Dentin hypersensitivity

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Obesity, Sleep & Internal medicine
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Dentin hypersensitivity
Synonyms	Dentinal sensitivity, root sensitivity
Pronounce	N/A
Specialty	N/A
Symptoms	Sharp pain in response to stimuli such as cold, hot, sweet, or touch
Complications	N/A
Onset	Can occur at any age, but more common in adults
Duration	Can be temporary or chronic
Types	N/A
Causes	Gingival recession, tooth wear, dental erosion, bruxism
Risks	Poor oral hygiene, aggressive tooth brushing, acidic diet
Diagnosis	Clinical examination, patient history
Differential diagnosis	Dental caries, pulpitis, cracked tooth syndrome
Prevention	Proper oral hygiene, use of desensitizing toothpaste, avoiding acidic foods
Treatment	Desensitizing agents, fluoride varnishes, dental bonding
Medication	N/A
Prognosis	N/A
Frequency	Affects up to 57% of the adult population
Deaths	Not applicable

Dentin Hypersensitivity (also known as Sensitive Teeth) is a common dental condition characterized by sharp, sudden pain in the teeth when exposed to certain stimuli such as hot, cold, sweet, or acidic substances. It is often caused by the exposure of dentin, the layer of tooth beneath the enamel, due to enamel erosion or gum recession.

Causes

The primary cause of Dentin Hypersensitivity is the exposure of dentin. Dentin contains microscopic tubules filled with tiny nerve endings. A hard outer layer of enamel protects the dentin within the crown part of the tooth, and the dentin extending down to the root of the tooth is covered by cementum. When the dentin loses its protective covering of enamel or cementum, these tubules allow heat, cold, acidic or even sticky substances to reach the nerves inside the tooth, causing pain. Common factors that contribute to dentin hypersensitivity include:

• Tooth decay
• Gum disease
• Vigorous tooth brushing
• Acidic foods and drinks
• Teeth grinding
• Tooth whitening products

Symptoms

The main symptom of Dentin Hypersensitivity is a sharp, sudden pain in response to stimuli such as hot, cold, sweet, or acidic substances. This pain can be intermittent or constant depending on the severity of the condition.

Diagnosis

Diagnosis of Dentin Hypersensitivity is typically made by a dentist during a dental examination. The dentist may use a spray of air or cold water on the teeth to determine the location of the sensitivity. Dental X-rays may also be used to rule out other possible causes of the pain such as a cavity or abscess.

Treatment

Treatment for Dentin Hypersensitivity focuses on blocking the exposed tubules in the dentin to prevent the stimuli from reaching the nerves. This can be achieved through the use of desensitizing toothpastes, fluoride gels, or dental procedures such as bonding, crowns, or root canals.

Prevention

Prevention of Dentin Hypersensitivity involves maintaining good oral hygiene to prevent the erosion of enamel and gum recession. This includes regular brushing and flossing, using a soft-bristled toothbrush, avoiding acidic foods and drinks, and regular dental check-ups.

Dentin hypersensitivity gallery

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  Diagram illustrating odontoblasts, the cells responsible for dentin formation.

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  Image of cinnamyl alcohol on a petri dish, used in dental research.

See also

• Tooth enamel
• Tooth decay
• Gum disease

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