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Dentine hypersensitivity: a review.

B Collaert1, C Fischer

  • 1Department of Periodontology, University of Lund, Malmo, Sweden.

Endodontics & Dental Traumatology
|August 1, 1991
PubMed
Summary
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Dentine hypersensitivity, a common pain, stems from fluid flow in dentinal tubules exciting nerves. Treatments aim to block this flow or desensitize nerves, but more research is needed due to ambiguous clinical data.

Area of Science:

  • Dentistry
  • Oral Health
  • Pain Management

Background:

  • Dentine hypersensitivity is a prevalent painful oral condition.
  • Potential causes include pulpal inflammation, aggressive oral hygiene, and dietary factors.
  • The mechanism is thought to involve fluid movement within dentinal tubules stimulating pulp nerve endings.

Purpose of the Study:

  • To review the etiology and treatment of dentine hypersensitivity.
  • To highlight the mechanisms of action for various desensitizing agents.
  • To underscore the need for further research due to current data limitations.

Main Methods:

  • Literature review of studies on dentine hypersensitivity.
  • Analysis of etiological factors and proposed mechanisms.

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  • Categorization of treatment modalities based on their mode of action.

    • Main Results:

    • Fluid flow in dentinal tubules is the primary proposed cause of hypersensitivity.
    • Treatments focus on occluding tubules (e.g., fluoride compounds, resins) or nerve desensitization (e.g., potassium nitrate).
    • Clinical evidence for treatment efficacy is often ambiguous.

    Conclusions:

    • Effective management of dentine hypersensitivity requires addressing fluid flow or nerve excitability.
    • Further research is crucial to clarify the role of various factors and optimize treatment strategies.
    • A deeper understanding of dentine hypersensitivity's multifactorial nature is needed for improved patient outcomes.