An underestimated problem: dentin hypersensitivity [Vol I]

Dentin hypersensitivity (DHS), what on earth is it?

It is a problem, a real one; a problem for the patient, and for the clinician.

DHS is defined as a “short, sharp pain derived from exposed dentin in response to chemical, thermal, tactile or osmotic stimuli which cannot be attributed to any other dental defect or disease”. So, it is painful!

It often happens that both patients and dentists underestimate this pain; we all may think that it’s not so important. Patients can be shy about complaining for this hypersensitivity, so they just change their lifestyle, avoiding any behavior that could cause pain to arise. So – maybe – our patient is just avoiding eating an ice cream with friends, because he’s afraid about having pain!

style italiano styleitaliano dentistry

Fig.1
An overview on the stimuli can cause DHS

style italiano styleitaliano dentistry

Fig.2
Differences between attrition and erosion

style italiano styleitaliano dentistry

Fig.3
Typical erosion pattern in a patient with eating disorders

style italiano styleitaliano dentistry

Fig.4
Abfraction lesions

style italiano styleitaliano dentistry

Fig.5
Diffused erosions and attrition

style italiano styleitaliano dentistry

Fig.6
Gingival recessions

Conclusions

This is the end of our first issue on DHS. In the next article we will try to understand how to relieve pain in a quick and predictable way, so stay in the loop!

Bibliography

Cummins D. J Clin Dent. 2009; 20 (spec iss): 1–9. Zapera. YouGov, 2009.
Brannstrom M, Astrom A. Int Dent J. 1972; 22: 219-27.
Canadian Advisory Board on Dentin Hypersensitivity. J Can Dent Assoc. 2003; 69: 221-6.
Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. J Periodontol. 2004; 75: 1377–1386
Von Troil B, Needlemen I, Sanz M. J Clin Periodontol. 2002; 29 (supplement 3) :173-7.
Addy M. Int J Dent . 2002; 52: 367 – 375.
Van Haywood B. Inter Dent J. 2002; 52: 7–10.
Dowell P, Addy M. J Clin Periodontol. 1983; 4: 341-50.
Kleinberg I. Dent Today 2002; 21: 42-7.
Chesters R. J Clin Periodontol. 1992; 19: 256–261.
Vasconcelos A. Acta Odontologica Scandinavica. 2012; 70: 337–34.
NathooS J. Clin Dent 2009, 20 special issue: 123-130
Ayad F et al. J Clin Dent 2009. 20 special issue: 10-16

RELATED CASES

Sense of preservation in treating worn dentition. Full mock up and digital approach.

How to preserve tissue while increasing the VDO, treating eroded dentition using indirect and full mock-up approach with a new digital tool.