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Aetiology and clinical features of dentine hypersensitivity

Olley, Ryan and Bartlett, David 2015. Aetiology and clinical features of dentine hypersensitivity. In: Gillam, David G. ed. Dentine Hypersensitivity: Advances in Diagnosis, Management, and Treatment, Springer, Cham, pp. 49-62. (10.1007/978-3-319-14577-8_4)

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Dentine hypersensitivity (DH) is a common oral condition, which is typically short lasting, an intense pain located around teeth and often associated with cold stimuli. An innate problem with DH is that its clinical features are transient and patients do not always present with DH at examination, even though they may suffer from it regularly. Indeed, the nature of DH appears to be cyclic and most sufferers self-medicate and use desensitising toothpastes to control the condition. There are increasing suggestions from the published literature of DH supporting the transient nature of the condition. The reasons for this trend, historically, have been unclear. Indeed, the cause/s of DH have been poorly understood and resulted in DH being termed an enigma 32 years ago, and this concept has been revisited on a number of occasions. The apparent historical lack in the understanding of the aetiological processes in particular tooth wear often resulted in elusive treatment and preventive strategies which focused on the symptoms of DH rather than its cause/s. Nevertheless, our understanding of the condition is somewhat clearer today. This chapter therefore focuses attention on the clinical features of DH and in detail on the causes of DH and the associated clinical presentation.

Item Type: Book Section
Date Type: Published Online
Status: Published
Schools: Dentistry
Publisher: Springer, Cham
ISBN: 9783319145761
Last Modified: 16 Jun 2020 15:45

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