Dentin Hypersensitivity in Dental Practice: Prevalence, Assessment and Management

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Do your patients suffer from tooth sensitivity?

Dentin hypersensitivity (sensitive teeth) can be underreported by patients who adapt their habits to avoid sensitivity triggers. This article identifies groups who may be at increased risk, and outlines approaches to managing sensitive dentin.

  • Prevalence and patient impact: Dentin hypersensitivity is generally reported in approximately 25%–30% of the adult population¹ and can affect daily activities, with patients adjusting habits to avoid sensitivity triggers.²
  • Assessment: Diagnosis is differential and should rule out other causes of similar pain.³ The article outlines history-taking questions and clinical examination.⁴
  • Patients at risk: Patients who may be at risk include those undergoing periodontal treatment, in whom cervical dentin sensitivity ranged from 72% to 98% in a pilot study of patients referred to a periodontology department;⁵ patients who overbrush;⁶ and patients with an acidic diet or gastric reflux.⁷
  • Management approaches: Two approaches to managing sensitive dentin are nerve desensitization, such as potassium nitrate, and tubule occlusion, such as stannous fluoride.³

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