of the SEM images indicated that there was good surface coverage following artificial saliva immersion. Furthermore, although the acid challenge removed the hydroxyapatite layer on the dentine surface for most of the samples, except for the amorphous chloride glass, there was evidence of tubular occlusion in the dentine tubules. Conclusions. The conclusions from the study would suggest that the inclusion of bioactive glass into a toothpaste formulation may be an effective approach to treat DH.

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Management of Dentin Hypersensitivity

Cited by 13 publications

References 41 publications

Current diagnosis of dentin hypersensitivity in the dental office: an overview

Current diagnosis of dentin hypersensitivity in the dental office: an overview

Dentine Hypersensitivity and Its Associated Factors: A Cross-Sectional Study Conducted on Patients Visiting Dental Hospital of Karachi, Pakistan

Dentine Tubule Occlusion by Novel Bioactive Glass-Based Toothpastes

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