Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review

Ar Davari, E Ataei, H Assarzadeh, Ar Davari, E Ataei, H Assarzadeh

Abstract

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.

Keywords: Dentin Hypersensitivity; Diagnosis; Etiology; Therapeutics.

Figures

Figure 1
Figure 1
The schematic picture of the propped theories on DH

References

    1. Orchardson R, Gillam DG. Managing dentin hypersensitivity. J Am Dent Assoc. 2006;137:990–998.
    1. Porto IC, Andrade AK, Montes MA. Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci. 2009;51:323–332.
    1. Miglani S, Aggarwal V, Ahuja B. Dentin hypersensitivity: Recent trends in management. J Conserv Dent. 2010;13:218–224.
    1. Canadian Advisory Board on Dentin Hypersensitivity. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc. 2003;69:221–226.
    1. Aranha AC, Pimenta LA, Marchi GM. Clinical evaluation of desensitizing treatments for cervical dentin hypersensitivity. Braz Oral Res. 2009;23:333–339.
    1. Chu CH, Lo ECM. Dentin hypersensitivity: a review. Hong Kong Dent J. 2010;7:15–22.
    1. Bartlett DW, Shah P. A critical review of non-carious cervical (wear) lesions and the role of abfraction, erosion, and abrasion. J Dent Res. 2006;85:306–312.
    1. Que K, Guo B, Jia Z, Chen Z, Yang J, Gao P. A cross-sectional study: non-carious cervical lesions, cervical dentine hypersensitivity and related risk factors. J Oral Rehabil. 2013;40:24–32.
    1. Cummins D. Recent advances in dentin hypersensitivity: clinically proven treatments for instant and lasting sensitivity relief. Am J Dent. 2010;23 Spec No A:3A–13A.
    1. Fischer C, Fischer RG, Wennberg A. Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro, Brazil. J Dent. 1992;20:272–276.
    1. Cummins D. Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief. J Clin Dent. 2009;20:1–9.
    1. Gillam DG, Bulman JS, Eijkman MA, Newman HN. Dentists' perceptions of dentine hypersensitivity and knowledge of its treatment. J Oral Rehabil. 2002;29:219–225.
    1. Addy M. Dentine hypersensitivity: Definition, prevalence, distribution and etiology. In: Addy M, Embery G, Edgar WM, Orchardson R, editors. Tooth wear and sensitivity: Clinical advances in restorative dentistry. London: Martin Dunitz; 2000. pp. 239–248.
    1. Gillam DG, Seo HS, Bulman JS, Newman HN. Perceptions of dentine hypersensitivity in a general practice population. J Oral Rehabil. 1999;26:710–714.
    1. Roberson T, Heymann HO, Swift Jr EJ. Sturdevant's art and science of operative dentistry. Sixth ed. Canada: Mosby; 2006. pp. 6–10.
    1. Dababneh RH, Khouri AT, Addy M. Dentine hypersensitivity - an enigma? A review of terminology, mechanisms, aetiology and management. Br Dent J. 1999;187:606–611.
    1. Borges A, Barcellos D, Gomes C. Dentin Hypersensitivity- Etiology, Treatment Possibilities and Other Related Factors: A Literature review. World Journal of Dentistry. 2012;3:60–67.
    1. Lussi A. Dental erosion: from diagnosis to therapy. Vol 20. Basel: Karger; 2006. pp. 173–190.
    1. Zero DT, Lussi A. Erosion--chemical and biological factors of importance to the dental practitioner. Int Dent J. 2005;55:285–290.
    1. Addy M, Mostafa P, Newcombe RG. Dentine hypersensitivity: the distribution of recession, sensitivity and plaque. J Dent. 1987;15:242–248.
    1. Braennstrom M, Astroem A. A study on the mechanism of pain elicited from the dentin. J Dent Res. 1964;43:619–625.
    1. Cunha-Cruz J, Wataha JC, Zhou L, Manning W, Trantow M, Bettendorf MM, Heaton LJ, Berg J. Treating dentin hypersensitivity: therapeutic choices made by dentists of the northwest PRECEDENT network. J Am Dent Assoc. 2010;141:1097–1105.
    1. Minoux M, Serfaty R. Vital tooth bleaching: biologic adverse effects-a review. Quintessence Int. 2008;39:645–659.
    1. Gillam DG, Orchardson R. Advances in the treatment of root dentine sensitivity-mechanisms and treatment principles. Endodontic Topics. 2006;13:13–33.
    1. Suge T, Kawasaki A, Ishikawa K, Matsuo T, Ebisu S. Effects of plaque control on the patency of dentinal tubules: an in vivo study in beagle dogs. J Periodontol. 2006;77:454–49.
    1. Eisenburger M, Addy M. Erosion and attrition of human enamel in vitro part I: interaction effects. J Dent. 2002;30:341–347.
    1. Mayhew RB, Jessee SA, Martin RE. Association of occlusal, periodontal, and dietary factors with the presence of non-carious cervical dental lesions. Am J Dent. 1998;11:29–32.
    1. von Troil B, Needleman I, Sanz M. A systematic review of the prevalence of root sensitivity following periodontal therapy. J Clin Periodontol. 2002;29 (Suppl 3):173–177.
    1. Grossman L. A systematic method for the treatment of hypersensitive dentine. J Am Dent Assoc. 1935;22:592–602.
    1. Peacock JM, Orchardson R. Effects of potassium ions on action potential conduction in A- and C-fibers of rat spinal nerves. J Dent Res. 1995;74:634–641.
    1. Poulsen S, Errboe M, Lescay Mevil Y, Glenny AM. Potassium containing toothpastes for dentine hypersensitivity. Cochrane Database Syst Rev. 2006;3
    1. Sowinski JA, Battista GW, Petrone ME, Chaknis P, Zhang YP, DeVizio W, et al. A new desensitizing dentifrice--an 8-week clinical investigation. Compend Contin Educ Dent Suppl. 2000;27:11–16.
    1. Markowitz K. A new treatment alternative for sensitive teeth: a desensitizing oral rinse. J Dent. 2013;41 (Suppl 1):S1–11.
    1. Walters PA. Dentinal hypersensitivity: a review. J Contemp Dent Pract. 15;6:107–117.
    1. Morris MF, Davis RD, Richardson BW. Clinical efficacy of two dentin desensitizing agents. Am J Dent. 1999;12:72–76.
    1. Pillon FL, Romani IG, Schmidt ER. Effect of a 3% potassium oxalate topical application on dentinal hypersensitivity after subgingival scaling and root planing. J Periodontol. 2004;75:1461–1464.
    1. Vieira AH, Passos VF, de Assis JS, Mendonça JS, Santiago SL. Clinical evaluation of a 3% potassium oxalate gel and a GaAlAs laser for the treatment of dentinal hypersensitivity. Photomed Laser Surg. 2009;27:807–812.
    1. Sauro S, Gandolfi MG, Prati C, Mongiorgi R. Oxalate-containing phytocomplexes as dentine desensitisers: an in vitro study. Arch Oral Biol. 2006;51:655–664.
    1. Lee Y, Chung WG. Management of dentin hypersensit-ivity. J Korean Academy Endodontics. 2011;12
    1. Hack GD, Thompson VP. Occlusion of dentinal tubules with cavity varnishes. Archs Oral Biol. 1994;39
    1. Duran I, Sengun A. The long-term effectiveness of five current desensitizing products on cervical dentine sensitivity. J Oral Rehabil. 2004;31:351–356.
    1. Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R. Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol. 1997;24:808–813.
    1. Dondi dall'Orologio G, Lone A, Finger WJ. Clinical evaluation of the role of glutardialdehyde in a one-bottle adhesive. Am J Dent. 2002;15:330–334.
    1. Hench LL, Splinter RJ, Allen WC, Greenlee TK. Bonding mechanisms at the interface of ceramic prosthetic materials. J Biomed Mater Res. 1971;5:117–141.
    1. Forsback AP, Areva S, Salonen JI. Mineralization of dentin induced by treatment with bioactive glass S53P4 in vitro. Acta Odontol Scand. 2004;62:14–20.
    1. Vollenweider M, Brunner TJ, Knecht S, Grass RN, Zehnder M, Imfeld T, et al. Remineralization of human dentin using ultrafine bioactive glass particles. Acta Biomater. 2007;3:936–943.
    1. Cai F, Shen P, Morgan MV, Reynolds EC. Remineralization of enamel subsurface lesions in situ by sugar-free lozenges containing casein phosphopeptide-amorp-hous calcium phosphate. Aust Dent J. 2003;48:240–243.
    1. Gerschman JA, Ruben J, Gebart-Eaglemont J. Low level laser therapy for dentinal tooth hypersensitivity. Aust Dent J. 1994;39:353–357.
    1. He S, Wang Y, Li X, Hu D. Effectiveness of laser therapy and topical desensitising agents in treating dentine hypersensitivity: a systematic review. J Oral Rehabil. 2011;38:348–358.
    1. Sgolastra F, Petrucci A, Gatto R, Monaco A. Effectiveness of laser in dentinal hypersensitivity treatment: a systematic review. J Endod. 2011;37:297–303.

Source: PubMed

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