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Methods of measuring tooth hypersensitivity.

I Kleinberg1, H W Kaufman, F Confessore

  • 1Department of Oral Biology and Pathology, School of Dental Medicine, State University of New York, Stony Brook.

Dental Clinics of North America
|July 1, 1990
PubMed
Summary

Dentinal hypersensitivity, a common dental issue affecting one in seven patients, is measured using various stimuli like thermal, tactile, and electrical methods. Assessing this tooth sensitivity often requires employing multiple diagnostic techniques for accurate evaluation.

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Area of Science:

  • Dentistry
  • Oral Health
  • Pain Management

Background:

  • Dentinal hypersensitivity is a prevalent condition affecting a significant portion of the dental patient population.
  • It is characterized by sharp, sudden pain triggered by various stimuli.
  • Understanding its measurement is crucial for effective diagnosis and treatment.

Purpose of the Study:

  • To outline the diverse stimuli and methods used to assess dentinal hypersensitivity.
  • To highlight the complexity and multi-faceted nature of measuring tooth sensitivity.
  • To underscore the importance of comprehensive assessment in dental practice.

Main Methods:

  • Utilizing thermal stimuli (air, cold/hot probes) to evoke pain responses.
  • Employing tactile methods, from simple explorers to pressure-quantifying devices.

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  • Applying electrical stimuli with gradually increasing intensity until a pre-pain sensation is perceived.
  • Main Results:

    • Multiple stimuli (thermal, tactile, osmotic, electrical, air) can elicit pain in hypersensitive teeth.
    • Various techniques exist for quantifying tactile and thermal sensitivity.
    • Electrical stimulation involves progressive intensity adjustments to elicit a pre-pain response.

    Conclusions:

    • Accurate assessment of dentinal hypersensitivity typically necessitates the use of more than one measurement method.
    • The condition affects an estimated one in seven dental patients.
    • A thorough diagnostic approach is vital for managing dentinal hypersensitivity effectively.