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Wednesday april 2 2014 own
1. WEDNESDAY APRIL 2 2014
The Periodontic TimesPreventive
Recommendatio
ns
Dentin Hypersensitivity -“ The Common
Cold of
Dentistry”
DENTIN HYPERSENSTIVITY is characterized by short, sharp
pain arising from exposed dentin in response to stimuli typically
thermal, evaporative, tactile, osmotic or chemical & which can not
be ascribed to any other form of dental defect or pathology.
• PREVELANCE : 4-57 % in general population.
60-98% in periodontally compromised patients.
adults > 20-50 years.
• ETIOLOGY :
•ENAMEL LOSS.
•LOSS OF COVERING
PERIODONTAL STRUCTURES.
Recent Advances: Bio –active glass, flouride iontophoresis, casein phosphopeptide-
amorphous calcium phosphate, Nd –YAG laser ,Er-YAG laser
PRESENTED BY: MAHAK PRUTHI (INTERN)
Suggestion for
Professionals :
•Avoid over instrumentation
during scaling and root planing.
•Avoid violating biologic width.
•Avoid burning of gingival
tissues.
Phytocomplexes :
Oxalate containing mint,
spinach & rhubarb.
Phytocomplexes formed reduces
dentinal permeability.
AT HOME : DESENSITISING
THERAPY >tooth pastes, mouth rinse
& chewing gums containing Strontium
chloride, potassium nitrate, potassium
oxalates, sodium monoflorophosphate,
potassium citrate, sodium flouride
Management : “ A Sensitive Issue”
IN OFFICE NON-INVASIVE TREATMENT
• Varnishes.
• Bonding agents.
IN OFFICE INVASIVE TREATMENT
•Mucogingival Surgeries.
•Restorations.
•Pulpectomy.
ABRASION
ARRRITION
GINGIVAL
RECESSION
EROSION