search for




 

Dentin Hypersensitivity: Etiology, Symptoms, Diagnosis and Recent Trends in Management
Int J Clin Prev Dent 2019;15(2):73-76
Published online June 30, 2019;  https://doi.org/10.15236/ijcpd.2019.15.2.73
© 2019 International Journal of Clinical Preventive Dentistry.

Surbhi Agarwal

Department of Pedodontics and Preventive Dentistry, Teerthanker Mahaveer Dental College, Moradabad, India
Correspondence to: Surbhi Agarwal
E-mail: drgoelsurbhi@yahoo.co.in
https://orcid.org/0000-0003-3507-1370
Received April 29, 2019; Revised May 27, 2019; Accepted June 17, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Dentin hypersensitivity is dental pain which is sharp in nature and persist for short duration, a comes from exposed dentin surfaces in response to stimuli, mainly thermal, tactile, osmotic, chemical or electrical. The main cause of sensitivity is receding gums with exposure of root surfaces, loss of the cementum layer and smear layer, and tooth wear. Theoretically noticed, the reported incidence is usually higher than when clinical examination is used. Overall, it is estimated to affect about 20% of the general population to some degree. The diagnosis of dentin hypersensitivity may be challenging. It is a diagnosis of exclusion, reached once all other possible explanations for the pain have been ruled out. There is no universally accepted, gold-standard treatment which reliably relieves the pain of dental hypersensitivity in the long term, and consequently many treatments have been suggested which have varying degrees of efficacy when scientifically studied. Generally, they can be divided into in-office, or treatments which can be carried out at home, available over-the-counter or by prescription. Non-invasive, simple treatments which can be carried out at home should be attempted before in-office procedures are carried out.
Keywords : Dentin, Dentin tubule, Dentin hypersensitivity, Desensitizing agent
References
  1. Karim BF, Gillam DG. The efficacy of strontium and potassium toothpastes in treating dentine hypersensitivity: a systematic review. Int J Dent 2013;2013:573258.
    Pubmed CrossRef
  2. Türp JC. Discussion: how can we improve diagnosis of dentin hypersensitivity in the dental office? Clin Oral Investig 2013;17 Suppl 1:S53-4.
    Pubmed CrossRef
  3. World Health Organization. International statistical classification of diseases and related health problems- 10th revision (ICD-10) version for 2010 [Internet]. World Health Organization [cited 2013 Dec 21].
  4. National Library of Medicine. Medical subject headings [Internet]. National Library of Medicine [cited 2013 Dec 21].
  5. Miglani S, Aggarwal V, Ahuja B. Dentin hypersensitivity: recent trends in management. J Conserv Dent 2010;13:218-24.
    Pubmed CrossRef
  6. Petersson LG. The role of fluoride in the preventive management of dentin hypersensitivity and root caries. Clin Oral Investig 2013;17 Suppl 1:S63-71.
    Pubmed CrossRef
  7. Hargreaves KM, Cohen S. Cohen's pathways of the pulp. 10th ed. St. Louis: Mosby Elsevier; 2010:510, 521.
  8. Schmidlin PR, Sahrmann P. Current management of dentin hypersensitivity. Clin Oral Investig 2013;17 Suppl 1:S55-9.
    Pubmed CrossRef
  9. Poulsen S, Errboe M, Lescay Mevil Y, Glenny AM. Potassium containing toothpastes for dentine hypersensitivity. Cochrane Database Syst Rev 2006;(3):CD001476.
    Pubmed CrossRef
  10. Orchardson R, Gillam DG. Managing dentin hypersensitivity. J Am Dent Assoc Vol 2006;137:990-8; quiz 1028-9.
    Pubmed CrossRef
  11. Orchardson R, Gillam DG. The efficacy of potassium salts as agents for treating dentin hypersensitivity. J Orofac Pain 2000;14:9-19.


June 2019, 15 (2)