Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature

The aim of this review was to provide dentists with comprehensive information regarding dentin hypersensitivity. This includes presenting its etiology, outlining the process of diagnosis, discussing clinical management strategies, and exploring technical approaches aimed at alleviating sensitivity....

Full description

Bibliographic Details
Main Authors: Dimitrios Dionysopoulos, Olga Gerasimidou, Charis Beltes
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/13/21/11632
_version_ 1797632234747854848
author Dimitrios Dionysopoulos
Olga Gerasimidou
Charis Beltes
author_facet Dimitrios Dionysopoulos
Olga Gerasimidou
Charis Beltes
author_sort Dimitrios Dionysopoulos
collection DOAJ
description The aim of this review was to provide dentists with comprehensive information regarding dentin hypersensitivity. This includes presenting its etiology, outlining the process of diagnosis, discussing clinical management strategies, and exploring technical approaches aimed at alleviating sensitivity. Dentin hypersensitivity is characterized by distinctive short, sharp pain arising from exposed cervical dentin in response to various external stimuli. The etiological factors cause two specific changes in teeth. First, the dentin surface must be exposed and denuded, which requires the loss of enamel or gingival recession combined with the loss of cementum. The second condition is the opening of the dentin tubules to allow the sensory mechanisms in the pulpal area following stimulation of the dentin surface. The accurate diagnosis of dentin hypersensitivity before receiving therapies is critical for successful treatment. The diagnosis of the disease starts through investigating the medical history of the patient and examination. In the examination, some techniques such as air stream and water rinsing are used in order to simulate the stimulating factors and to determine the degree of pain of the patient. Numerous materials and methods have been proposed to reduce or alleviate sensitivity. These materials typically exert their effects by either sealing dentin tubules or disrupting the transmission of nerve impulses. Generally, the primary approach in addressing dentin hypersensitivity involves the utilization of toothpaste containing potassium salts and fluoride. Newly introduced materials and in-office methods for treating dentin hypersensitivity include bioactive glasses, iontophoresis, CPP-ACP, and lasers.
first_indexed 2024-03-11T11:35:05Z
format Article
id doaj.art-cef1230db3ae4d75b195f9bd6185aabc
institution Directory Open Access Journal
issn 2076-3417
language English
last_indexed 2024-03-11T11:35:05Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Applied Sciences
spelling doaj.art-cef1230db3ae4d75b195f9bd6185aabc2023-11-10T14:58:13ZengMDPI AGApplied Sciences2076-34172023-10-0113211163210.3390/app132111632Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in LiteratureDimitrios Dionysopoulos0Olga Gerasimidou1Charis Beltes2Department of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceDepartment of Operative Dentistry, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceDepartment of Endodontics, Faculty of Dentistry, School of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, GreeceThe aim of this review was to provide dentists with comprehensive information regarding dentin hypersensitivity. This includes presenting its etiology, outlining the process of diagnosis, discussing clinical management strategies, and exploring technical approaches aimed at alleviating sensitivity. Dentin hypersensitivity is characterized by distinctive short, sharp pain arising from exposed cervical dentin in response to various external stimuli. The etiological factors cause two specific changes in teeth. First, the dentin surface must be exposed and denuded, which requires the loss of enamel or gingival recession combined with the loss of cementum. The second condition is the opening of the dentin tubules to allow the sensory mechanisms in the pulpal area following stimulation of the dentin surface. The accurate diagnosis of dentin hypersensitivity before receiving therapies is critical for successful treatment. The diagnosis of the disease starts through investigating the medical history of the patient and examination. In the examination, some techniques such as air stream and water rinsing are used in order to simulate the stimulating factors and to determine the degree of pain of the patient. Numerous materials and methods have been proposed to reduce or alleviate sensitivity. These materials typically exert their effects by either sealing dentin tubules or disrupting the transmission of nerve impulses. Generally, the primary approach in addressing dentin hypersensitivity involves the utilization of toothpaste containing potassium salts and fluoride. Newly introduced materials and in-office methods for treating dentin hypersensitivity include bioactive glasses, iontophoresis, CPP-ACP, and lasers.https://www.mdpi.com/2076-3417/13/21/11632bioactive glassesdentin hypersensitivitydiagnostic methodsfluorine compoundslasersin-office treatments
spellingShingle Dimitrios Dionysopoulos
Olga Gerasimidou
Charis Beltes
Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature
Applied Sciences
bioactive glasses
dentin hypersensitivity
diagnostic methods
fluorine compounds
lasers
in-office treatments
title Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature
title_full Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature
title_fullStr Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature
title_full_unstemmed Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature
title_short Dentin Hypersensitivity: Etiology, Diagnosis and Contemporary Therapeutic Approaches—A Review in Literature
title_sort dentin hypersensitivity etiology diagnosis and contemporary therapeutic approaches a review in literature
topic bioactive glasses
dentin hypersensitivity
diagnostic methods
fluorine compounds
lasers
in-office treatments
url https://www.mdpi.com/2076-3417/13/21/11632
work_keys_str_mv AT dimitriosdionysopoulos dentinhypersensitivityetiologydiagnosisandcontemporarytherapeuticapproachesareviewinliterature
AT olgagerasimidou dentinhypersensitivityetiologydiagnosisandcontemporarytherapeuticapproachesareviewinliterature
AT charisbeltes dentinhypersensitivityetiologydiagnosisandcontemporarytherapeuticapproachesareviewinliterature