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KMID : 1157520130090040245
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International Journal of Clinical Preventive Dentistry
2013 Volume.9 No. 4 p.245 ~ p.252
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Dentin Hypersensitivity - A Vexing Clinical Problem
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Meenu Garg Singla
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Abstract
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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 re-views 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 etio-logical 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 tooth-pastes, 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.
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KEYWORD
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dentin hypersensitivity, etiology, pathophysiology, prevention, management
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