Dentin Hypersensitivity: Etiology, Diagnosis and Treatment; A Literature Review

The objective of this review is to inform practitioners about dentin hypersensitivity (DH); to provide a brief overview of the diagnosis, etiology and clinical management of dentin hypersensitivity and to discuss technical approaches to relieve sensitivity. This clinical information is described in the context of the underlying biology. The author used PUBMED to find relevant English-language literature published in the period 1999 to 2010. The author used combinations of the search terms “dentin*”, “tooth”, “teeth”, “hypersensit*”, “desensitiz*”. Abstracts and also full text articles to identify studies describing etiology, prevalence, clinical features, controlled clinical trials of treatments and relevant laboratory research on mechanisms of action were used.

[1]  J. Egea,et al.  Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. , 2003, Journal.

[2]  S. Jessee,et al.  Association of occlusal, periodontal, and dietary factors with the presence of non-carious cervical dental lesions. , 1998, American journal of dentistry.

[3]  G. R. Holland,et al.  Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. , 1997, Journal of clinical periodontology.

[4]  M. Sanz,et al.  A systematic review of the prevalence of root sensitivity following periodontal therapy. , 2002, Journal of clinical periodontology.

[5]  Larry L. Hench,et al.  Bonding mechanisms at the interface of ceramic prosthetic materials , 1971 .

[6]  D. Cummins Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief. , 2009, The Journal of clinical dentistry.

[7]  H. Newman,et al.  Dentists' perceptions of dentine hypersensitivity and knowledge of its treatment. , 2002, Journal of oral rehabilitation.

[8]  R. Orchardson,et al.  Managing dentin hypersensitivity. , 2006, Journal of the American Dental Association.

[9]  P. Bartold,et al.  Dentinal hypersensitivity: a review. , 2006, Australian dental journal.

[10]  Z. Chen,et al.  A cross-sectional study: non-carious cervical lesions, cervical dentine hypersensitivity and related risk factors. , 2013, Journal of oral rehabilitation.

[11]  C. Fischer,et al.  Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro, Brazil. , 1992, Journal of dentistry.

[12]  K. Ishikawa,et al.  Effects of plaque control on the patency of dentinal tubules: an in vivo study in beagle dogs. , 2006, Journal of periodontology.

[13]  W. Finger,et al.  Clinical evaluation of the role of glutardialdehyde in a one-bottle adhesive. , 2002, American journal of dentistry.

[14]  D. Bartlett,et al.  A Critical Review of Non-carious Cervical (Wear) Lesions and the Role of Abfraction, Erosion, and Abrasion , 2006, Journal of dental research.

[15]  E. J. S. J. D. Ms,et al.  Sturdevant's Art and Science of Operative Dentistry , 2012 .

[16]  Adrian Lussi,et al.  Erosion--chemical and biological factors of importance to the dental practitioner. , 2005, International dental journal.

[17]  E. Reynolds,et al.  Remineralization of enamel subsurface lesions in situ by sugar-free lozenges containing casein phosphopeptide-amorphous calcium phosphate. , 2003, Australian dental journal.

[18]  M. Addy Tooth wear and sensitivity : clinical advances in restorative dentistry , 2000 .

[19]  Y. Wang,et al.  Effectiveness of laser therapy and topical desensitising agents in treating dentine hypersensitivity: a systematic review. , 2011, Journal of oral rehabilitation.

[20]  Joel Berg,et al.  Treating Dentin Hypersensitivity , 2010 .

[21]  D. Gillam Management of Dentin Hypersensitivity , 2015, Current Oral Health Reports.

[22]  J. Cunha-Cruz,et al.  Treating dentin hypersensitivity: therapeutic choices made by dentists of the northwest PRECEDENT network. , 2010, Journal of the American Dental Association.

[23]  V. Thompson,et al.  Occlusion of dentinal tubules with cavity varnishes , 1994 .

[24]  R. Newcombe,et al.  Dentine hypersensitivity: the distribution of recession, sensitivity and plaque. , 1987, Journal of dentistry.

[25]  W. Rock Dental erosion: from diagnosis to therapy , 2006, British Dental Journal.

[26]  R. Serfaty,et al.  Vital tooth bleaching: biologic adverse effects-a review. , 2008, Quintessence international.

[27]  A. Şengun,et al.  The long‐term effectiveness of five current desensitizing products on cervical dentine sensitivity , 2004 .

[28]  D. Cummins Recent advances in dentin hypersensitivity: clinically proven treatments for instant and lasting sensitivity relief. , 2010, American journal of dentistry.

[29]  E. Swift,et al.  Sturdevant's Art & Science of Operative Dentistry , 2001 .

[30]  A. Glenny,et al.  Potassium containing toothpastes for dentine hypersensitivity. , 2006, The Cochrane database of systematic reviews.

[31]  A. Borges,et al.  Dentin Hypersensitivity-Etiology, Treatment Possibilities and Other Related Factors: A Literature Review , 2012 .

[32]  M. Gandolfi,et al.  Oxalate-containing phytocomplexes as dentine desensitisers: an in vitro study. , 2006, Archives of oral biology.

[33]  L. Pimenta,et al.  Clinical evaluation of desensitizing treatments for cervical dentin hypersensitivity. , 2009, Brazilian oral research.

[34]  M. Addy,et al.  Dentine hypersensitivity - an enigma? A review of terminology, mechanisms, aetiology and management. , 1999 .

[35]  Ari-Pekka Forsback,et al.  Mineralization of dentin induced by treatment with bioactive glass S53P4 in vitro , 2004, Acta odontologica Scandinavica.

[36]  M. Brännström,et al.  A Study on the Mechanism of Pain Elicited from the Dentin , 1964, Journal of dental research.

[37]  R. Orchardson,et al.  Advances in the treatment of root dentine sensitivity: mechanisms and treatment principles , 2006 .

[38]  Robert N Grass,et al.  Remineralization of human dentin using ultrafine bioactive glass particles. , 2007, Acta biomaterialia.

[39]  K. Markowitz A new treatment alternative for sensitive teeth: a desensitizing oral rinse. , 2013, Journal of dentistry.

[40]  L. Grossman A Systematic Method for the Treatment of Hypersensitive Dentin , 1935 .

[41]  R. Orchardson,et al.  Effects of Potassium Ions on Action Potential Conduction in A- and C-Fibers of Rat Spinal Nerves , 1995, Journal of dental research.

[42]  J. Nunemacher,et al.  Optimal management of giant cell arteritis and polymyalgia rheumatica , 2012, Therapeutics and clinical risk management.

[43]  V. Aggarwal,et al.  Dentin hypersensitivity: Recent trends in management , 2010, Journal of conservative dentistry : JCD.

[44]  Alessandra Helen Magacho Vieira,et al.  Clinical evaluation of a 3% potassium oxalate gel and a GaAlAs laser for the treatment of dentinal hypersensitivity. , 2009, Photomedicine and laser surgery.

[45]  P. Vohra,et al.  Diagnosis and Treatment of Dentinal Hypersensitivity , 2011 .

[46]  A. Monaco,et al.  Effectiveness of laser in dentinal hypersensitivity treatment: a systematic review. , 2011, Journal of Endodontics.

[47]  H. Newman,et al.  Perceptions of dentine hypersensitivity in a general practice population. , 1999, Journal of oral rehabilitation.

[48]  F. L. Pillon,et al.  Effect of a 3% potassium oxalate topical application on dentinal hypersensitivity after subgingival scaling and root planing. , 2004, Journal of periodontology.

[49]  M. F. Morris,et al.  Clinical efficacy of two dentin desensitizing agents. , 1999, American journal of dentistry.

[50]  J. Sowinski,et al.  A new desensitizing dentifrice--an 8-week clinical investigation. , 2000, Compendium of continuing education in dentistry. (Jamesburg, N.J. : 1995). Supplement.

[51]  M. Eisenburger,et al.  Erosion and attrition of human enamel in vitro part I: interaction effects. , 2002, Journal of dentistry.

[52]  J. Gerschman,et al.  Low level laser therapy for dentinal tooth hypersensitivity. , 1994, Australian dental journal.