Dentin Hypersensitivity in Clinical Practice David Gillam, Bryar Koyi
INDEX
Note: Page numbers in bold or italic refer to tables or figures, respectively.
A
Accommodation effect 22
Acidic drinks 9, 10, 15, 16, 25, 36, 55, 59, 70, 94
Alginoplast SH 64, 67
Ambivalent state 37
Amelogenesis imperfecta 74
Amorphous calcium phosphate (ACP) 30
Angle's classification 82
Antidepressants 102
AO see Atypical odontalgia (AO)
Apical periodontitis 84, 89
Atypical odontalgia (AO) 91103
assessment and diagnosis 100101
cold air blast 93
cone-beam computed tomography 93
dentin hypersensitivity and 99
and depression 101
as diagnosis of exclusion 99
differential diagnoses 94
extraoral examination 93
history taking 9192
initial treatment 9495
intraoral examination 93
local anesthetic (LA) injection in 100
pain of 98100
persistent orofacial pain and 9798
psychiatric and psychological management 95
review appointments 95
sensibility testing 93
treatment 101102
B
Basic erosive wear examination (BEWE) 62, 69
Basic periodontal examination (BPE) 47, 52, 60, 82
BEWE see Basic erosive wear examination (BEWE)
Bitewings radiograph, of maxillary molars 53, 55
Bleaching sensitivity 29, 7379
BPE score see Basic periodontal examination (BPE)
Brushing technique, and dentin hypersensitivity 13
Buccal gingival recession 52, 53, 82, 82
Buccal tooth-colored adhesive restoration 89
C
Calcium hydroxide paste 85
Calcium phosphates 33
Capsaicin 102
10% Carbamide peroxide 77
Caries 16, 20
ChemFil Rock 65
Chronic idiopathic facial pain 14, 21
Clinical examination
assessment of severity of pain 17, 18
character and history of pain 18, 1819
environment for 16
equipment 16
examination for pain 1617
Clinpro White Varnish with TCP 48, 89
Cognitive behavior therapy (CBT) 92
Cold air blast test 16, 17, 17, 19, 22
Cold drinks 51, 59, 91
Cold stimulus 21, 22
Colgate 31
Colgate Pro-Argin 30
Cotton wool rolls 16, 21
Cracked tooth syndrome (CTS) 16, 20, 2021
Crest 31
Crest ProHealth 31
CTS see Cracked tooth syndrome (CTS)
Cuspal coverage restoration 83, 89
D
Dahl principle 65
Denar Mark II 64, 67
Dental fluorosis 74
Dental pain 14, 19, 81, 9597
differential diagnosis of 20
Dental probe, examination with 16
Dentinal fluid 7, 87
Dentinal tubules 7, 7, 87
open 78
Dentin-enamel junction (DEJ) 6
Dentin exposure 910, 13
Dentin hypersensitivity (DH) 3, 13, 53, 62, 83, 87, 91
categories of 13
clinicians’ perception of 4, 5
cold foods/beverages and 8
dental procedures and 56
diagnosis of 1922
as diagnosis of exclusion 14, 19
differential diagnoses 1415, 19
direct innervation theory 6
etiology and predisposing factors 810
hydrodynamic theory 7, 78
impact on lifestyle and quality of life 46, 5
intradental nerve fibers and 8
management and treatment of 2529, 26 (see also Treatment modalities)
overestimation of 3
patients’ perception of 4, 4
periodontal therapy and 5157
prevalence of 34
teeth affected by 13
under-estimation of 3
Dentin Hypersensitivity Experience Questionnaire (DHEQ) 6
Dentin sensitivity (DS) see Dentin hypersensitivity (DH)
Dentsply Maillefer 85
Desensitizing gels 29
Desensitizing pastes 33
Desensitizing polishing paste 6
Desensitizing toothpaste 56, 75, 78
DH see Dentin hypersensitivity (DH)
Dietary changes 63
Dietary history 1516
Dry socket 20
Duloxetine 102
Duraphat 89
E
Electrically-heated spreaders 86
Electronic apex locator 84
Elmex Sensitive Professional desensitizing paste 31
Endodontic treatment, for UL6 8190
Endo-Frost 53, 62, 74, 83
Etch + primer 34
Etch + primer + adhesive 34
Expectancy effect 22
Explorer probe, use of 16
F
Fibre-optic transillumination (FOTI) 16
Fluoride containing toothpastes 63
Fluorides 33
Fluoride varnish 34
Fractfinder 21
G
Gabapentin 102
Gastric reflux 16
Gel-Kam 31
Gentian Violet 16
Gingival recession 7, 9, 52, 53, 82, 82, 87 see also Dentin hypersensitivity (DH)
and dentin hypersensitivity 9, 13, 45, 4550
periodontal therapy and 5157
and treatment modalities 27, 27, 28
Gingivitis 62
Glass-ionomer cements 34
H
History taking 1516
dental and medical history 15
dietary history 1516
Home bleaching 75 see also Bleaching sensitivity
Hospital Anxiety Depression (HAD) scale 94, 101
Hydrodynamic theory 7, 78, 87
Hydrogen peroxide 76, 77
Hydroxymethyl methacrylate (HEMA) 32
Hyperalgesia 88
Hypnotherapy 34
I
Iontophoresis 34
IPS Empress Direct 65
Irreversible pulpitis 14, 20, 62, 83, 8889
L
Laser therapy 34
Lateral periodontal abscess 20
Lidocaine 102
M
Master gutta-percha cones 86, 86
Maxillary sinusitis 97
McGill Pain Questionnaire (MPQ) 94
Methylene blue 16
Michigan style splint 63, 67
Miller classification 49, 49, 82
Monitoring visits 38
Motivational interviewing 3538
Mouth rinses 29, 63
Moyco Hard Beauty Wax 64, 67
N
NanitActiv (Henkel) 30
Nerve desensitizers 33
Neurogenic inflammation 88
Neuromas 100
Nonodontogenic pain 94, 96, 97, 102 see also Atypical odontalgia (AO)
Nortriptyline 102
NovaMin 30
0–10 numerical pain scale 18
O
Odontoblasts 7
Optical illumination 16
Oral hygiene 10, 13, 55, 62, 63, 66, 86, 87
Oral medicine clinic, referral to 14, 91
Orange juice 6, 36, 37
Orofacial pain 14, 15, 21, 9597
Over-the-counter products 25, 29
evidence for efficacy 2931
potassium containing toothpastes 31
tubular occluding toothpastes 31
tubule occluding toothpastes 30
Oxalates 33
Oxalic acid and resin 34
P
Pain of dentin hypersensitivity 3, 7, 8, 13, 15, 19, 20, 54, 99
assessment of 1719, 18, 18
character and history of pain 18, 1819
cold air tests for 17, 17
and depression 15
factors influencing consultation rates 13
subjectivity of pain response 13
Periapical periodontitis 20
Periapical radiograph, of maxillary molars 53, 55
Pericoronitis 20
Periodontal disease, and dentin hypersensitivity 13, 5157
Periodontal probe 16
Periodontal therapy and dentin hypersensitivity 5157
Periodontitis 51, 56
Persistent idiopathic facial pain (PIFP) 97
and atypical odontalgia 9899
International Headache Society Classification diagnostic criteria for 98, 98
Persistent orofacial pain (POFP) 9798
PIFP see Persistent idiopathic facial pain (PIFP)
Plaque, and dentin hypersensitivity 10
Powered toothbrush 56
Pregabalin 102
Primers 34
Psychogenic toothache 101
Pulpitis 19, 20
Pulp vitality (sensibility) testing 20
Q
Quality of life (QoL), dentin hypersensitivity and 46, 5
R
Rebound effect 20
Recaldent (CPP–ACP) 30
Resin-based root canal sealer 86
Resin-reinforced glass-ionomer 34
Restorative problems 8190
access, pulp extirpation and canal location 84
apical preparation 85
cold testing 83
coronal preparation 84
disinfection and cone-fit confirmation 86, 86, 86
extraoral examination 81
gingival recession at UL6 and root exposure 82
history 81
intracanal medicament and interim restoration 8485
intraoral examination 82, 82
nonsurgical root canal treatment 8390
obturation and temporary restoration 86, 87
periapical radiograph 83, 83
working length determination 84, 85
Reversible pulpitis 20, 53, 62
Root canal treatment, for UL6 8190
Root sensitivity (RS) 10
Rotary nickel-titanium (NiTi) files 84
S
Screening for dentin hypersensitivity 15
Sealants 34
Self-efficacy 37
Sensibility testing 74
SensiShield 30
SensiStat 30
Sensitive teeth, identification of 17
Sensodyne 31
Single alternate arch approach 76
SOCRATES mnemonic (for pain assessment) 18
2.5% sodium hypochlorite (NaOCl) solution 84
T
Temporomandibular joint (TMJ) disorders pain 14
Thermal sensitivity 81, 87
Tooth bleaching see also Bleaching sensitivity
and dentin hypersensitivity 7677
duration of 77
tray design 78
treating sensitivity following 78
Tooth brushing 9, 13, 27, 36, 47, 48, 52, 56
nontraumatic 56
traumatic 10, 25, 56
Toothpastes 29 see also specific product
for dentin hypersensitivity 29, 56
potassium containing 31
tubular occluding 31
tubule occluding 30
Tooth Slooth II 21
Tooth surface loss (TSL) 10, 36, 5971
differential diagnoses 62
epidemiology 69
extent of 69
intraoral examination 6062, 61
maintenance and monitoring 67, 69
mandibular anterior tooth build up 6566
mandibular molars restoration 6667, 68
mandibular premolars restoration 66, 67
maxillary anterior tooth build up 65, 66
patient consent to proposed changes 6465
preventative strategy 6970
radiographic examination 62, 63
recording 69
refinement of anterior tooth build ups 65
restorative intervention 70
review appointments 67, 68
secondary to previous bulimia nervosa 94
study models and diagnostic wax up 64, 64
treatment options 63
Tooth wear 27, 28 see also Tooth surface loss (TSL)
and dentin hypersensitivity 10, 13
problems 5971
Treatment modalities 2529
changing patient's behavior 3335
gingival recession and 27, 27, 28
keys to successful treatment 25
monitoring of effectiveness of treatment 38
motivational interviewing 3538
over-the-counter products 2931, 30, 31
periodontal disease and 27, 27, 28
presenting features and difference in 27
professionally applied (in-office) products 32, 33, 34
scheme for evaluation and management 25, 26
stepwise/minimally invasive approach 3233, 35
tooth wear and 27, 27, 28
Trigeminal neuralgia 97
Triple air syringe 16
TSL see Tooth surface loss (TSL)
Tubule occlusion 8
V
Visual analog scale (VAS) 17, 18, 94
W
White coat effect 22
Working length (WL) determination 84, 85
Z
Zinc oxide-eugenol cement 86
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