By Sahar Taha, Brian H. Clarkson
The teeth sensitivity, or dentin hypersensitive reaction, has a excessive incidence one of the basic inhabitants and is a really universal explanation for visits to the dentist. This concise, easy-to-read advisor offers the clinician with an important details required for the right kind analysis and potent administration of dentin allergy. After dialogue of theories concerning the underlying mechanisms, predisposing scientific and dental stipulations are reviewed. The path to a correct prognosis, according to selection of the correct reason, is then defined. a number of capability remedy methods and their purposes are mentioned, together with dentin blocking off brokers, nerve desensitization, restorative techniques, and periodontal surgical procedure. Preventive, at-home, and in-office remedy modalities are all defined, and destiny remedies also are thought of. precious flowcharts are incorporated that would facilitate determination making.
Mechanism of dentin hypersensitivity
Etiology and predisposing elements to dentin hypersensitivity
Diagnosis of dentin hypersensitivity
Treatment techniques for dentin hypersensitivity
Treatment modalities of dentin hypersensitivity
Study designs to investigating dentin allergic reaction.
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Extra resources for Clinician's Guide to the Diagnosis and Management of Tooth Sensitivity
X Banfield N, Addy M (2004) Dentine hypersensitivity: development and evaluation of a model in situ to study tubulepatency. J Clin Periodontol 31(5):325–335. x Barron RP, Carmichael RP, Marcon MA, Sandor GK (2003) Dental erosion in gastroesophageal reflux disease. J Can Dent Assoc 69(2):84–89 Bartlett DW, Shah P (2006) A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. J Dent Res 85(4): 306–312 Belenguer R, Ramos-Casals M, Brito-Zeron P, del Pino J, Sentis J, Aguilo S, Font J (2005) Influence of clinical and immunological parameters on the health-related quality of life of patients with primary Sjogren’s syndrome.
The clinical feature of attrition is characterized by an area with a relatively flat facet accompanying a wellcircumscribed border on the cusp tip or ridge of a molar or the incisal edge of the anterior teeth (Litonjua et al. 2003a; Hattab and Yassin 2000). In the opposing arch, similar facets can be appreciated clinically. In areas in which dentin is exposed, the lesion appears to be flat without “cupping or scooping” (Kaidonis 2008). Although attrition can act independently, several combinations of the mechanism of tooth wear could act synergistically, thereby affecting the progression of loss of dental hard tissue.
It has been reported that 88 % of people aged 65 years or older have one or more sites of recession. Also, the extent of recession increases with age (Kassab and Cohen 2003). Tammaro and co-workers examined 35 patients with moderate to advanced periodontitis requiring nonsurgical periodontal therapy involving either oral hygiene instruction or scaling and root planning (SRP) and assessed them for the development of root dentin hypersensitivity. They found that the incidence of sensitivity was higher in association with nonsurgical periodontal instrumentation than with oral hygiene instructions with no instrumentation (Tammaro et al.