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A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS).

Martens LC - Clin Oral Investig (2012)

Bottom Line: This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options.In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies.Starting with the use of desensitizing toothpastes is strongly recommended.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Dentistry and Special care, PaeCaMeD research, Ghent University, De Pintelaan 185 (P8), B-900, Gent, Belgium. Luc.martens@ugent.be

ABSTRACT

Introduction: Dentin hypersensitivity (DHS) is a problematic clinical entity that may become an increasing clinical problem for dentists to treat as a consequence of patients retaining their teeth throughout life and improved oral hygiene practices.

Objectives: The aim of this review was to develop a decision tree for the management of exposed cervical dentin (ECD) and DHS.

Material and methods: A brief PUBMED literature search was performed on dentin hypersensitivity using "MeSH" terms, "review", and "management". In addition, some websites and local guidelines were screened.

Results: From this review, it became clear that all dentate patients should routinely be screened for ECD and DHS. In this respect, underdiagnosis of the condition will be avoided and the preventive management can be initiated early.

Conclusion: A decision tree process and a flowchart for daily practice were designed which should be started up as soon as a patient present with ECD or suffers from DHS. This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options. In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies. Starting with the use of desensitizing toothpastes is strongly recommended.

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Related in: MedlinePlus

A Treatment decision tree for patients with dentin hypersensitivity (DHS) and a decreased quality of life (QoL) (modified from the Canadian Advisory Board on Dentin Hypersensitivity-2003)
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Related In: Results  -  Collection


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Fig2: A Treatment decision tree for patients with dentin hypersensitivity (DHS) and a decreased quality of life (QoL) (modified from the Canadian Advisory Board on Dentin Hypersensitivity-2003)

Mentions: In a first approach, Fig. 1. illustrates how to start the thinking and managing process when ECD is occasionally found during routine check ups. As soon as ECD is seen, one should initiate a further screening asking some specific questions (cfr Fig. 2 (Aa)):Fig. 1


A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS).

Martens LC - Clin Oral Investig (2012)

A Treatment decision tree for patients with dentin hypersensitivity (DHS) and a decreased quality of life (QoL) (modified from the Canadian Advisory Board on Dentin Hypersensitivity-2003)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3585983&req=5

Fig2: A Treatment decision tree for patients with dentin hypersensitivity (DHS) and a decreased quality of life (QoL) (modified from the Canadian Advisory Board on Dentin Hypersensitivity-2003)
Mentions: In a first approach, Fig. 1. illustrates how to start the thinking and managing process when ECD is occasionally found during routine check ups. As soon as ECD is seen, one should initiate a further screening asking some specific questions (cfr Fig. 2 (Aa)):Fig. 1

Bottom Line: This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options.In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies.Starting with the use of desensitizing toothpastes is strongly recommended.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Dentistry and Special care, PaeCaMeD research, Ghent University, De Pintelaan 185 (P8), B-900, Gent, Belgium. Luc.martens@ugent.be

ABSTRACT

Introduction: Dentin hypersensitivity (DHS) is a problematic clinical entity that may become an increasing clinical problem for dentists to treat as a consequence of patients retaining their teeth throughout life and improved oral hygiene practices.

Objectives: The aim of this review was to develop a decision tree for the management of exposed cervical dentin (ECD) and DHS.

Material and methods: A brief PUBMED literature search was performed on dentin hypersensitivity using "MeSH" terms, "review", and "management". In addition, some websites and local guidelines were screened.

Results: From this review, it became clear that all dentate patients should routinely be screened for ECD and DHS. In this respect, underdiagnosis of the condition will be avoided and the preventive management can be initiated early.

Conclusion: A decision tree process and a flowchart for daily practice were designed which should be started up as soon as a patient present with ECD or suffers from DHS. This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options. In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies. Starting with the use of desensitizing toothpastes is strongly recommended.

Show MeSH
Related in: MedlinePlus