다시 바라보는 지각과민증: 유병률, 진단과 치료, 한계와 미래
Revisiting Dentin Hypersensitivity: prevalence, diagnosis and treatment, limitations and future
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Dentin hypersensitivity is sharp pain arising from exposed dentin in response to stimuli. Over the recent decades, the number of patients complaining of discomfort caused by dentin hypersensitivity has increased. The aim of this study was to find out the accurate diagnosis and treatment method of dentin hypersensitivity from an expert’s point of view. In a clinical situation, an accurate diagnosis must precede the treatment. For an accurate diagnosis, it is important to objectify and reproduce symptoms during clinical examination after a detailed history taking. Treatment of dentin hypersensitivity is often more important as long-term intervention than a one-time treatment. The invasive and irreversible treatment should be considered as the last resort after attempting sufficient conservative methods. Many types of desensitizers are currently on the market to relieve dentin hypersensitivity. Representative methods include nerve desensitization and occlusion of dentinal tubules to reduce movement of the dentinal fluid to relieve pain. However, existing desensitizers have various limitations, and several attempts are such as bioceramic, nanoparticle, and protein have been made to overcome the limitations. Treatment based on accurate diagnosis and correct understanding of dentin hypersensitivity can reduce the pain and increase the quality of life of many patients.
Abstract
Dentin hypersensitivity is sharp pain arising from exposed dentin in response to stimuli. Over the recent decades, the number of patients complaining of discomfort caused by dentin hypersensitivity has increased. The aim of this study was to find out the accurate diagnosis and treatment method of dentin hypersensitivity from an expert’s point of view. In a clinical situation, an accurate diagnosis must precede the treatment. For an accurate diagnosis, it is important to objectify and reproduce symptoms during clinical examination after a detailed history taking. Treatment of dentin hypersensitivity is often more important as long-term intervention than a one-time treatment. The invasive and irreversible treatment should be considered as the last resort after attempting sufficient conservative methods. Many types of desensitizers are currently on the market to relieve dentin hypersensitivity. Representative methods include nerve desensitization and occlusion of dentinal tubules to reduce movement of the dentinal fluid to relieve pain. However, existing desensitizers have various limitations, and several attempts are such as bioceramic, nanoparticle, and protein have been made to overcome the limitations. Treatment based on accurate diagnosis and correct understanding of dentin hypersensitivity can reduce the pain and increase the quality of life of many patients.
참고문헌 (15)
- Rees JS, "A cross-sectional study of buccal cervical sensitivity in UK general dental practice and a summary review of prevalence studies", International journal of dental hygiene, 2, pp.64~69 (2004)
- A.C, "Nielsen study (18~55 age adults)", ~ (2009)
- "Nielsen Online Omnibus Research", ~ (2009)
- Hypersensitivity CABoD, "Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity", Journal(Canadian Dental Association), 69, pp.221~226 (2003)
- Brannstrom M, "Sensory Mechanisms in Dentine", pp.73~79 (1963)
- Absi EG, "Dentine hypersensitivity. A study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine", Journal of clinical periodontology, 14, pp.280~284 (1987)
- Seo D-G, "Analysis of Factors Associated with Cracked Teeth", Journal of Endodontics, 38, pp.288~292 (2012)
- Kim J-H, "Association between longitudinal tooth fractures and visual detection methods in diagnosis", Journal of Dentistry, 101, pp.103466~ (2020)
- Orchardson R, "Managing dentin hypersensitivity", The Journal of the American Dental Association, 137, pp.990~998 (2006)
- Poulsen S, "Potassium containing toothpastes for dentine hypersensitivity", The Cochrane database of systematic reviews 2006 (2006)
- Kubínek R, "Sealing of open dentinal tubules by laser irradiation : AFM and SEM observations of dentine surfaces", Journal of molecular recognition : JMR, 20, pp.476~482 (2007)
- Suge T, "Duration of dentinal tubule occlusion formed by calcium phosphate precipitation method : in vitro evaluation using synthetic saliva", J Dent Res, 74, pp.1709~1714 (1995)
- Scherman A, "Managing dentin hypersensitivity : what treatment to recommend to patients", Journal of the American Dental Association(1939), 123, pp.57~61 (1992)
- Park SH, "CPNE7 Induces Biological Dentin Sealing in a Dentin Hypersensitivity Model", Journal of Dental Research, 98, pp.1239~1244 (2019)
- Kim Jw, "Dentin hypersensitivity and emerging concepts for treatments", Journal of Oral Biosciences, 59, pp.211~217 (2017)