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Dentin hypersensitivity or delicate enamel is likely one of the most typical complaints from dental sufferers. In actual fact, a 2013 survey discovered that 1 in 8 adults might undergo from delicate enamel. In response to the identical survey, delicate enamel is most prevalent amongst younger adults, ladies and folks with receding gums or who did at-home enamel whitening.
As a dental skilled, you’ve seemingly heard tales from sufferers who can not get pleasure from their morning cup of espresso or an ice cream sundae due to their delicate enamel. Whereas a easy plan of action is to debate their oral hygiene habits and counsel a desensitizing toothpaste, it’s vital to know the causes, prognosis, medical administration and preventive methods for addressing delicate enamel.
Causes of delicate enamel
Tooth sensitivity is usually outlined as a brief, sharp ache that arises from uncovered dentin. Although there are no universally accepted guidelines for diagnosing dentin hypersensitivity, it’s usually accepted that sensitive teeth are typically the result of worn tooth enamel or exposed tooth roots. To complicate the matter, dental caries, a cracked or chipped tooth, a worn filling or gum illness can also be the rationale for a affected person’s delicate enamel.
- Tooth decay (cavities)
- Fractured enamel
- Worn fillings
- Gum illness
- Worn tooth enamel
- Uncovered tooth root
It’s the function of the dental hygienist and dentist to work collectively to determine the reason for enamel sensitivity by reviewing the affected person’s historical past, oral examination and by interviewing the affected person.
Prognosis and medical administration of delicate enamel
Fortuitously for sufferers, sensitive teeth can be treated. The therapy choice you select for a affected person will rely on the trigger. However an excellent place to begin or first suggestion is usually to advocate a desensitizing toothpaste, which incorporates compounds that assist block the feeling touring from the tooth floor to the nerve. Store desensitizing toothpastes at pattersondental.com. You should definitely clarify to the affected person that it might require a number of purposes earlier than the sensitivity is decreased.
If the desensitizing toothpaste doesn’t ease discomfort within the affected person, in-office therapies could also be required (view available desensitizers). A fluoride gel or desensitizing agent may be utilized to the delicate areas of the affected enamel. If signs of delicate enamel persist, different therapies equivalent to a filling, a crown, an inlay or bonding could also be wanted to right a flaw or decay that leads to sensitivity. Once more, which therapy choice to pick will rely on the reason for delicate enamel.
If gum recession is current, the affected person may have a surgical gum graft to cowl the basis, defend the tooth and cut back the sensitivity. In instances during which enamel sensitivity is extreme and protracted and can’t be handled by different means, endodontic therapy could also be vital.
How you can forestall delicate enamel
Discussing enamel sensitivity therapy choices is an efficient time to additionally stress the significance of correct oral hygiene as that is the important thing to stopping sensitive-tooth ache. You should definitely ask the affected person about their oral hygiene habits and make strategies for enhancements.
Many oral hygiene habits equivalent to brushing with a fluoride toothpaste twice a day might sound apparent, however different concepts for preserving tooth enamel could also be a brand new idea to a affected person with delicate enamel. For instance, many sufferers might not know that consuming or drinking acidic foods and drinks, such as carbonated drinks, citrus fruits and wine can remove small amounts of tooth enamel over time. Clarify to the affected person that it’s OK to get pleasure from an occasional carbonated beverage or a glass a wine, however that it’s vital to counter that by ingesting water to steadiness the acid ranges of their mouth.
Understanding the underlying causes of enamel sensitivity and the best way to tackle the problem with a affected person is vital to constructing belief and enhancing the general affected person expertise. Being open and honest when discussing the significance of correct oral hygiene habits as a preventative technique will enable you to in constructing lasting and dependable relationships together with your sufferers.
Converse together with your Patterson Dental consultant for merchandise that tackle enamel sensitivity or shop all preventative products at pattersondental.com.
Delicate enamel: References and extra sources
Mouth Wholesome Delivered to you by the American Dental Affiliation. Sensitive Teeth. Accessed Aug. 5, 2022.
Thomas J. Salinas, DDS. What causes sensitive teeth, and how can I treat them? Mayo Clinic. Dec. 7, 2021.
Carina Storrs. 1 in 8 Adults May Have Sensitive Teeth. WebMD. March 1, 2013.
Davari A, Ataei E, Assarzadeh H. Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review. J Dent (Shiraz). 2013 Sep;14(3):136-45. PMID: 24724135; PMCID: PMC3927677.
Liu, XX., Tenenbaum, H.C., Wilder, R.S. et al. Pathogenesis, diagnosis and management of dentin hypersensitivity: an evidence-based overview for dental practitioners. BMC Oral Well being 20, 220 (2020).
Richard D. Trushkowsky, DDS; and Franklin Garcia-Godoy, DDS, MS, PhD. Dentin Hypersensitivity: Differential Diagnosis, Tests, and Etiology. January 2020. Parkell On-line Studying Heart.
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