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Advances in the Diagnosis of Dentine Hypersensitivity

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Dentine Hypersensitivity

Abstract

The pain of dentine hypersensitivity (DH); the arresting, short, sharp pain symptoms on stimulation of exposed dentine, is similar to that resulting from a number of oral pain conditions, although aetiologies are wide ranging and of very different origin. The diagnosis of DH is therefore from a systematic method of diagnosing the disorder by exclusion of other pain conditions in the differential diagnosis. While helpful in diagnosis, the presence of features indicative of DH, such as exposed dentine, alone can only suggest that this might be the cause of a patient’s pain, making the diagnosis of DH problematic. Diagnosis and advances in diagnosis which may be helpful to the clinician in general practice will be discussed, together with methods of pain measurement that may be useful in clinical trials.

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References

  • Absi EG, Addy M, Adams D (1992) Dentine hypersensitivity–the effect of toothbrushing and dietary compounds on dentine in vitro: an SEM study. J Oral Rehabil 19:101–110

    Article  PubMed  Google Scholar 

  • Adams D, Addy M, Absi EG (1992) Abrasive and chemical effects of dentifrices. In: Clinical and biological aspects of dentifrices. Oxford University Press, Oxford/New York, pp 173–180, 345–355

    Google Scholar 

  • Addy M (2000) Dentine hypersensitivity: definition, prevalence, distribution and aetiology. In: Addy M, Embery G, Edgar WM, Orchardson R (eds) Tooth wear and sensitivity. Martin Dunitz, London, pp 239–248

    Google Scholar 

  • Addy M (2002) Dentine hypersensitivity: new perspectives on an old problem. Int Dent J 52(Suppl):367–375

    Article  Google Scholar 

  • Addy M, West NX (2013) The role of toothpaste in the aetiology and treatment of dentine hypersensitivity. Monogr Oral Sci 23:75–87

    Article  PubMed  Google Scholar 

  • Addy M, Barlow A, Aydemir A, West NX (2007) Dentine hypersensitivity: is there both stimulus and placebo responses in clinical trials? Int J Dent Hyg 5:53–59

    Article  PubMed  Google Scholar 

  • Amarasena N, Spenser J, Ou Y, Brennan D (2010) Dentine hypersensitivity – Australian dentists’ perspective. Aust Dent J 55:181–187

    Article  PubMed  Google Scholar 

  • Banfield N, Addy M (2004) Dentine hypersensitivity: development and evaluation of a model in situ to study tubule patency. J Clin Periodontol 31:325–335

    Article  PubMed  Google Scholar 

  • Bekes K, John MT, Schaller H-G, Hirsch C (2008) Oral health-related quality of life in patients seeking care for dentin hypersensitivity. J Oral Rehabil 36:45–51

    Article  Google Scholar 

  • Bender IB (2000) Pulpal pain diagnosis—a review. J Endod 26(3):175–179

    Article  PubMed  Google Scholar 

  • Boiko OV, Baker SR, Gibson BJ, Locker D, Sufi F, Barlow APS, Robinson PG (2010) Construction and validation of the quality of life measure for dentine hypersensitivity (DHEQ). J Clin Periodontol 37:973–980

    Article  PubMed  Google Scholar 

  • Canadian Advisory Board on Dentine Hypersensitivity (2003) Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc 69:221–226

    Google Scholar 

  • Clark GE, Troullos ES (1990) Designing hypersensitivity clinical studies. Dent Clin N Am 34:531–544

    PubMed  Google Scholar 

  • Claydon NCA, Addy M, MacDonald EL, West NX, Maggio B, Barlow A, Parkinson C, Butler A (2009) Development of an in situ methodology for the clinical evaluation of dentine hypersensitivity occlusion ingredients. J Clin Dent 20:158–166

    PubMed  Google Scholar 

  • Cooper JS, Bokmeyer TJ, Bowles WH (1992) Penetration of the pulp chamber by carbamide peroxide bleaching agents. J Endod 18:315–317

    Article  PubMed  Google Scholar 

  • Costa RS, Rios FS, Moura MS, Jardim JJ, Maltz M, Haas AN (2014) Prevalence and risk indicators of dentine hypersensitivity in adult and elderly populations from Porto Alegre, Brazil. J Periodontol 86:1247–1258

    Google Scholar 

  • Cunha-Cruz J, Wataha JC, Zhou L, Manning W, Trantow M, Bettendorf MM, Heaton LJ, Berg J (2010) Treating dentin hypersensitivity: therapeutic choices made by dentists of the northwest PRECEDENT network. J Am Dent Assoc 141(9):1097–1105

    Google Scholar 

  • Dahl JE, Pallesen U (2003) Tooth bleaching–a critical review of the biological aspects. CROBM 14:292

    Google Scholar 

  • Dhaliwal JS, Palwankar P, Khinda PK, Sodhi SK (2012) Prevalence of dentine hypersensitivity: a cross-sectional study in rural Punjabi Indians. J Indian Soc Periodontol 16:426–429

    Article  PubMed Central  PubMed  Google Scholar 

  • Dworkin SF, Chen AC (1982) Pain in clinical and laboratory contexts. J Dent Res 61:772–774

    Article  PubMed  Google Scholar 

  • Flynn J, Galloway R, Orchardson R (1985) The incidence of hypersensitive teeth in the West of Scotland. J Dent 13:230–236

    Article  PubMed  Google Scholar 

  • GarcĂ­a-Godoy F (2013) The Jay Sensitivity Sensor Probe to evaluate tactile sensitivity. Am J Dent 26: (Spec B) 2B

    Google Scholar 

  • Garcia-Godoy F, Trushkowsky RD (2013) A diagnostic device to record dentin hypersensitivity. Am J Dent 26:3B–4B

    PubMed  Google Scholar 

  • Gernhardt CR (2013) How valid and applicable are current diagnostic criteria and assessment methods for dentin hypersensitivity? An overview. Clin Oral Invest 17:S31–S40

    Article  Google Scholar 

  • Gillam DG (2013) Current diagnosis of dentine hypersensitivity in the dental office: an overview. Clin Oral Invest 17:S21–S29

    Article  Google Scholar 

  • Gillam DG, Newman HN (1993) Assessment of pain in cervical dentinal sensitivity studies. A review. J Clin Periodontol 20(6):383–394

    Article  PubMed  Google Scholar 

  • Gillam DG, Orchardson R (2006) Advances in the treatment of root dentine sensitivity: mechanisms and treatment principles. Endod Top 13:13–33

    Article  Google Scholar 

  • Gillam D, Orchardson R, Nähri M, Konyyuri-Nähri V (2000) Present and future methods for evaluation of pain associated with dentine hypersensitivity. In: Addy M, Embery G, Edgar WM, Orchardson R (eds) Tooth wear and sensitivity. Martin Dunitz, London, pp 283–298

    Google Scholar 

  • Gillam DG, Aris A, Bulman JS, Newman HN, Ley F (2002) Dentine hypersensitivity in subjects recruited for clinical trials: clinical evaluation, prevalence and intra-oral distribution. J Oral Rehabil 29:226–231

    Article  PubMed  Google Scholar 

  • Gillam DG, Chesters R, Attrill D, Brunton P, Slater M, Strand P, Whelton H, Bartlett D (2013) Dentine hypersensitivity–guidelines for the management of a common oral health problem. Dent Update 40(7):514–516, 518–520, 523–514

    PubMed  Google Scholar 

  • Grisius MM (2001) Salivary gland dysfunction: a review of systemic therapies. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 92(2):156–162

    Article  PubMed  Google Scholar 

  • Heaton LJ, Barlow AP, Coldwell SE (2013) Development of labelled magnitude scales for the assessment of pain of dentine hypersensitivity. J Orofac Pain 27:72–81

    Article  PubMed Central  PubMed  Google Scholar 

  • Heft MW, Parker SR (1984) An experimental basis for revising the graphic rating scale for pain. Pain 19:153–161

    Article  PubMed  Google Scholar 

  • Hegde S, Rao BH, Kakar RC, Kakr A (2013) A comparison of dentifrices for clinical relief from dentin hypersensitivity using the Jay Sensitivity Sensor Probe. Am J Dent 26:29B–36B

    PubMed  Google Scholar 

  • Holland GR, Nahri MN, Addy M, Gangarosa L, Orchardson R (1997) Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 24:808–813

    Article  PubMed  Google Scholar 

  • Kakar A, Kakar K (2013) Measurement of dentin hypersensitivity with the Jay Sensitivity Sensor Probe and the Yeaple probe to compare relief from dentin hypersensitivity by dentifrices. Am J Dent 26:21B–28B

    PubMed  Google Scholar 

  • Kakar A, Dilbart S, Kakr K (2013) Clinical assessment of a new dentifrice with 8% arginine and calcium carbonate on dentin hypersensitivity in an Indian population using a new measuring device: the Jay Sensitivity Sensor Probe. Am J Dent 26:13B–20B

    PubMed  Google Scholar 

  • Kontturi-Narhi V, Narhi M (1993) Testing sensitive dentin in man. Int J Endod 26:4

    Article  Google Scholar 

  • Mason S, Hughes N, Sufi F, Bannon L, Maggio B, North M, Holt J (2010) A comparative clinical study investigating the efficacy of a dentifrice containing 8% strontium acetate and 1040ppm fluoride in a silica base and a control dentifrice containing 1450ppm fluoride in a silica base to provide immediate relief of dentine hypersensitivity. J Clin Dent 21:42–48

    PubMed  Google Scholar 

  • Matthews B, Andrew D, Wanachantararak S (2000) Biology of the dental pulp with special reference to its vasculature and innervations. In: Addy M, Embery G, Edgar WM, Orchardson R (eds) Tooth wear and sensitivity. Martin Dunitz, London, pp 39–51

    Google Scholar 

  • McCambridge J, Witton J, Elbourne DR (2014) Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects. J Clin Epidemiol 67:267–277

    Article  PubMed Central  PubMed  Google Scholar 

  • Melzack R (1975) The McGill pain questionnaire: major properties and scoring methods. Pain 1:277–299

    Article  PubMed  Google Scholar 

  • Miglani S, Aggarwal V, Ahuja B (2010) Dentin hypersensitivity: recent trends in management. J Conserv Dent 13:218–224

    Article  PubMed Central  PubMed  Google Scholar 

  • Nahri M, Kontturi-Nahri V, Markkanen H (1991) Sensitivity of teeth with exposed dentine to air blasts, cold and electrical stimulation. J Dent Res 70:488

    Google Scholar 

  • NHS England (2014) Dental contract uplift and efficiencies 2014/15. www.england.nhs.uk/2014/03/31/dental-contract/

  • Oktay C, Eken C, Ozbek K, Ankun G, Eray O, Avci AB (2008) Pain perception of patients predisposed to anxiety and depressive disorders in emergency department. Pain Manag Nurs 9:150–153

    Article  PubMed  Google Scholar 

  • Patri G, Agnihotri Y, Rao SR, Lakshmi N, Das S (2013) An in vitro spectrophotometric analysis of the penetration of bleaching agent into the pulp chamber of intact and restored teeth. J Clin Diagn Res Dec 7(12):3057–3059

    Google Scholar 

  • Porto IC, Andrade AK, Montes MA (2009) Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci 51:323–332

    Article  PubMed  Google Scholar 

  • Que K, Ruan J, Fan X, Liang X, Hu D (2010) A multi-centre and cross-sectional study of dentine hypersensitivity in China. J Clin Periodontol 37:631–637

    Article  PubMed  Google Scholar 

  • Rahiotis C, Polychronopoulou A, Tsiklakis K, Kakboura A (2013) Cervical dentin hypersensitivity: a cross sectional investigation in Athens, Greece. J Oral Rehabil 40:948–957

    Article  PubMed  Google Scholar 

  • Rane P, Pujaria S, Patel P, Gandhewar M, Madria K, Dhume S (2013) Epidemiological study to evaluate the prevalence of dentine hypersensitivity among patients. J Int Oral Health 5:15–19

    Article  PubMed Central  PubMed  Google Scholar 

  • Schiff T, He T, Sagel L, Baker R (2006) Efficacy and safety of a novel stabilized stannous fluoride and sodium hexametaphosphate dentifrice for dentinal hypersensitivity. J Contemp Dent Pract 7:1–8

    PubMed  Google Scholar 

  • Schiff T, Delgado E, Zhang YP, DeVizio W, Cummins D, Mateo LRN (2009) The clinical effect of a single direct topical application of a dentifrice containing 8.0% arginine, calcium carbonate, and 1450 ppm fluoride on dentine hypersensitivity: the use of a cotton swab applicator versus the use of a fingertip. J Clin Dent 20:131–136

    PubMed  Google Scholar 

  • Seltzer S, Bender IB, Ziantz M (1963) The dynamics of pulp inflammation: correlation between diagnostic data and actual histological findings in the pulp. Oral Surg Oral Med Oral Pathol 16:846–969

    Article  PubMed  Google Scholar 

  • Sowinski JA, Kakar A, Kakar K (2013) Clinical evaluation of the Jay sensitivity senor probe: a new microprocessor-controlled instrument to evaluate dentin hypersensitivity. Am J Dent 26:5B–12B

    PubMed  Google Scholar 

  • Tam L (1999) The safety of home bleaching techniques. J Can Dent Assoc 65:453–455

    PubMed  Google Scholar 

  • Tejaswi B, Anand S (2014) Effectiveness of various diagnostic tests in the diagnosing dentinal hypersensitivity – a systematic review. J Dent Med Sci 13:7–92

    Google Scholar 

  • Terry DA (2011) Cervical dentine hypersensitivity: etiology, diagnosis, and management. Dent Today 30:61–62

    PubMed  Google Scholar 

  • Turp JC (2013) Discussion: how can we improve diagnosis of dentin hypersensitivity in the dental office. Clin Oral Investig 17:S53–S54

    Article  PubMed  Google Scholar 

  • Tydesley WR, Mumford JM (1970) Dental pain and the histological condition of the pulp. Dent Pract 20:333–336

    Google Scholar 

  • West NX, Addy M, Jackson RJ, Ridge DB (1997) Dentine hypersensitivity and the placebo response. A comparison of the effect of strontium acetate, potassium nitrate and fluoride toothpastes. J Clin Periodontol 24:209–215

    Article  PubMed  Google Scholar 

  • West NX, Hooper SM, O’Sullivan D, Hughes N, North M, Macdonald EL, Davies M, Claydon NCA (2012) In situ randomised trial investigating abrasive effects of two desensitising toothpastes on dentine with acidic challenge prior to brushing. J Dent 40:77–85

    Article  PubMed  Google Scholar 

  • West NX, Lussi A, Seong J, Hellwig E (2013a) Dentin hypersensitivity: pain mechanisms and aetiology of exposed cervical dentin. Clin Oral Investig 17(Suppl 1):S9–S19

    Article  PubMed  Google Scholar 

  • West NX, Sanz M, Lussi A, Bartlett D, Bouchard P, Bourgeois D (2013b) Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. J Dent 41(10):841–851

    Article  PubMed  Google Scholar 

  • White DJ, Lawless MA, Fatade A, Baig A, von Koppenfels R, Duschner H, Gotz H (2007) Stannous fluoride/sodium hexametaphosphate dentifrice increases resistance to tubule exposure in vitro. J Clin Dent 18:55–59

    PubMed  Google Scholar 

  • Yates R, West N, Addy M, Marlow I (1998) The effects of potassium citrate, cetylpyridinium chloride, sodium fluoride mouthrinse on dentine hypersensitivity, plaque and gingivitis. A placebo controlled study. J Clin Periodontol 25:813–820

    Article  PubMed  Google Scholar 

  • Ye W, Feng XP, Li R (2012) The prevalence of dentine hypersensitivity in Chinese adults. J Oral Rehabil 39:182–187

    Article  PubMed  Google Scholar 

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Correspondence to Nicola West BDS, FDS, RCS, PhD, FDS .

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Seong, J., West, N. (2015). Advances in the Diagnosis of Dentine Hypersensitivity. In: Gillam, D. (eds) Dentine Hypersensitivity. Springer, Cham. https://doi.org/10.1007/978-3-319-14577-8_5

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  • DOI: https://doi.org/10.1007/978-3-319-14577-8_5

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