Introduction
Aim
Materials and methods
(‘diagnosis’[Subheading] OR ‘diagnosis’[All Fields] OR ‘diagnosis’[MeSH Terms]) AND (‘therapy’[Subheading] OR ‘therapy’[All Fields] OR ‘treatment’[All Fields] OR ‘therapeutics’[MeSH Terms] OR ‘therapeutics’[All Fields]) AND (‘dentin sensitivity’[MeSH Terms] OR (‘dentin’[All Fields] AND ‘sensitivity’[All Fields]) OR ‘dentin sensitivity’[All Fields]).
(‘organization and administration’[MeSH Terms] OR (‘organization’[All Fields] AND ‘administration’[All Fields]) OR ‘organization and administration’[All Fields] OR ‘management’[All Fields] OR ‘disease management’[MeSH Terms] OR (‘disease’[All Fields] AND ‘management’[All Fields]) OR ‘disease management’[All Fields]) AND (‘diagnosis’[Subheading] OR ‘diagnosis’[All Fields] OR (‘differential’[All Fields] AND ‘diagnosis’[All Fields]) OR ‘differential diagnosis’[All Fields] OR ‘diagnosis, differential’[MeSH Terms] OR (‘diagnosis’[All Fields] AND ‘differential’[All Fields]) OR ‘differential diagnosis’[All Fields] OR (‘differential’[All Fields] AND ‘diagnosis’[All Fields])) AND (‘dentin sensitivity’[MeSH Terms] OR (‘dentin’[All Fields] AND ‘sensitivity’[All Fields]) OR ‘dentin sensitivity’[All Fields]).
Results
Discussion
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Overenthusiastic brushers
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Periodontal treated patients
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Bulimics
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People with xerostomia
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High-acid food/drink consumers
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Older people exhibiting gingival recession
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Chewing ‘smokeless’ or ‘snuff’ tobacco
Authors | Country | Setting | Study type |
n
| Prevalence (%) |
---|---|---|---|---|---|
Schuurs et al. [17] | Netherlands | Practice | Questionnaire (postal) | 259 | 9.8 |
Gillam et al. [35] | UK | Practice | Questionnaire (postal) | 181 | 25 |
Canadian Advisory Board on DHS [5] | Canada | Practice-based dentists/hygienists | Questionnaire (postal) | 542 | Prevalence was underestimated. |
Wang et al. [36] | China | Dentists across China (unsure whether the setting is practice based or hospital based) | Questionnaire (postal) | 1,326 | Prevalence was underestimated. |
86 % of respondents indicated that most of their patients with hypersensitivity were younger than 50 years old. | |||||
Amarasena et al. [15] | Australia | Practice | Questionnaire (postal) | 284 | <20 |
History taking, oral examination and diagnosis
How to identify (diagnosis and differential diagnosis)
Cracked tooth syndrome |
Fractured restorations |
Fractured teeth |
Dental caries |
Post-operative sensitivity (from restorative, periodontal and bleaching procedures) |
Acute hyperfunction of teeth |
Atypical facial odontalgia |
Palatal-gingival groove |
Hypoplastic enamel |
Congenitally open cementum–enamel junction |
Improperly insulated metallic restorations |
Mechanical (tactile) stimuli |
Explorer probe |
Constant pressure probe (Yeaple) |
Mechanical pressure stimulators |
Scaling procedures |
Single-tufted brush |
Chemical (osmotic) stimuli |
Hypertonic solutions, for example, sodium chloride, glucose, sucrose and calcium chloride |
Electrical stimulation |
Electrical pulp testers |
Dental pulp stethoscope |
Evaporative stimuli |
Cold air blast |
Yeh air thermal system |
Air jet stimulator |
Temptronic device (microprocessor temperature-controlled air delivery system) |
Thermal stimuli |
Electronic threshold measurement device |
Cold water testing |
Heat |
Thermo-electric devices (e.g. Biomat Thermal Probe) |
Ethyl chloride |
Ice stick |
Etiology | Pain character and timing | Pain intensity | Proving factors | Relieving factors | Associated features |
---|---|---|---|---|---|
Dentin hypersensitivity | Sharp, stabbing, stimulation evoked | Mild to moderate | Thermal, tactile, chemical, osmotic | Removal of the stimulus | Attrition, erosion, abrasion, abfraction |
Reversible pulpitis | Sharp, stimulation evoked | Mild to moderate | Hot, cold, sweet | Removal of the stimulus | Caries, restorations |
Irreversible pulpitis | Sharp, throbbing, intermittent/continuous | Severe | Hot, chewing, lying flat | Cold in the late stages | Deep caries |
Cracked tooth syndrome | Sharp intermittent | Moderate to severe | Biting, ‘rebound pain’ | Trauma, parafunction | |
Periapical periodontitis | Deep, continuous boring | Moderate to severe | Biting | Removal of trauma | Periapical redness, swelling, mobility |
Lateral periodontal abscess | Deep continuous aching | Moderate to severe | Biting | Deep pockets redness and swelling | |
Pericoronitis | Continuous | Moderate to severe | Biting | Removal of trauma | Fever, malaise, imprint of upper tooth |
Dry socket (acute alveolar osteitis) | Continuous 4–5 days post-extraction | Moderate to severe | Irrigation | Loss of clot, exposed bone |