ISP good clinical practice recommendations for the management of dentin hypersensitivity
Dentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledg...
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Indian Society of Periodontology |
| Subjects: | |
| Online Access: | http://www.jisponline.com/article.asp?issn=0972-124X;year=2022;volume=26;issue=4;spage=307;epage=333;aulast=Grover |
| _version_ | 1818509783127293952 |
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| author | Vishakha Grover Ashish Kumar Ashish Jain Anirban Chatterjee Harpreet Singh Grover Nymphea Pandit Anurag Satpathy Baiju Radhamoni Madhavan Pillai Anil Melath Deepa Dhruvakumar Roshani Thakur Nilesh V Joshi Neeraj Deshpande Himanshu Dadlani A Archana Meenakshi K P Ashok K Vinathi Reddy Meenu Taneja Bhasin Sanjeev Kumar Salaria Abhishek Verma Rajesh Prabhakar Gaikwad Hemant Darekar Ramesh Amirisetty Mangesh Phadnaik Vaibhav Karemore Ravindranath Dhulipalla Dhawal Mody Tushar Shri Rao Swarna Chakarpani V Ranganath |
| author_facet | Vishakha Grover Ashish Kumar Ashish Jain Anirban Chatterjee Harpreet Singh Grover Nymphea Pandit Anurag Satpathy Baiju Radhamoni Madhavan Pillai Anil Melath Deepa Dhruvakumar Roshani Thakur Nilesh V Joshi Neeraj Deshpande Himanshu Dadlani A Archana Meenakshi K P Ashok K Vinathi Reddy Meenu Taneja Bhasin Sanjeev Kumar Salaria Abhishek Verma Rajesh Prabhakar Gaikwad Hemant Darekar Ramesh Amirisetty Mangesh Phadnaik Vaibhav Karemore Ravindranath Dhulipalla Dhawal Mody Tushar Shri Rao Swarna Chakarpani V Ranganath |
| author_sort | Vishakha Grover |
| collection | DOAJ |
| description | Dentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledge gaps regarding DH, viz., under-diagnosis, incorrect differential diagnosis, and treatment strategies/recommendations for the management of DH patients in daily clinical practice. The current paper has been envisioned and conceptualized to update the practicing Indian dentists regarding the so-called enigma of dentistry “Dentin Hypersensitivity,” based on the best available contemporary evidence. An expert panel was constituted comprising 30 subject experts from across the country, which after extensive literature review and group discussions formulated these recommendations. The panel advocated routine screening of all dentate patients for exposed dentin areas and DH to avoid under-diagnosis of the condition and suggested an early preventive management. Consensus guidelines/recommendations for the use of desensitizing agents (DAs) at home, including the use of herbal agents, are also provided within the backdrop of the Indian context. The guidelines recommend that active management of DH shall be accomplished by a combination of at home and in-office therapies, starting with the simplest and cost-effective home use of desensitizing toothpastes. A diagnostic decision tree and a flowchart for application in daily practice are designed to manage the patients suffering from DH or presenting with exposed dentin areas in dentition. Various treatment methods to manage DH have been discussed in the paper, including the insights from previously published treatment guidelines. Further, a novel system of classification of DH patients based on specific case definitions has been developed for the first time. Explicit charts regarding the available treatment options and the chronology of institution of the agent, for the management in different case categories of DH, have been provided for quick reference. The management strategy takes into account a decision algorithm based on hierarchy of complexity of treatment options and intends to improve the quality of life of the patient by long-term maintenance with an innovatively defined triple C's or 3Cs approach. |
| first_indexed | 2024-12-10T22:50:11Z |
| format | Article |
| id | doaj.art-f0661b13369e418e8415ba1b8ed5a747 |
| institution | Directory Open Access Journal |
| issn | 0972-124X |
| language | English |
| last_indexed | 2024-12-10T22:50:11Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Indian Society of Periodontology |
| spelling | doaj.art-f0661b13369e418e8415ba1b8ed5a7472022-12-22T01:30:28ZengWolters Kluwer Medknow PublicationsJournal of Indian Society of Periodontology0972-124X2022-01-0126430733310.4103/jisp.jisp_233_22ISP good clinical practice recommendations for the management of dentin hypersensitivityVishakha GroverAshish KumarAshish JainAnirban ChatterjeeHarpreet Singh GroverNymphea PanditAnurag SatpathyBaiju Radhamoni Madhavan PillaiAnil MelathDeepa DhruvakumarRoshani ThakurNilesh V JoshiNeeraj DeshpandeHimanshu DadlaniA Archana MeenakshiK P AshokK Vinathi ReddyMeenu Taneja BhasinSanjeev Kumar SalariaAbhishek VermaRajesh Prabhakar GaikwadHemant DarekarRamesh AmirisettyMangesh PhadnaikVaibhav KaremoreRavindranath DhulipallaDhawal ModyTushar Shri RaoSwarna ChakarpaniV RanganathDentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledge gaps regarding DH, viz., under-diagnosis, incorrect differential diagnosis, and treatment strategies/recommendations for the management of DH patients in daily clinical practice. The current paper has been envisioned and conceptualized to update the practicing Indian dentists regarding the so-called enigma of dentistry “Dentin Hypersensitivity,” based on the best available contemporary evidence. An expert panel was constituted comprising 30 subject experts from across the country, which after extensive literature review and group discussions formulated these recommendations. The panel advocated routine screening of all dentate patients for exposed dentin areas and DH to avoid under-diagnosis of the condition and suggested an early preventive management. Consensus guidelines/recommendations for the use of desensitizing agents (DAs) at home, including the use of herbal agents, are also provided within the backdrop of the Indian context. The guidelines recommend that active management of DH shall be accomplished by a combination of at home and in-office therapies, starting with the simplest and cost-effective home use of desensitizing toothpastes. A diagnostic decision tree and a flowchart for application in daily practice are designed to manage the patients suffering from DH or presenting with exposed dentin areas in dentition. Various treatment methods to manage DH have been discussed in the paper, including the insights from previously published treatment guidelines. Further, a novel system of classification of DH patients based on specific case definitions has been developed for the first time. Explicit charts regarding the available treatment options and the chronology of institution of the agent, for the management in different case categories of DH, have been provided for quick reference. The management strategy takes into account a decision algorithm based on hierarchy of complexity of treatment options and intends to improve the quality of life of the patient by long-term maintenance with an innovatively defined triple C's or 3Cs approach.http://www.jisponline.com/article.asp?issn=0972-124X;year=2022;volume=26;issue=4;spage=307;epage=333;aulast=Groverclassificationdentin hypersensitivitydasdiagnosisdifferential diagnosismanagement |
| spellingShingle | Vishakha Grover Ashish Kumar Ashish Jain Anirban Chatterjee Harpreet Singh Grover Nymphea Pandit Anurag Satpathy Baiju Radhamoni Madhavan Pillai Anil Melath Deepa Dhruvakumar Roshani Thakur Nilesh V Joshi Neeraj Deshpande Himanshu Dadlani A Archana Meenakshi K P Ashok K Vinathi Reddy Meenu Taneja Bhasin Sanjeev Kumar Salaria Abhishek Verma Rajesh Prabhakar Gaikwad Hemant Darekar Ramesh Amirisetty Mangesh Phadnaik Vaibhav Karemore Ravindranath Dhulipalla Dhawal Mody Tushar Shri Rao Swarna Chakarpani V Ranganath ISP good clinical practice recommendations for the management of dentin hypersensitivity Journal of Indian Society of Periodontology classification dentin hypersensitivity das diagnosis differential diagnosis management |
| title | ISP good clinical practice recommendations for the management of dentin hypersensitivity |
| title_full | ISP good clinical practice recommendations for the management of dentin hypersensitivity |
| title_fullStr | ISP good clinical practice recommendations for the management of dentin hypersensitivity |
| title_full_unstemmed | ISP good clinical practice recommendations for the management of dentin hypersensitivity |
| title_short | ISP good clinical practice recommendations for the management of dentin hypersensitivity |
| title_sort | isp good clinical practice recommendations for the management of dentin hypersensitivity |
| topic | classification dentin hypersensitivity das diagnosis differential diagnosis management |
| url | http://www.jisponline.com/article.asp?issn=0972-124X;year=2022;volume=26;issue=4;spage=307;epage=333;aulast=Grover |
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