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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

Flowchart for the diagnosis and management of dentin hypersensitivity (DHS) in daily practice (based on Ochardsen and Gillam 2006 and on the Special topic nr 6 on Sensitive teeth by Colgate and the Adelaide University)
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Related In: Results  -  Collection


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Fig3: Flowchart for the diagnosis and management of dentin hypersensitivity (DHS) in daily practice (based on Ochardsen and Gillam 2006 and on the Special topic nr 6 on Sensitive teeth by Colgate and the Adelaide University)

Mentions: Probably, for general dentists, the presented decision tree seems rather complicated. A more handy flowchart [11, 13] for daily use is also proposed (Fig. 3).Fig. 3


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

Martens LC - Clin Oral Investig (2012)

Flowchart for the diagnosis and management of dentin hypersensitivity (DHS) in daily practice (based on Ochardsen and Gillam 2006 and on the Special topic nr 6 on Sensitive teeth by Colgate and the Adelaide University)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

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

Fig3: Flowchart for the diagnosis and management of dentin hypersensitivity (DHS) in daily practice (based on Ochardsen and Gillam 2006 and on the Special topic nr 6 on Sensitive teeth by Colgate and the Adelaide University)
Mentions: Probably, for general dentists, the presented decision tree seems rather complicated. A more handy flowchart [11, 13] for daily use is also proposed (Fig. 3).Fig. 3

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