Dentinal hypersensitivity or dentin sensitivity slideshare. Dentin hypersensitivity free download as powerpoint presentation. Dentin hypersensitivity dh is characterized by short or transient sharp pain arising from exposed dentin in response to an array of stimulisuch as thermal, mechanical, osmotic, or chemical elements. To be hypersensitive, dentin must be exposed and the exposed tubules must be open and patent to both the. Tooth sensitivity is a common name for dentin hypersensitivity or root sensitivity. Application of diode laser in the treatment of dentine hypersensitivity. The development of hypersensitivity in animals or humans may be divided into two phases. A free powerpoint ppt presentation displayed as a flash slide show on id. Due to differences in populations studied and methods of detection, the reported incidence ranges from 474%. Dec 01, 2010 novamin containing toothpastes have been shown to significantly reduce dentin hypersensitivity, with continued home use. The pain is sharp and sudden, in response to an external stimulus. In right handed tooth brushers, dentin hypersensitivity is greater on the left sided teeth compared with the equivalent contralateral teeth. Matthias hannig, christian hannig, in nanobiomaterials in clinical dentistry second edition, 2019. Scribd is the worlds largest social reading and publishing site.
Jan 20, 2011 while the cause may be a serious underlying disorder, such as caries or a cracked tooth, the problem is more often due to a relatively trivial condition known as dental or dentinal hypersensitivity. Oct 29, 2016 inoffice treatment of dentinal hypersensitivity dentinal hypersensitivity is a common dental complaint, especially in periodontal patients. This disorder usually occurs as the result of loss of enamel and cementum or exposure of dentinal tubules 1, 34, 9. Dentinal hypersensitivity is a quite common problem. It is clinically described as an exaggerated response to application of a stimulus to exposed dentine, regardless of its location. Management of dentin hypersensitivity by national dental. Mar 20, 2020 this article gives you a clear structure of hypersensitivity and its types. The treatment seems to be only transient, however, and the sensitivity returns in time. Tooth crown is composed of enamel, dentin and pulp. Dentin hypersensitivity is an oral condition characterized by sharp pain in the affected dental area in response to thermal, tactile, or chemical stimuli. Canadian advisory board on dentin hypersensitivity 2003 consensusbased recommendations for the diagnosis and management of dentin hypersensitivity j can dent assoc 69,221226.
Clinical presentation and physiological mechanisms of dentine hypersensitivity. Dentin hypersensitivity is a widespread and increasing problem, especially in the dentate elderly population. Neha dentinal hypersensitivity final free ebook download as powerpoint presentation. Dentinal hypersensitivity care for patients with special needs. Chapters cover basic information on lasers, laser safety, cavity preparation, photopolymerization, caries prevention, lasers in endodontics, pulp capping and pulpotomy in permanent and primary teeth, laserassisted periodontal therapy, dentin hypersensitivity, laser assisted bleaching, laseratlas surgery, photoactivated disinfection, and low. Dentin hypersensitivity dhs is a widespread condition that can cause. A pubmed literature search was conducted to identify articles dealing with dentin hypersensitivity. Mechanism of action of various agents used in treatment of dentinal hypersensitivity check out ppt download link in description or download. Dh is a very annoying disease which can have a negative influence on the quality of life, oral. To be hypersensitive, dentin must be exposed and the exposed tubules must be open and patent to both the oral cavity. Inoffice treatment of dentinal hypersensitivity pocket. Dentin hypersensitivity a free powerpoint ppt presentation displayed as a flash slide show on id. Current diagnosis of dentin hypersensitivity in the dental.
Dentin hypersensitivity an overview sciencedirect topics. Blood and vessels enter and exit the dental pulp by way of the apical and accessory foramina. Sensitive teeth causes and treatment sensitive teeth dentinal hypersensitivity can occur when gums pull away from your teeth at the gumline exposing the dentin layer of your tooth. I personally have benefited from the placement of desensitizing drops, gels and fluoride treatment. Ppt dentin hypersensitivity powerpoint presentation. Prevalence of dentinal hypersensitivity in southwest coastal. If hot, cold, sweet or very acidic foods and drinks, or breathing in cold air, makes your teeth or a tooth sensitive or painful then you have sensitive teeth. The etiology is multifactorial, and the pain appears specially when the cervical region dentine is exposed to the oral environment. Muzzin et al compared 30% dipotassium oxalate do and 3% monohydrogenmonopotassium oxalate mo on the reduction of dentin hypersensitivity in vivo. The 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. Listing a study does not mean it has been evaluated by the u. Dentinal hypersensitivity is a common painful condition of the teeth, associated with the exposure of the dentin to external environment of the mouth. Dentin hypersensitivity ppt free download as powerpoint presentation.
Many solutions have been proposed and tested to treat dh but few of them are really successful. The management of this condition requires a good understanding of the complexity of the problem, as well as the variety of treatments available. The normal immune response, overview on hypersensitivity, types of hypersensitivity. Dentin hypersensitivity zhang qi wuhan university school of stomatology introduction definition. Medline via pubmed, science direct and cochrane library. Cementum is not intact in areas of dentinal hypersensitivity. 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. In order for a laser to actually alter the dentin surface, it has to melt and resolidify the surface. Before the discovery of local anesthetics, dentists would use toxic chemicals such as silver nitrate, zinc chloride, potash. Strategies for dentinal hypersensitivity management.
Laser effects on the prevention and treatment of dentinal. Results suggested decrease in dentin hypersensitivity following the application of 3% mo alone, and 30% do followed by 3% mo. For dentinal hypersensitivity, dentin must be exposed, dentinal tubules must be open at the dentinal surface and open to vital pulp, and the layer of cementum is thin and labile and easily abraded or eroded away, therefore offering little protection against sensitivity. Mar 19, 2018 dentinal hypersensitivity is a common pain that is estimated to occur in approximately 15% to 20% of all dental patients. Department of conservative dentistry and endodontics, a b shetty memorial institute of dental sciences, karnataka, india. The primary underlying cause for dentin hypersensitivity is exposed dentinal tubules. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Laser effects on the prevention and treatment of dentinal hypersensitivity. Dentinal hypersensitivity management seminar 1 flashcards. Epidemiology the observed increase in patients seeking help for dentinal hypersensitivity is theorized to be due to several factors. Dentin hypersensitivity is a condition that affects 1 in 5 adults in the united states, and 42% of those suffering do not seek treatment from their dental professional.
It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. But once hypersensitivity develops, additional exposure to antigen can give rise to clinically obvious symptoms hives, sneezing, runny nose, tissue damage, or even in certain extreme cases death. Dentinal hypersensitivity is a common condition and is prevalent in patients who have undergone periodontal therapy. Inoffice management of dentin hypersensitivity dentin hypersensitivity, also known as tooth sensitivity, root sensitivity, or just sensitivity, is a common patient complaint. The aim of the article was to present an overview of the management strategies of dentin hypersensitivity dhs and summarize and discuss the therapeutic options. 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. Such diversity in the presentation of clinical signs and symp toms is a. Many people with dentin sensitivity reports pain upon application of a cold stimulus. Management of hypersensitivity most agents that are effective in reducing dentinal hypersensitivity are also effective in partially occluding the dentinal tubules greenhill and pashley found potassium nitrate to be ineffective in occluding the tubules, but it is effective as a desensitizing agent. Oct 29, 2016 laser treatment has also been recommended for the treatment of dentin hypersensitivity. It is believed to be mediated by a hydrodynamic mechanism in which various stimuli result in increased fluid flow in dentinal tubules, thereby generating action potentials in associated nerve fibers.
Dentin hypersensitivity dh is a common problem encountered in clinical practice. It is widely accepted that in almost all cases, this sensitivity is caused by rapid fluid movement in the dentinal tubules, which irritates the nerves within, and causes pain. A thorough knowledge regarding etiology and predisposing factors is inevitable for the effective treatment approach. Effect of erosive and abrasive stress on sealing ability of different. 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. Evaluation of three different agents for inoffice treatment. Management of dentin hypersensitivity by national dental practice. Desensitizing treatments for 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.
Dentinal hypersensitivity dh is a common clinical condition usually associated with exposed dentinal surfaces. Due to the loss of the root cement, the dentinal tubules are exposed. Prevalence of dentinal hypersensitivity in southwest coastal population of india bessy babu, mithra n. Hypersensitivity dentinal hypersensitivity can have multiple etiologies. They block the open tubules and bring about a reduction in hypersensitivity. Neha dentinal hypersensitivity final dentin human tooth.
Dentinal hypersensitivity is a common dental complaint, especially in periodontal patients. Oct 05, 2016 to investigate the efficacy of an occluding dentifrice in dentinal hypersensitivity dh the safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Alleviating dentinal hypersensitivity with shield force plus. It would be a novel contribution to the dental community if a material that is proven to reduce tooth decay is also proven to reduce dentinal hypersensitivity. Using sensodyne to alleviate dentin hypersensitivity. Characteristic stimuli etiology two phases of development of dentin. Laserassisted treatment of dentinal hypersensitivity. Dentin hypersensitivity is characterised eating hard foods.
Start studying dentinal hypersensitivity management seminar 1. Understanding and managing dentin hypersensitivity. Dentinal hypersensitivity is a concern that i myself as a patient have experienced. To investigate the efficacy of an occluding dentifrice in. Several large nerves enter the apical canal of each molar and. Pdf application of diode laser in the treatment of.
Dentists may underreport dentin hypersensitivity due to difficulty in diagnosing and managing the condition. Cervical dentinal hypersensitivity is a condition characterized by sharp pain associated with thermal, evaporative, tactile, osmotic, or chemical stimuli. Suchetha a,b s keshava prasad,apoorva sm,lakshmi p. Dentinal hypersensitivity is defined as a sensation of pain that appears in response to chemical, thermal, tactile or osmotic stimuli in contact with exposed dentin, which cannot be related with other alterations or dental pathologies. The etiology is multifactorial, and the pain appears specially when the cervical region dentine is. Aug 07, 2014 this common complaint is defined as dentinal hypersensitivity, but it is also known as root sensitivity, or just sensitivity. Dentin desensitizers are used for inoffice 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.
Dentin hypersensitivity is a relatively common condition. Laserassisted treatment reduces dentinal hypersensitivity related pain, but also a. Consensusbased recommendations for the diagnosis and. It can arise when the dentin of the teeth becomes exposed to external stimuli like eating and drinking, and is often prevalent in patients 2050 years old. Treatment of dentinal hypersensitivity by means of nd.
Dentinal hypersensitivity satisfies all the criteria to be classified as a true pain syndrome that can be acute, but for. Acp forms a protective mineral barrier of hydroxy apatite which occludes the exposed dentinal tubules. 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. This pilot study would investigate the ability of anticaries products to reduce dentinal hypersensitivity when compared to a sensitivityreducing dentifrice. This pain can not be attributed to any other type of dental defect or pathology. Patients describe this phenomena as sharp, shortlasting tooth pain irrespective of the stimulus. Dec 20, 2014 what are the symptoms of dentin hypersensitivity. Treatment of dentin hypersensitivity pocket dentistry. Dentinal hypersensitivity reportedly affects millions of people. Dentin hypersensitivity is a common and painful condition that causes short, sharp pain for patients. This condition is frequently encountered by periodontists, dentists, hygienists and dental therapists.
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