Clinician's Guide to the Diagnosis and Management of Tooth Sensitivity

Contents......Page 6
 1.2 Prevalence of DH......Page 7
 1.4 Dentin Hypersensitivity Impact on Quality of Life......Page 10
 1.5 Annex 1.1 Dental Sensitivity Experience Questionnaire 15 Items (DHEQ-15)*......Page 11
 References......Page 13
 2.2 Fluid Flow Models of Sensitivity......Page 15
 2.4 Effects of Inflammation on Sodium Channels in Nerves......Page 17
 2.5 Effects of Bacterial Products on the Pulp......Page 18
 2.6 Dynamics of Smear Layer Loss and Tubule Occlusion......Page 19
 2.7 Spontaneous Healing Mechanisms......Page 22
 2.8 Spontaneously Healing of Hypersensitive Dentin......Page 24
 References......Page 26
 3.1 Introduction......Page 28
   3.3.1.1 Attrition......Page 29
   3.3.1.2 Abrasion......Page 30
   3.3.1.3 Corrosion/Erosion......Page 32
    3.3.1.4.1 Excessive Toothbrushing......Page 34
   3.3.1.5 Abfraction......Page 35
  3.3.3 Physiological Cause......Page 36
  3.3.5 Medical Conditions That Predispose to Dentin Hypersensitivity......Page 37
 References......Page 40
 4.1 Introduction......Page 45
 4.2 Innervation of Human Dentin......Page 46
  4.2.1 Clinical Implications for Intrapulpal Sensory Nerve Fibers......Page 47
 4.3 Characteristics of Pain of Dentin Hypersensitivity and Associated Factors......Page 48
 4.5 Differential Diagnosis of Dentin Hypersensitivity......Page 49
  4.6.1 Tactile Method/Mechanical Stimulation......Page 50
  4.6.4 Dehydrating (Evaporative) Stimuli......Page 51
  Conclusion......Page 52
 References......Page 53
 5.2 Dentin Blocking Agents......Page 55
   5.2.2.1 Casein Phosphopeptide–Amorphous Calcium Phosphate (CPP–ACP)......Page 56
   5.2.2.2 Calcium Carbonate and Arginine (Colgate Pro-Argin™)......Page 58
  5.2.3 Selected Fluoride Formulations......Page 59
 5.3 Nerve Desensitisation and Noci0ception......Page 60
 5.4 Placebo Effect......Page 63
 5.5 Restorative Approaches......Page 64
  5.5.1 Post-operative Sensitivity from Restorative Approaches......Page 70
 5.6 Periodontal Surgical Techniques......Page 72
  Conclusions......Page 74
 References......Page 75
 6.1 Introduction......Page 84
 6.2 Prevention of Tooth Sensitivity......Page 85
 6.3 At-Home Treatment Modalities......Page 88
 6.4 In-Office Treatment Modalities......Page 90
 References......Page 94
 7.2 Epidemiological Studies......Page 100
 7.3 Laboratory Testing......Page 101
 7.4 Clinical Trials......Page 102
 References......Page 103
8: Future Directions for the Treatment of Dentin Hypersensitivity......Page 104
 References......Page 109
Index......Page 110