TREATMENT OF DENTINE
Treatment of dentine hypersensitivity
A long-term programme is often needed for this long-term problem, which may include dietary advice to tackle excessive consumption of acidic foods. Patients may also need advice on change of brushing technique/reduction in brushing frequency, or it may be beneficial to consider not brushing immediately after meals, but at a different time.1
Regular interdental cleaning may also be beneficial.
Treatment in the surgery may include gingival surgery, application of resins, or a pulpectomy, or more recently the use of lasers. Non-invasive treatment options are topical agents and dentifrices that contain a desensitising active ingredient.2 Dentifrice and mouth rinse are available in 'sensitive' variants, containing various active ingredients to reduce sensitivity.
|Potassium salts||Potassium nitrate2 Potassium chloride2 Potassium oxalate3|
|Other metal salts2||Stannous fluoride Strontium chloride hexahydrate Aluminum, potassium or ferric oxalates and fluorides|
|Other agents2||Dentin sealers (resins) Sodium citrate Sodium monofluorophosphate|
The most common agents are 'sensitive' toothpastes and mouth rinses containing potassium salts. The benefits of a potassium-containing dentifrice have been established for many years and they are generally recommended in this patient group.1,2,4
Mouth rinses are available which contain potassium salts and may help with sensitivity.
- Canadian Advisory Board on Dentin Hypersensitivity. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc 2003; 69(4): 221–226.
- Walters PA. Dentinal hypersensitivity: a review. J Contemp Dent Pract 2005; 6(2): 107–117.
- Camilotti V et al.Desensitizing treatments for dentin hypersensitivity:a randomized, split-mouth clinical trial.Braz Oral Res 2012; 26(3): 263–268.
- West NX. The dentine hypersensitivity patient – a total management package. Int Dent J 2007; 57: 411–419.