Managing dentin hypersensitivity

Journal of the American Dental Association

Volumn 137, Issue 7, 2006, Pages 990-998

  Orchardson, Robin ^a   Gillam, David G ^b,c  

^a GLASGOW DENTAL HOSPITAL AND SCHOOL   (United Kingdom)

^b 4 Front Research   (United Kingdom)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

At home treatments; Clinical features; Dentin hypersensitivity; Desensitizing treatments; Etiology; In office treatments; Prevention; Toothpastes

Indexed keywords

EID: 33746596635     PISSN: 00028177     EISSN: None     Source Type: Journal    
DOI: 10.14219/jada.archive.2006.0321     Document Type: Article

References (83)

1. Canadian Advisory Board on Dentin Hypersensitivity. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc 2003;69:221-6.
2. Addy M. Dentine hypersensitivity: definition, prevalence distribution and aetiology. In: Addy M, Embery G, Edgar WM, Orchardson R, eds. Tooth wear and sensitivity: Clinical advances in restorative dentistry. London: Martin Dunitz; 2000:239-48.
3. Orchardson R, Collins WJ. Clinical features of hypersensitive teeth. Br Dent J 1987;162:253-6.
4. Addy M, Mostafa P, Newcombe RG. Dentine hypersensitivity: the distribution of recession, sensitivity and plaque. J Dent 1987;15:242-8.
5. Rees JS, Addy M. A cross-sectional study of dentine hypersensitivity. J Clin Periodontol 2002;29:997-1003.
6. Irwin CR, McCusker P. Prevalence of dentine hypersensitivity in a general dental population. J Ir Dent Assoc 1997;43(1):7-9.
7. Chabanski MB, Gillam DG, Bulman JS, Newman HN. Prevalence of cervical dentine sensitivity in a population of patients referred to a specialist periodontology department. J Clin Periodontol 1996;23:989-92.
8. Gillam DG, Seo HS, Bulman JS, Newman HN. Perceptions of dentine hypersensitivity in a general practice population. J Oral Rehabil 1999;26:710-4.
9. Schuurs AH, Wesselink PR, Eijkman MA, Duivenvoorden HJ. Dentists' views on cervical hypersensitivity and their knowledge of its treatment. Endod Dent Traumatol 1995;11:240-4.
10. Gillam DG, Bulman JS, Eijkman MA, Newman HN. Dentists' perceptions of dentine hypersensitivity and knowledge of its treatment. J Oral Rehabil 2002;29:219-25.
11. Rees JS, Jin LJ, Lam S, Kudanowska I, Vowles R. The prevalence of dentine hypersensitivity in a hospital clinic population in Hong Kong. J Dent 2003;31:453-61.
12. Orchardson R, Cadden SW. An update on the physiology of the dentine-pulp complex. Dent Update 2001;28:200-9.
13. Absi EG, Addy M, Adams D. Dentine hypersensitivity: a study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. J Clin Periodontol 1987;14:280-4.
14. Yoshiyama M, Noiri Y, Ozaki K, Uchida A, Ishikawa Y, Ishida H. Transmission electron microscopic characterization of hypersensitive human radicular dentin. J Dent Res 1990;69:1293-7.
15. Brännström M. A hydrodynamic mechanism in the transmission of pain-producing stimuli through dentine. In: Anderson DJ, ed. Sensory mechanisms in dentine: Proceedings of a symposium, London, September 24th, 1962. Oxford, England: Pergamon; 1963:73-9.
16. Matthews B, Vongsavan N. Interactions between neural and hydrodynamic mechanisms in dentine and pulp. Arch Oral Biol 1994;39(supplement):87S-95S.
17. Dababneh R, Khouri A, Addy M. Dentine hypersensitivity: an enigma? A review of terminology, epidemiology, mechanisms, aetiology and management. Br Dent J 1999;187:606-11.
18. Addy M, Hunter ML. Can tooth brushing damage your health? Effects on oral and dental tissues. Int Dent J 2003;53(supplement 3):177-86.
19. Al-Wahadni A, Linden GJ. Dentine hypersensitivity in Jordanian dental attenders: a case control study. J Clin Periodontol 2002;29:688-93.
20. von Troil B, Needleman I, Sanz M. A systematic review of the prevalence of root sensitivity following periodontal therapy. J Clin Periodontol 2002;29(supplement 3):173-7.
21. Haywood VB. Dentine hypersensitivity: bleaching and restorative considerations for successful management. Int Dent J 2002;52(supplement 5):376-84.
22. Greenhill JD, Pashley DH. The effects of desensitizing agents on the hydraulic conductance of human dentin in vitro. J Dent Res 1981;60:686-98.
23. Mordan NJ, Barber PM, Gillam DG. The dentine disk: a review of its applicability as a model for the in vitro testing of dentine hypersensitivity. J Oral Rehabil 1997;24(2):148-56.
24. Banfield N, Addy M. Dentine hypersensitivity: development and evaluation of a model in situ to study tubule patency. J Clin Periodontol 2004;31:325-35.
25. Pashley DH, Agee K, Zhang Y, Smith A, Tavss EA, Gambogi RJ. The effects of outward forced convective flow on inward diffusion of potassium across human dentin. Am J Dent 2002;15:256-61.
26. Peacock JM, Orchardson R. Effects of potassium ions on action potential conduction in A- and C-fibers of rat spinal nerves. J Dent Res 1995;74:634-41.
27. Peacock JM, Orchardson R. Action potential conduction block of nerves in vitro by potassium citrate, potassium tartrate and potassium oxalate. J Clin Periodontol 1999;26(1):33-7.
28. Orchardson R, Peacock JM, Whitters CJ. Effect of pulsed Nd:YAG laser radiation on action potential conduction in isolated mammalian spinal nerves. Lasers Surg Med 1997;21(2):142-8.
29. Orchardson R, Peacock JM, Whitters CJ. Effects of pulsed Nd:YAG laser radiation on action potential conduction in nerve fibres inside teeth in vitro. J Dent 1998;26:421-6.
30. Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R. Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 1997;24:808-13.
31. Swift EJ Jr. Causes, prevention, and treatment of dentin hypersensitivity. Compend Contin Educ Dent 2004;25(2):95-109.
32. World Health Organization; WHO Expert Committee on Cancer Pain Relief and Active Supportive Care. Cancer pain relief and palliative care: Report of a WHO Expert Committee. World Health Organization technical report series; 804. Geneva: World Health Organization; 1990:1-75.
33. Ciaramicoli MT, Carvalho RCR, Eduardo CP. Treatment of cervical dentin hypersensitivity using neodymium:yttrium-aluminum-garnet laser: clinical evaluation. Lasers Surg Med 2003;33:358-62.
34. Kaufman HW, Wolff MS, Winston AE, Triol CW. Clinical evaluation of the effect of a remineralizing toothpaste on dentinal sensitivity. J Clin Dent 1999;10(1 special number):50-4.
35. Tarbet WJ, Silverman G, Stolman JM, Fratarcangelo PA. Clinical evaluation of a new treatment for dentinal hypersensitivity. J Periodontol 1980;51:535-40.
36. Orchardson R, Gillam DG. The efficacy of potassium salts as agents for treating dentin hypersensitivity. J Orofac Pain 2000; 14(1):9-19.
37. Markowitz K, Bilotto G, Kim S. Decreasing intradental nerve activity in the cat with potassium and divalent cations. Arch Oral Biol 1991;36(1):1-7.
38. Poulsen S, Errboe M, Hovgaard O, Worthington HW. Potassium nitrate toothpaste for dentine hypersensitivity (Cochrane Review). In: The Cochrane Library. Oxford, England: Update Software; 2005; 1.
39. Schiff T, Zhang YP, DeVizio W, et al. A randomized clinical trial of the desensitizing efficacy of three dentifrices. Compend Contin Educ Dent 2000;21(supplement 27):4-10.
40. Sowinski JA, Battista GW, Petrone ME, et al. A new desensitizing dentifrice: an 8-week clinical investigation. Compend Contin Educ Dent 2000;21(supplement 27):11-6.
41. Schiff T, Bonta Y, Proskin HM, DeVizio W, Petrone M, Volpe AR. Desensitizing efficacy of a new dentifrice containing 5.0% potassium nitrate and 0.454% stannous fluoride. Am J Dent 2000;13(3):111-5.
42. Sowinski JA, Bonta Y, Battista GW, et al. Desensitizing efficacy of Colgate Sensitive Maximum Strength and Fresh Mint Sensodyne dentifrices. Am J Dent 2000;13(3):116-20.
43. Sowinski JA, Ayad F, Petrone M, et al. Comparative investigations of the desensitising efficacy of a new dentifrice. J Clin Periodontol 2001;28:1032-6.
44. Wara-aswapati N, Krongnawakul D, Jiraviboon D, Adulyanon S, Karimbux N, Pitiphat W. The effect of a new toothpaste containing potassium nitrate and triclosan on gingival health, plaque formation and dentine hypersensitivity. J Clin Periodontol 2005;32(1):53-8.
45. Hu D, Zhang YP, Chaknis P, Petrone ME, Volpe AR, DeVizio W. Comparative investigation of the desensitizing efficacy of a new dentifrice containing 5.5% potassium citrate: an eight-week clinical study. J Clin Dent 2004;15(1):6-10.
46. Yates R, Ferro R, Newcombe RG, Addy M. A comparison of a reformulated potassium citrate desensitising toothpaste with the original proprietary product. J Dent 2005;33(1):19-25.
47. Chestnutt IG, Shäfer F, Jacobsen APM, Stephen KW. The influence of toothbrushing frequency and post-brushing rinsing on caries experience in a caries clinical trial. Community Dent Oral Epidemiol 1998;26(6):406-11.
48. Gillam DG, Bulman JS, Jackson RJ, Newman HN. Efficacy of a potassium nitrate mouthwash in alleviating cervical dentine sensitivity (CDS). J Clin Periodontol 1996;23:993-7.
49. Pereira R, Chava VK. Efficacy of a 3% potassium nitrate desensitizing mouthwash in the treatment of dentinal hypersensitivity. J Periodontol 2001;72:1720-5.
50. Yates R, West N, Addy M, Marlow I. The effects of a potassium citrate, cetylpyridinium chloride, sodium fluoride mouthrinse on dentine hypersensitivity, plaque and gingivitis: a placebo controlled study. J Clin Periodontol 1998;25:813-20.
51. Yates RJ, Newcombe RG, Addy M. Dentine hypersensitivity: a randomized, double-blind placebo-controlled study of the efficacy of a fluoride-sensitive teeth mouthrinse. J Clin Periodontol 2004;31:885-9.
52. Krahwinkel T, Theiss P, Willershausen B. Clinical effectiveness of a potassium chloride containing chewing gum in the treatment of hypersensitive teeth. Eur J Med Res 2001;6:483-7.
53. Morris MF, Davis RD, Richardson BW. Clinical efficacy of two dentin desensitizing agents. Am J Dent 1999;12(2):72-6.
54. Hodosh M. A superior desensitizer: potassium nitrate. JADA 1974;88:831-2.
55. Frechoso SC, Menendez M, Guisasola C, Arregui I, Tejerina JM, Sicilia A. Evaluation of the efficacy of two potassium nitrate bioadhesive gels (5% and 10%) in the treatment of dentine hypersensitivity: a randomised clinical trial. J Clin Periodontol 2003;30:315-20.
56. Camps J, Pashley D. In vivo sensitivity of human root dentin to air blast and scratching. J Periodontol 2003;74:1589-94.
57. Pillon FL, Romani IG, Schmidt ER. Effect of a 3% potassium oxalate topical application on dentinal hypersensitivity after subgingival scaling and root planing. J Periodontol 2004;75:1461-4.
58. Gillam DG, Newman HN, Davies EH, Bulman JS, Troullos ES, Curro FA. Clinical evaluation of ferric oxalate in relieving dentine hypersensitivity. J Oral Rehabil 2004;31:245-50.
59. Geiger S, Matalon S, Blasbalg J, Tung M, Eichmiller FC. The clinical effect of amorphous calcium phosphate (ACP) on root surface hypersensitivity Oper Dent 2003;28:496-500.
60. Gillam DG, Mordan NJ, Sinodinou AD, Tang JY, Knowles JC, Gibson IR. The effects of oxalate-containing products on the exposed dentine surface: an SEM investigation. J Oral Rehabil 2001;28:1037-44.
61. Pereira JC, Segala AD, Gillam DG. Effect of desensitizing agents on the hydraulic conductance of human dentin subjected to different surface pre-treatments: an in vitro study. Dent Mater 2005;21(2):129-38.
62. Suge T, Ishikawa K, Kawasaki A, et al. Calcium phosphate precipitation method for the treatment of dentin hypersensitivity. Am J Dent 2002;15:220-6.
63. Forsback AP, Areva S, Salonen JI. Mineralization of dentin induced by treatment with bioactive glass S53P4 in vitro. Acta Odontol Scand 2004;62(1):14-20.
64. Cherng AM, Chow LC, Takagi S. Reduction in dentin permeability using mildly supersaturated calcium phosphate solutions. Arch Oral Biol 2004;49(2):91-8.
65. Brännström M, Johnson G, Nordenvall KJ. Transmission and control of dentinal pain: resin impregnation for the desensitization of dentin. JADA 1979;99:612-8.
66. Gaffar A. Treating hypersensitivity with fluoride varnish. Compend Contin Educ Dent 1999;20(supplement 1):27-33.
67. Corona SA, Nascimento TN, Catirse AB, Lizarelli RF, Dinelli W, Palma-Dibb RG. Clinical evaluation of low-level laser therapy and fluoride varnish for treating cervical dentinal hypersensitivity. J Oral Rehabil 2003;30:1183-9.
68. Duran I, Sengun A. The long-term effectiveness of five current desensitizing products on cervical dentine sensitivity. J Oral Rehabil 2004;31:351-6.
69. Prati C, Cervellati F, Sanasi V, Montebugnoli L. Treatment of cervical dentin hypersensitivity with resin adhesives: 4-week evaluation. Am J Dent 2001;14:378-82.
70. Baysan A, Lynch E. Treatment of cervical sensitivity with a root sealant. Am J Dent 2003;16(2):135-8.
71. Schwarz F, Arweiler N, Georg T, Reich E. Desensitizing effects of an Er:YAG laser on hypersensitive dentine. J Clin Periodontol 2002;29:211-5.
72. Dondi dall'Orologio G, Lone A, Finger WJ. Clinical evaluation of the role of glutardialdehyde in a one-bottle adhesive. Am J Dent 2002;15:330-4.
73. Singal P, Gupta R, Pandit N. 2% sodium fluoride iontophoresis compared to a commercially available desensitizing agent. J Periodontol 2005;76:351-7.
74. Dondi dall'Orologio G, Lorenzi R, Anselmi M, Grisso V. Dentin desensitizing effects of Gluma Alternate, Health-Dent Desensitizer and Scotchbond Multi-Purpose. Am J Dent 1999;12(3):103-6.
75. Swift EJ Jr, May KN Jr, Mitchell S. Clinical evaluation of Prime & Bond 2.1 for treating cervical dentin hypersensitivity. Am J Dent 2001;14(1):13-6.
76. Ferrari M, Cagidiaco MC, Kugel G, Davidson CL. Clinical evaluation of a one-bottle bonding system for desensitizing exposed roots. Am J Dent 1999;12:243-9.
77. Stewardson DA, Crisp RJ, McHugh S, Lendenmann U, Burke FJ. The effectiveness of Systemp desensitizer in the treatment of dentine hypersensitivity. Prim Dent Care 2004;11(3):71-6.
78. Orbak R, Canakci V, Tezel A. Clinical evaluation of an electron-ionizing toothbrush with a toothpaste containing stannous fluoride in treatment of dentine hypersensitivity following periodontal surgery. Dent Mater J 2001;20(2):164-71.
79. Kimura Y, Wilder-Smith P, Yonaga K, Matsumoto K. Treatment of dentine hypersensitivity by lasers: a review. J Clin Periodontol 2000;27:715-21.
80. Lier BB, Rosing CK, Aass AM, Gjermo P. Treatment of dentin hypersensitivity by Nd:YAG laser. J Clin Periodontol 2002;29:501-6.
81. Thompson BK, Meyer R, Singh GB, Mitchell W. Desensitization of exposed root surfaces using a semilunar coronally positioned flap. Gen Dent 2000;48(1):68-71.
82. Coleman TA, Grippo JO, Kinderknecht KE. Cervical dentin hypersensitivity, part III: resolution following occlusal equilibration. Quintessence Int 2003;34:427-34.
83. Addy M, Urquhart E. Dentine hypersensitivity: its prevalence, aetiology and clinical management. Dent Update 1992;19:407-12.