Dentin Hypersensitivity in Clinical Practice

Dentin hypersensitivity is difficult to manage due to the variety of its causes. With a range of treatment options available, but with none more widely accepted than the other, clinicians are forced to adopt a trial and error approach to management, often with limited success.

Dentin Hypersensitivity in Clinical Practice gives practical guidance on the core principles of diagnosis and pain management, providing a comprehensive overview of the various treatment choices available to clinicians in their daily practice.

The first half of the book presents an overview of current knowledge and latest research on the causes and treatments of dentin hypersensitivity, while the second half features a collection of clinical cases designed to encourage readers to identify the cause of the pain in each scenario.

Presented in a stepwise manner, each case guides the reader through taking a history, examining the patient and working through test results towards a differential diagnosis, then a definitive diagnosis and treatment options. Each case concludes with a personal perspective from a practicing clinician and a key points section that summarises the most important ?take home? messages arising from the scenario.

Dentin Hypersensitivity in Clinical Practice is the ideal companion for dental practitioners seeking to achieve pain-free outcomes for their patients presenting with this widespread condition.

Chapter 1 Introduction

• Key objectives
• Introduction
• Prevalence: is dentine hypersensitivity under- or over-diagnosed?
• Impact on quality of life
• Pathophysiology of dentine hypersensitivity
• Aetiology and predisposing factors
• Key points

Chapter 2 Clinical features and diagnosis

• Key objectives
• Introduction
• Diagnosis
• The importance of the initial clinical examination
• Determining a differential diagnosis
• Differential diagnoses
• Simple tips
• Diagnosis and special tests
• Common problems confounding diagnosis
• Monitoring
• Key points

Chapter 3 Management

• Key objectives
• Considerations
• Success or failure?
• Treatment options
• Over-the-counter products
• Professionally applied products
• A stepwise or minimally invasive approach
• Changing the behaviour of patients with dentine hypersensitivity
• Person-centred approaches
• Conclusion
• Key points

Case 1 Clean mouths

Case 2 Periodontal disease and periodontal therapy

Case 3 Tooth wear problems

Case 4 Bleaching sensitivity

Case 5 Restorative problems

Case 6 Atypical odontalgia

David Gillam BA BDS MSc DDS FRSPH FHEA
Clinical Senior Lecturer, Barts and The London Medical and Dental School, London, UK

Bryar Koyi BSc BDS MClinDent PgDip Advanced Periodontology M Perio (RCSed)
Specialist Periodontist, Senior Lecturer in Periodontics & Oral Implantology, The University of Western Australia, Perth, Australia