Dentin hypersensitivity and treatment methods

Dentin hypersensitivity (DH) is a relatively common problem experienced in clinical dental practice. This condition has been defined as a short, sharp pain arising from exposed dentin in response to stimuli typically thermal, evaporative, tactile, osmotic or chemical and which cannot be described to any other form of dental defect or pathology. DH may ocur as a result of exposed dentinal tubules through either loss of enamel or gingival recession. Management strategies, which take into account aetiological factors and patient’s oral hygeine behaviour, should be considered before the home or in office treatment protocols. Treatment plan should include reduce fluid flow in the tubules by means of occlude exposed tubules and block the nerve response in the pulp with many desensitizing chemical agents or phyisical agents which also include lasers. The purpose of this review is to summarize the definition, epidemiology, mechanism, aetiology, diagnosis and treatment protocols of dentin hypersensitivity.

[1]  Sevcan Kurtulmus-Yilmaz,et al.  Effectiveness of Er,Cr:YSGG laser on dentine hypersensitivity: a controlled clinical trial. , 2011, Journal of clinical periodontology.

[2]  Sevcan Kurtulmus-Yilmaz,et al.  Clinical evaluation of Er,Cr:YSGG and GaAlAs laser therapy for treating dentine hypersensitivity: A randomized controlled clinical trial. , 2011, Journal of dentistry.

[3]  J. Cunha-Cruz,et al.  Dentin Hypersensitivity and Oxalates , 2011, Journal of dental research.

[4]  R. Davies,et al.  Dentifrices--an update. , 2010, Medicina oral, patologia oral y cirugia bucal.

[5]  Anuj Sharma,et al.  Comparison of clinical efficacy of a dentifrice containing calcium sodium phosphosilicate to a dentifrice containing potassium nitrate and to a placebo on dentinal hypersensitivity: a randomized clinical trial. , 2010, Journal of periodontology.

[6]  L. Manzoli,et al.  A double-blind randomized-controlled trial comparing the desensitizing efficacy of a new dentifrice containing carbonate/hydroxyapatite nanocrystals and a sodium fluoride/potassium nitrate dentifrice. , 2010, Journal of clinical periodontology.

[7]  L. Chambrone,et al.  Root-coverage procedures for the treatment of localized recession-type defects: a Cochrane systematic review. , 2010, Journal of periodontology.

[8]  C. Chu,et al.  Dentin hypersensitivity: a review , 2010 .

[9]  Jun Hu,et al.  Effect of immediate dentin sealing on preventive treatment for postcementation hypersensitivity. , 2010, The International journal of prosthodontics.

[10]  S. Nares,et al.  Dentinal hypersensitivity following scaling and root planing: comparison of low-level laser and topical fluoride treatment , 2010, Lasers in Medical Science.

[11]  I. Porto,et al.  Diagnosis and treatment of dentinal hypersensitivity. , 2009, Journal of oral science.

[12]  A. Sicilia,et al.  Immediate efficacy of diode laser application in the treatment of dentine hypersensitivity in periodontal maintenance patients: a randomized clinical trial. , 2009, Journal of clinical periodontology.

[13]  M. Wolff Dentin Hypersensitivity, the Biofilm and Remineralization: What is the Connection? , 2009, Advances in dental research.

[14]  L. Chambrone,et al.  Systematic review of periodontal plastic surgery in the treatment of multiple recession-type defects. , 2009, Journal.

[15]  B. Kuru,et al.  Clinical evaluation of lasers and sodium fluoride gel in the treatment of dentine hypersensitivity. , 2009, Photomedicine and laser surgery.

[16]  I. About,et al.  Clinical efficiency of a natural resin fluoride varnish (Shellac F) in reducing dentin hypersensitivity. , 2009, Journal of oral rehabilitation.

[17]  Mark V. Thomas,et al.  In-office treatment of dentinal hypersensitivity. , 2009, Dental clinics of North America.

[18]  V. Çanakçi,et al.  Clinical evaluation of Nd:YAG and 685-nm diode laser therapy for desensitization of teeth with gingival recession. , 2009, Photomedicine and laser surgery.

[19]  B. Kuru,et al.  Effect of Er:YAG and CO2 lasers with and without sodium fluoride gel on dentinal tubules: a scanning electron microscope examination. , 2008, Photomedicine and laser surgery.

[20]  H. Kwon,et al.  Effect of dentinal tubule occlusion by dentifrice containing nano-carbonate apatite. , 2008, Journal of oral rehabilitation.

[21]  Nicola X West,et al.  Dentine hypersensitivity: preventive and therapeutic approaches to treatment. , 2008, Periodontology 2000.

[22]  L. Chambrone,et al.  Can subepithelial connective tissue grafts be considered the gold standard procedure in the treatment of Miller Class I and II recession-type defects? , 2008, Journal of dentistry.

[23]  T. Tengrungsun,et al.  Comparative study in desensitizing efficacy using the GaAlAs laser and dentin bonding agent. , 2008, Journal of dentistry.

[24]  A. Usumez,et al.  Evaluation of mineral content of dentin prepared by erbium, chromium:yttrium scandium gallium garnet laser , 2008, Lasers in Medical Science.

[25]  N. Gutknecht,et al.  Comparative evaluation of the effects of Nd:YAG and Er:YAG laser in dentin hypersensitivity treatment , 2007, Lasers in Medical Science.

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

[27]  L. Frigo,et al.  Effect of GaAIAs laser on reactional dentinogenesis induction in human teeth. , 2006, Photomedicine and laser surgery.

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

[29]  E. Swift,et al.  Treating cervical dentin hypersensitivity with fluoride varnish: a randomized clinical study. , 2006, Journal of the American Dental Association.

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

[31]  N. Bissada,et al.  Predictability of connective tissue grafts for root coverage: clinical perspectives and a review of the literature. , 2005, Quintessence international.

[32]  D. Mehta,et al.  Short-term assessment of the Nd:YAG laser with and without sodium fluoride varnish in the treatment of dentin hypersensitivity--a clinical and scanning electron microscopy study. , 2005, Journal of periodontology.

[33]  R. Gupta,et al.  2% sodium fluoride-iontophoresis compared to a commercially available desensitizing agent. , 2005, Journal of periodontology.

[34]  Glenn van As,et al.  Erbium lasers in dentistry. , 2004 .

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

[36]  F. Curro,et al.  Clinical evaluation of ferric oxalate in relieving dentine hypersensitivity. , 2004, Journal of oral rehabilitation.

[37]  Douglas N Dederich,et al.  Lasers in dentistry: separating science from hype. , 2004, Journal of the American Dental Association.

[38]  S. Takagi,et al.  Reduction in dentin permeability using mildly supersaturated calcium phosphate solutions. , 2004, Archives of oral biology.

[39]  R. Palma-Dibb,et al.  Clinical evaluation of low-level laser therapy and fluoride varnish for treating cervical dentinal hypersensitivity. , 2003, Journal of oral rehabilitation.

[40]  L. Walsh,et al.  The current status of laser applications in dentistry. , 2003, Australian dental journal.

[41]  R. Cohen,et al.  Tooth wear: attrition, erosion, and abrasion. , 2003, Quintessence international.

[42]  A. Sicilia,et al.  Evaluation of the efficacy of two potassium nitrate bioadhesive gels (5% and 10%) in the treatment of dentine hypersensitivity. A randomised clinical trial. , 2003, Journal of clinical periodontology.

[43]  M. Addy,et al.  A cross-sectional study of dentine hypersensitivity. , 2002, Journal of clinical periodontology.

[44]  M. Addy Dentine hypersensitivity: New perspectives on an old problem , 2002 .

[45]  A. Kielbassa Dentine hypersensitivity: Simple steps for everyday diagnosis and management , 2002 .

[46]  C. Drisko Dentine hypersensitivity – dental hygiene and periodontal considerations , 2002 .

[47]  P. Gjermo,et al.  Treatment of dentin hypersensitivity by Nd:YAG laser. , 2002, Journal of clinical periodontology.

[48]  E. Reich,et al.  Desensitizing effects of an Er:YAG laser on hypersensitive dentine. , 2002, Journal of clinical periodontology.

[49]  J. C. Pereira,et al.  TREATING HYPERSENSITIVE DENTIN WITH THREE DIFFERENT POTASSIUM OXALATE- BASED GEL FORMULATIONS: A CLINICAL STUDY , 2002 .

[50]  D. McCarthy,et al.  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. , 2002, Journal of oral rehabilitation.

[51]  R. Pereira,et al.  Efficacy of a 3% potassium nitrate desensitizing mouthwash in the treatment of dentinal hypersensitivity. , 2001, Journal of periodontology.

[52]  K. Matsumoto,et al.  Treatment of dentine hypersensitivity by lasers: a review. , 2000, Journal of clinical periodontology.

[53]  R. Orchardson,et al.  The efficacy of potassium salts as agents for treating dentin hypersensitivity. , 2000, Journal of orofacial pain.

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

[55]  K. Matsumoto,et al.  Effects of Er,Cr:YSGG laser irradiation in human enamel and dentin: ablation and morphological studies. , 1999, Journal of clinical laser medicine & surgery.

[56]  K. Matsumoto,et al.  Treatment of cervical dentin hypersensitivity by various methods using pulsed Nd:YAG laser. , 1999, Journal of clinical laser medicine & surgery.

[57]  A. Moritz,et al.  Long-term effects of CO2 laser irradiation on treatment of hypersensitive dental necks: results of an in Vivo study. , 1998, Journal of clinical laser medicine & surgery.

[58]  R. Newcombe,et al.  A split-mouth placebo-controlled study to determine the effect of amorphous calcium phosphate in the treatment of dentine hypersensitivity. , 1998, Journal of clinical periodontology.

[59]  L. Walsh,et al.  The current status of low level laser therapy in dentistry. Part 1. Soft tissue applications. , 1997, Australian dental journal.

[60]  A. Moritz,et al.  Treatment of hypersensitive teeth using neodymium:yttrium-aluminum-garnet lasers: a comparison of the use of various settings in an in vivo study. , 1997, Journal of clinical laser medicine & surgery.

[61]  W. Lan,et al.  Treatment of dentin hypersensitivity by Nd:YAG laser. , 1996, Journal of clinical laser medicine & surgery.

[62]  A. Moritz,et al.  The advantage of CO2-treated dental necks, in comparison with a standard method: results of an in vivo study. , 1996, Journal of clinical laser medicine & surgery.

[63]  W. Lan,et al.  SEALING OF HUMAN DENTINAL TUBULES BY ND:YAG LASER , 1995 .

[64]  K. Asaoka,et al.  Effects of Fluoride on the Calcium Phosphate Precipitation Method for Dentinal Tubule Occlusion , 1995, Journal of dental research.

[65]  W. Lan,et al.  The Combined Effectiveness of the Semiconductor Laser with Duraphat in the Treatment of Dentin Hypersensitivity , 1994 .

[66]  K. Pang,et al.  Structural Evidence of a Sealed Tissue Interface with a Total-etch Wet-bonding Technique in vivo , 1994, Journal of dental research.

[67]  I. Kleinberg,et al.  Measurement of tooth hypersensitivity and oral factors involved in its development. , 1994, Archives of oral biology.

[68]  G. R. Holland,et al.  Dentine hypersensitivity-into the 21st century. , 1994, Archives of oral biology.