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Clinical Oral Investigations

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Open Access 01-03-2013 | Review

Current management of dentin hypersensitivity

Authors: Patrick R. Schmidlin, Phlipp Sahrmann

Published in: Clinical Oral Investigations | Special Issue 1/2013

Abstract

Objectives

The aim of the article was to present an overview of the management strategies of dentin hypersensitivity (DHS) and summarize and discuss the therapeutic options.

Materials and methods

A PubMed literature search was conducted to identify articles dealing with dentin hypersensitivity prophylaxis and treatment. We focussed on meta-analyses of available or controlled clinical trials.

Results

DHS therapy should start with noninvasive individual prophylactic home-care approaches. In-office therapy follows with nerve desensitizing, precipitating, or plugging agents. If the hypersensitivity persists, depending on the hard and soft tissue components at reevaluation, i.e., presence or absence of cervical lesions and the gingival contour, adhesive restorations including sealing or mucogingival surgery may be an option. They allow for the establishment of a physicomechanical barrier. As the placebo effect may play an important role, adequate patient management strategies and positive reinforcement may improve the management of DHS in the future.

Conclusions

Lifelong maintenance under the premise of strict control of the causative factors is crucial in the management of DHS.

Clinical relevance

Clinicians are faced with a broad spectrum of therapeutic options. Therapy should not only focus on pain reduction or better elimination but also on the modification of the exposed cervical dentin area based on the defect type.

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Title: Current management of dentin hypersensitivity
Authors: Patrick R. Schmidlin
Phlipp Sahrmann
Publication date: 01-03-2013
Publisher: Springer-Verlag
Published in: Clinical Oral Investigations / Issue Special Issue 1/2013
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-012-0912-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Current management of dentin hypersensitivity

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusions

Clinical relevance

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Other articles of this Special Issue 1/2013

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How to make a link between Oral Health-Related Quality of Life and dentin hypersensitivity in the dental office?

How valid and applicable are current diagnostic criteria and assessment methods for dentin hypersensitivity? An overview

Foreword

What are the unmet needs in the dental office/at home to treat dentin hypersensitivity?

Epidemiology of dentin hypersensitivity