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. 2010 Oct;13(4):218-24.
doi: 10.4103/0972-0707.73385.

Dentin hypersensitivity: Recent trends in management

Sanjay Miglani  1 , Vivek Aggarwal, Bhoomika Ahuja
Affiliations

Dentin hypersensitivity: Recent trends in management

Sanjay Miglani et al. J Conserv Dent. 2010 Oct.

Abstract

Dentinal hypersensitivity (DH) is a common clinical condition usually associated with exposed dentinal surfaces. It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. This article concisely reviews the patho-physiology, mechanism and clinical management of the DH. Treatment of DH should start with an accurate diagnosis. Differential diagnosis should be made and all other probable causes should be excluded. An often neglected phase of clinical management of DH is the identification and treatment of the causative factors of DH. By removing the etiological factors, the condition can be even prevented from occurring or recurring. There are various treatment modalities available which can be used at home or may be professionally applied. The "at home" desensitizing agents include toothpastes, mouthwashes or chewing gums and they act by either occluding the dentinal tubules or blocking the neural transmission. This article also discusses the recent treatment options like bioglass, Portland cement, lasers and casein phosphopeptide.

Keywords: Casein phosphopeptide - amorphous calcium phosphate; dentinal hypersensitivity; desensitizing agents; fluorides.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
(1) Patient with poor oral hygiene, generalized attrition and deposition of calculus, (2) Excessive scrubbing at cervical areas, leading to abrasion cavities and gingival recession, (3) Generalized attrition, (4) Erosion defects on the palatal surfaces because of endogenous acids
See this image and copyright information in PMC

References

    1. Addy M. Tooth wear and sensitivity: Clinical advances in restorative dentistry. In: Addy M, Embery G, Edgar WM, Orchardson R, editors. Dentine hypersensitivity: Definition, prevalence distribution and aetiology. London: Martin Dunitz; 2000. pp. 239–48.
    1. Addy M. Etiology and clinical implications of dentine hypersensitivity. Dent Clin North Amer. 1990;34:503–14. - PubMed
    1. Trowbridge HO. Mechanism of pain induction in hypersensitive teeth. In: Rowe NH, editor. Hypersensitive dentine: Origin and management. Ann Arbor, USA: University of Michigan; 1985. pp. 1–10.
    1. Gillam DG, Orchardson R. Advances in the treatment of root dentin sensitivity: Mechanisms and treatment principles. Endod Topics. 2001;13:13–33.
    1. Clayton DR, McCarthy D, Gillam DG. A study of the prevalence and distribution of dentine sensitivity in a population of 17-58-year-old serving personnel on an RAF base in the Midlands. J Oral Rehab. 2002;29:14–23. - PubMed