Aetiology and clinical features of dentine hypersensitivity on all tooth surfaces and including non-carious cervical lesions (NCCLs)

Olley, Ryan ORCID: https://orcid.org/0000-0003-1257-6835 and Bartlett, David 2025. Aetiology and clinical features of dentine hypersensitivity on all tooth surfaces and including non-carious cervical lesions (NCCLs). Gillam, D. G., ed. Dentine Hypersensitivity, Switzerland: Springer Nature, pp. 41-57. (10.1007/978-3-031-74321-4_4)

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Abstract

Dentine hypersensitivity (DH) is a common oral condition, which is typically a short lasting, intense pain located around teeth and often associated with cold stimuli. An innate problem with dentine hypersensitivity (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/or use desensitising toothpastes to control the condition, which often returns. There are increasing suggestions from the published literature that support the transient nature of the condition (Gillam 2013; West 2006; West et al. 2013b; Olley et al. 2015, Song and West 2015). The reasons for this trend, historically, have been unclear. Indeed, the cause/s of DH have been poorly understood and have resulted in DH being termed an enigma decades ago, and this concept has been re-visited on a number of occasions since (Johnson et al. 1982; Dababneh et al. 1999; Addy 2002; Markowitz and Pashley 2008). 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 in practice (Markowitz and Pashley 2008). 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:	Schools > Dentistry
Publisher:	Springer Nature
ISBN:	9783031743207
Last Modified:	22 Jul 2025 14:45
URI:	https://orca.cardiff.ac.uk/id/eprint/179974

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