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Dentin Hypersensitivity
For Dental Theory
20
Health Care
Undergraduate 3
03/23/2011

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Term
Hypersensitivity
Definition
Transient sharp pain arising from exposed dentin typically in response to chemical, thermal, tactile, or osmotic stimuli that subsides quickly when stimulus is removed
Term
What makes a tooth hurt?
Definition
- Tactile (toothbrushing)
- Chemical (acids from food)
- Thermal
- Osmotic (salt and sugar concentration)
- Bacerial (acids from bacteria)
Term
Hypersensitivity Pain is
Definition
sharp, brief and localized
Term
Acute Pulpal Pain is
Definition
constant and severe
Term
Chronic pulpitis pain is
Definition
a recurring episode of pain
Term
Causes of Hypersensitivity
Definition
Recession
Over-contoured crown
Toothbrush abrasion
Bruxism, parafunction
Chemical Erosion
Bleaching
Term
% of population who experience it
Definition
8-15%
Term
% of patients who are in periodontal practices
Definition
80%
Term
Most common ages who experience hypersensitivity
Definition
30-40 years
Term
% of teeth with exposed dentin @ CEJ
Definition
10%
Term
More or less tubules are exposed within a hypersensitive tooth
Definition
MORE
Term
Diameter is wider at
Definition
dentinoenamel and dentinocemental junctions
Term
Factors contributing to hypersensitivity
Definition
loss of smear layer
loss of gingiva
loss of cementum
loss of enamel
Term
Smear Layer
Definition
Thin, tenacious, crystalline layer present on exposed dentinal surfaces after instrumentation
Term
Type of blockage on tubules that causes less sensitivity
Definition
thick and amorphous
Term
Causes of Recession
Definition
Instrumentation in shallow pockets
Orthodontic Treatment
Restorative Procedures and Oral Surgery
Vigorous Home Care
Term
How thick is cementum?
Definition
0.05 mm
Term
Other ways tubules will fill?
Definition
- reparative, secondary and peritubular dentin in response to trauma
- deposits of minerals through dentifrice, fluoride, diet, saliva, smear layer
- calculus
Term
During patient care you should?
Definition
Inquire about sensitive areas
Do not spray air
Inform patient of procedures that might cause sensitivity
OHI
Review diet and oral habits
Term
Properties of Varnish
Definition
Sets in the presence of moisture
Provides immediate fluoride uptake
Remains on teeth until brushed off
Promotes remineralization during cariogenic challenge
May interact with other Fl preparations
Typically applied with brush technique
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