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. Choose from 216 different sets of dentin hypersensitivity flashcards on quizlet. 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. To be hypersensitive, dentin must be exposed and the exposed tubules must be open and patent to both the.
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. Dentinal hypersensitivity, as described in this section is not really periodontal disease or condition of parodont. Dentinal hypersensitivity hydrodynamic theory dentin. It is a source of chronic irritation that can severely affect. The normal immune response, overview on hypersensitivity, types of hypersensitivity. Tooth crown is composed of enamel, dentin and pulp. Mechanism of action of various agents used in treatment of dentinal hypersensitivity check out ppt download link in description or download. Sustained and overzealous brushing especially with harderbristled. Dentinal hypersensitivity is discomfort sharp, shooting, or stabbing pain caused by exposed dentin and open dentinal tubules often due to gingival recession.
Canadian advisory board on dentin hypersensitivity 2003 consensusbased recommendations for the diagnosis and management of dentin hypersensitivity j can dent assoc 69,221226. Dentin desensitizers are used for inoffice treatment of dentinal hypersensitivity. Dentinal hypersensitivity is an exaggerated response to a sensory stimulus that usually causes no response in a normal healthy tooth. Laserassisted treatment reduces dentinal hypersensitivity related pain, but also a. Muzzin et al compared 30% dipotassium oxalate do and 3% monohydrogenmonopotassium oxalate mo on the reduction of dentin hypersensitivity in vivo. I personally have benefited from the placement of desensitizing drops, gels and fluoride treatment. 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. Dentinal hypersensitivity is a concern that i myself as a patient have experienced. Dental biofilm was estimated by oral hygiene status, according to greene and vermillions simplified oral hygiene index ohis. Dentinal hypersensitivity is a common clinical condition which is sharp in character and of short duration in response to stimuli. Treatment of dentinal hypersensitivity by means of nd. Dentinal hypersensitivity can occur due to the exposure of open dentinal tubules to various stimuli within the oral environment absi et al. Suchetha a,b s keshava prasad,apoorva sm,lakshmi p.
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. By definition dentine hypersensitivity is pain arising from exposed dentin, in response to external stimuli such as thermal, tactile, osmotic or chemical that cannot be. Dentin hypersensitivity is a widespread and increasing problem, especially in the dentate elderly population. The etiology is multifactorial, and the pain appears specially when the cervical region dentine is. Dentinal hypersensitivity care for patients with special needs. Exploring some aspects associated with dentine hypersensitivity in.
Aug 07, 2014 this common complaint is defined as dentinal hypersensitivity, but it is also known as root sensitivity, or just sensitivity. The purpose of this study was to identify the management approaches for dh among united states dentists. Evaluation of three different agents for inoffice treatment. The pain is sharp and sudden, in response to an external stimulus.
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. The open dentinal tubules permit rapid fluid movement inside the tubules that subsequently stimulate. 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, or chemical which reaction cannot be attributed to any dental defect or pathology. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Find powerpoint presentations and slides using the power of, find free.
The body normally responds to an antigen by producing specific antibodies antibody, protein produced by the immune system see immunity in response to the presence in the body of antigens. 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 condition is frequently encountered by periodontists, dentists, hygienists and dental therapists. This article gives you a clear structure of hypersensitivity and its types. The etiology is multifactorial, and the pain appears specially when the cervical region dentine is exposed to the oral environment. Type ii hypersensitivity, in the gell and coombs classification of allergic reactions, is an antibody mediated process in which igg and igm antibodies are directed against antigens on cells such as circulating red blood cells or extracellular material such as basement membrane. This common complaint is defined as dentinal hypersensitivity, but it is also known as root sensitivity, or just sensitivity. The terms dentin hypersensitivity and tooth hypersensitivity or hypersensitivity have been questioned because the pulp response that is elicited by the stimulation of exposed dentin would be expected as a normal rather than a hyperreaction. Patients describe this phenomena as sharp, shortlasting tooth pain irrespective of the stimulus. Dentinal hypersensitivity management chapter 39 flashcards.
Dentin hypersensitivity a free powerpoint ppt presentation displayed as a flash slide show on id. Mc3026bb with bisblock oxalate dentin desensitizer prevent dentinal. Dentin hypersensitivity has been reported to affect up to 57% of the general population. Dentin hypersensitivity dh is a common problem encountered in clinical practice. 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. If the hypersensitivity persists after the etiology is. Hypersensitivity dentinal hypersensitivity can have multiple etiologies. This pilot study would investigate the ability of anticaries products to reduce dentinal hypersensitivity when compared to a sensitivityreducing dentifrice. Dentin hypersensitivity dh, dhs is dental pain which is sharp in character and of short duration, arising from exposed dentin surfaces in response to stimuli. Dentinal hypersensitivity dh is a common clinical condition usually associated with exposed dentinal surfaces.
To be hypersensitive, dentin must be exposed and the exposed tubules must be open and patent to both the oral cavity. One option is simply to occlude the dentinal tubules through the use of. It can affect patients of any age group and most commonly affects the canines and premolars of both the arches. Understanding and managing dentin hypersensitivity. Type ii hypersensitivity mediated by abs directed towards antigens present on cell surfaces or the extracellular matrix type iia or abs with agonisticantagonistic properties type iib. 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. The development of hypersensitivity in animals or humans may be divided into two phases.
The hydrodynamic theory also explains many of the epidemiological observations on the causes of dentinal hypersensitivity. It is clinically described as an exaggerated response to application of a stimulus to exposed dentine, regardless of its location. Dentin hypersensitivity an overview sciencedirect topics. Dentinal hypersensitivity is a quite common problem. Matthias hannig, christian hannig, in nanobiomaterials in clinical dentistry second edition, 2019. 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. Desensitizing treatments for dentin hypersensitivity. Dentin hypersensitivity ppt free download as powerpoint presentation. 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 pain can be sharp, sudden and shoot deep into the nerve endings of. Management of dentin hypersensitivity by national dental. Consensusbased recommendations for the diagnosis and. Opsonization and complement and fc receptormediated phagocytosis complement and fc receptormediated inflammation. Dec 12, 2016 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.
Start studying dentinal hypersensitivity management chapter 39. Dentin hypersensitivity and recent developments in. Dec 01, 2010 novamin containing toothpastes have been shown to significantly reduce dentin hypersensitivity, with continued home use. However, dentinal hypersensitivity appears so often in the course of successful conservative periodontal treatment that clinicians should be aware of this condition, you need to understand its origin, and must be able to provide a range of treatments for the condition. Application of diode laser in the treatment of dentine hypersensitivity. Inoffice management of dentin hypersensitivity dentin hypersensitivity, also known as tooth sensitivity, root sensitivity, or just sensitivity, is a common patient complaint.
A thorough knowledge regarding etiology and predisposing factors is inevitable for the effective treatment approach. Dentinal hypersensitivity foundations of periodontics. Tooth sensitivity has been one of the key topics among dental researchers in the recent past18 even though one of the earliest reports on dentine. Sep 22, 2002 the terms dentin hypersensitivity and tooth hypersensitivity or hypersensitivity have been questioned because the pulp response that is elicited by the stimulation of exposed dentin would be expected as a normal rather than a hyperreaction. Acp forms a protective mineral barrier of hydroxy apatite which occludes the exposed dentinal tubules. 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. Dentists may underreport dentin hypersensitivity due to difficulty in diagnosing and managing the condition. Mar 20, 2020 this article gives you a clear structure of hypersensitivity and its types. Many people with dentin sensitivity reports pain upon application of a cold stimulus. View and download powerpoint presentations on hypersensitivity ppt. Though causes of dentinal hypersensitivity can be caused by a wide range of reasons, most popular are abrasion, attrition, recession, and postinstrumentation. The next appropriate step, once the problem has been identified as dentin hypersensitivity, is to identify the reason for the exposed dentinal tubules and to see if the etiologyprocess causing the hypersensitivity can be eliminated. Colored viscous solution aids proper placement contains no glutaraldehyde safe for patients tissue, pulp and the environment u.
Cementum is not intact in areas of dentinal hypersensitivity. Does not block no interference for adhesive bonding. 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. Mar 12, 2020 several approaches have been investigated for treating dentinal hypersensitivity. Several approaches have been investigated for treating dentinal hypersensitivity. Dentin hypersensitivity is usually encountered among people aged between 20 and 50 11,12. Asepsis, the fight against germs at the dentists dental emergency cavities tooth decay dental cleaning oral hygiene and prevention dental amalgam fillings dental tourism mouth guards tooth anatomy permanent dentition adult teeth dental plaque halitosis bad breath root canal treatment dentinal hypersensitivity fluoride composite resin. Dentin hypersensitivity is a relatively common condition. Jan, 2017 dentin hypersensitivity dh is a common problem encountered in clinical practice. They block the open tubules and bring about a reduction in hypersensitivity. Listing a study does not mean it has been evaluated by the u. This presentation provides a brief overview its etiology, diagnosis and treatment. Dentinal hypersensitivity or dentin sensitivity slideshare. Dec 20, 2014 what are the symptoms of dentin hypersensitivity.
Due to differences in populations studied and methods of detection, the reported incidence ranges from 474%. Many solutions have been proposed and tested to treat dh but few of them are really successful. Tooth sensitivity is a common name for dentin hypersensitivity or root sensitivity. The open dentinal tubules permit rapid fluid movement inside the tubules that subsequently stimulate pulpal mechanoreceptors.
Dh is a very annoying disease which can have a negative influence on the quality of life, oral. The management of this condition requires a good understanding of the complexity of the problem, as well as the variety of treatments available. Dentin hypersensitivity is sensation felt, defined as a sharp short pain arising from exposed dentine sensitivity is caused by open dentinal tubules in response to. 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. Tooth sensitivity also referred to as dentin hypersensitivity is a fairly common problem and can be uncomfortable. It would be a novel contribution to the dental community if a material that is proven to reduce tooth decay is. Pdf diagnosis and treatment of dentinal hypersensitivity.
One option is simply to occlude the dentinal tubules through the use of a particulate toothpaste ingredient, such. To investigate the efficacy of an occluding dentifrice in. Tooth pain and discomfort are triggered by hot, cold, sweet or sour food and beverages, or even by breathing cold air. Dentinal hypersensitivity care for patients with special. This disorder usually occurs as the result of loss of enamel and cementum or exposure of dentinal tubules 1, 34, 9. Due to the loss of the root cement, the dentinal tubules are exposed. Dentinal hypersensitivity is a common painful condition of the teeth, associated with the exposure of the dentin to external environment of the mouth. 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. Results suggested decrease in dentin hypersensitivity following the application of 3% mo alone, and 30% do followed by 3% mo.