The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 2 , ISSUE 1 ( Winter Issue, 2001 ) > List of Articles

RESEARCH ARTICLE

Clinical Dentin Hypersensitivity: Understanding the Causes and Prescribing a Treatment

Peter L. Jacobsen, Gretchen Bruce

Citation Information : Jacobsen PL, Bruce G. Clinical Dentin Hypersensitivity: Understanding the Causes and Prescribing a Treatment. J Contemp Dent Pract 2001; 2 (1):27-34.

DOI: 10.5005/jcdp-2-1-27

License: CC BY-NC 3.0

Published Online: 01-11-2004

Copyright Statement:  Copyright © 2001; The Author(s).


Abstract

Dentin hypersensitivity is a common condition of transient tooth pain associated with a variety of exogenous stimuli. There is substantial variation in the response to such stimuli from one person to another. Except for sensitivity associated with tooth bleaching or other tooth pathology, the clinical cause of dentin hypersensitivity is exposed dentinal tubules as a result of gingival recession and subsequent loss of cementum on root surfaces. The most widely accepted theory of how the pain occurs is Brännström's hydrodynamic theory of dentin hypersensitivity. Dentinal hypersensitivity must be differentiated from other conditions that may cause sensitive teeth prior to treatment. Three principal treatment strategies are used. Dentinal tubules can be covered by gingival grafts or dental restorations. The tubules can be plugged using compounds that can precipitate together into a large enough mass to occlude the tubules. The third strategy is to desensitize the nerve tissue within the tubules using potassium nitrate. Several over-the-counter products are available to patients to treat this condition.


PDF Share
  1. Current treatment for dentinal hypersensitivity. A new agent. Compend Contin Educ Dent 1982;(Suppl 3):S118-20. No abstract available.
  2. Effect of plaque of five toothpastes used in the treatment of dentin hypersensitivity. Clin Prev Dent 1990;12:28-33.
  3. Clinical features of hypersensitive teeth. Br Dent J 1987;162:253-6. No abstract available.
  4. Anbsp;Tooth sensitivity prevention and treatment. Oral Health 19998933-4. 37-8, 41. Review. No abstract available.
  5. The hydrodynamics of the dentine; its possible relationship to dentinal pain. Int Dent J 1972;22:219-27. No abstract available.
  6. Dentinal sensation and hypersensitivity. A review of mechanisms and treatment alternatives. J Periodontol 1985;56:216-22. Review.
  7. The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. J Endod 1986;12:453 No abstract available.
  8. Transmission and control of dentinal pain: resin impregnation for the desensitization of dentin. J Am Dent Assoc 1979;99:612-8.
  9. Clinical Periodontology, ed. 8, Philadelphia, 1996, W.B. Saunders Company.
  10. Effect of a fluoride solution on dentinal hypersensitivity. Am J Dent 1992;5:299-302.
  11. Effects of a gel containing 0.4 percent stannous fluoride on dentinal hypersensitivity. Dent Hyg (Chic) 1985;59:489-92. No abstract available.
  12. The effects of desensitizing agents on the hydraulic conductance of human dentin in vitro. J Dent Res 1981;60:686-98.
  13. Dentin hypersensitivity. Gen Dent 1996;44:225-30; quiz 231-2. Review. No abstract available.
  14. A clinical evaluation of carbamide peroxide and hydrogen peroxide whitening agents during daytime use. J Am Dent Assoc 2000;131: 1269-77.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.