DENTİN HASSASİYETİ VE TEDAVİSİ

Year 2012, Volume: 46 Issue: 2, 88 - 100, 04.09.2012

Benin Sezgin Benin Sezgin Berna Tarım

Abstract

Dentin hassasiyeti klinikte oldukça sık karşımıza çıkan bir durumdur. Dentin hassasiyeti ısısal,
buharlaştırma,dokunma, ozmotik veya kimyasal uyarılara cevap olarak başlayan ve uyaran ortadan
kalktıktan sonra geçen kısa süreli, keskin ağrı olarak tanımlanabilir. Tedavisi dentin kanallarındaki sıvı
akışını azaltmaya ve pulpadaki sinir iletimini bloke eden ajanların kullanımına dayanmaktadır. Ancak
tedavi planlamasında sadece hassasiyetin tedavisi değil aynı zamanda bu hassasiyete neden olan etyolojik
faktörler de dikkate alınmalıdır. Bu derlemenin amacı dentin hassasiyetinin mekanizması, etyolojik
faktörleri, sıklığı hakkında bilgi vermek ve bu hassasiyetin tedavisinde kullanılan ajanları tanıtmaktır.

Keywords

Dentin hassasiyeti, hassasiyet etyolojisi, hassasiyet tedavisi

References

• Sykes L M . Dentin hypersensitivity: a review of its aetiology, pathogenesis and management. SADJ, 2007; 62(2): 66-71.
• Kadiroğlu ET, Dağ A. Dentin Hiper- sensitivitesi ve Lazerlerin Etkisi. C.Ü. Diş Hek Fak Derg, 2004; 7(1): 58-63.
• West NX. Dentine hypersensitivity: preventive and therapeutic approaches to tre­ atment. Periodontol 2000, 2008; 48: 31-41.
• Bartold PM. Dentinal Hypersensi­ tivity: a review. Aust Dent J, 2006; 51(3): 212-18.
• Garg N , Garg A. Textbook of Ope­ rative Dentistry. London, UK, Jp Medical Pub, 2010: p.433-39
• Attar N , Korkmaz Y. Dentin aşırı hassasiyeti. Hacettepe Üniv. Diş Hek Fak Derg, 2006; 30 (4): 83-91.
• Porto IC, Andrade AK, Montes MA. Diagnosis and treatment of dentinal hyper- sensitivity. J Oral Sci, 2009; 51(3): 323-32.
• Çelik Ç, Özgünaltay G, Attar N . Diş Aşınmaları. Hacettepe Üniv Diş Hek Fak Derg, 2007; 31(2): 22-30.
• Orbak R. Dentin Aşırı Duyarlılığı. Atatürk Üniv Diş Hek Fak Derg, 1995; 5(1): 104-11.
• Flynn N, Galloway R Orchardson R. The incidence of hypersensitive teeth in the
• Graf HE, Galasse R. Morbidity, pre­ valence and intra-oral distribution of hyper­ sensitive teeth. J Dent Res, 1977; 56: 479.
• Jensen AL. Hypersensitivity controlı led by iontophoresis. Double blind clinical investigation. J Amer Dent Ass, 1964; 68: 216-25.
• Iwrin CR, McCusker P. Prevalence of dentine hypersensitivity in general popu­ lation. J Irish Dent Ass, 1997; 43: 7-9.
• Lui H, Lan WH, Hsieh CC. Preva­ lence and distribution of cervical dentine hypersensitivity in a population in Taipai, Taiwan. J Endod, 1998; 24: 45-47.
• Murray LE, Roberts AJ. The prevaı lence of reported hypersensitive teeth. Arch Oral Biol, 1994; 39: 129.
• Martinez-Ricarte J, Faus-Matoses V, Faus-Llâcer VJ, Flichy-Fernândez AJ, Mateos-Moreno B. Dentinal sensitivity: concept and methodology for its objective evaluation. Med Oral Patol Oral Cir Bucal, 2008; 13(3): 201-06.
• Dababneh RH, Khouri AT,Addy M . Dentine hypersensitivity an enigma? A reviı ew of terminology, mechanisms, aetiology and management. Br Dent J, 1999; 187: 11.
• Tezel A, Orbak R, Çanakçı V. Peri­ odontal tedaviler sonucunda oluşan dentin hassasiyetinin tedavisi. Atatürk Üniv Diş Hek Fak Derg, 2001; 11(3): 40-44.
• Addy M , Mostafa P, Newcombe RG. Dentine hypersensitivity:a comparison of five toothpastes used during a 6-week period. BDJ, 1987; 163: 45-50.
• Fischer C, Fischer RG, Wennberg A. Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro Brazil J Dent, 1992; 20(5): 272-76.
• Ölmez A, Erdemli E. Dentin hassasi­ yeti ve tedavi yöntemleri. GÜ Diş Hek Fak Derg, 2003; 20(1): 65-71.
• West N , Addy M , Hughes J. Dentine hypersensitivity: the effects of brushing de­ sensitizing toothpastes, their solid and liquid phases, and detergents on dentine and acrı ylic: studies in vitro. J Oral Rehabil, 1998; 25(12): 885-95.
• Clayton DR, McCarthy D, Gillam DG. A study of the prevalence and distribu­ tion of dentine sensitivity in a population of 17-58-year-old serving personnel on an RAF base in the Midlands. J Oral Rehabil, 2002; 29(1): 14-23.
• Pamir T, Ozyazici M , Baloğlu E, Onal B. The efficacy of three desensitizing agents in treatment of dentine hypersensiti- vity. J Clin Pharm Ther, 2005; 30(1): 73-76.
• Ishihata H, Finger WJ, Kanehira M , Shimauchi H, Komatsu M . In vitro dentin permeability after application of Gluma® desensitizer as aqueous solution or aqueous fumed silica dispersion. J Appl Oral Sci, 2011; 19(2): 147-53.
• Olusile AO, Bamise CT, Oginni AO, Dosumu OO. Short-term clinical evaluation of four desensitizing agents. J Contemp Dent Pract, 2008; 9(1): 22-29.
• Brannström M , Johnson G, Narden- vall KJ. Transmission and control of dentinal pain: resin impregnation for the desensitiza- tion of dentin. J Am Dent Assoc, 1979; 99: 612-18.
• Bergenholtz G, Jontell M , Tuttle A. Inhibition of serum albumin flux across ex­ posed dentin following conditioning with Gluma primer, glutaraldehyde or potassium oxalate. J Dent, 1993; 21: 220-27.
• Panduric V, Knezevic A, Tarle Z, Su- talo J. The efficiency of dentine adhesives in treating non-caries cervical lesions. J Oral Rehabil, 2001; 28(12): 1168-74.
• Perdigao J. Dentin Bonding as a function of dentin structure. Dent Clin North Am, 2002; 46: 277-301.
• Perdigao J, Geraldeli S, Hodges JS. Occlusion of dentin tubules by desensitiz­ ing agents. J A m Dent Assoc, 2003; 134: 1621-29.
• Akça E, Gokce S, Kurkcu M , Oz- demir A. Clinical assessment of bond and fluoride in dentin hypersensitivity. Hacetı tepe Üniv Dis Hek Fak Derg, 2006; 30(4): 92-100.
• Wiegand A, Buchholz K, Werner C, Attin T. In vitro cytotoxicity of different de- sensitizers under simulated pulpal flow con­ ditions. J Adhes Dent, 2008; 10(3): 227-32.
• Zhang M , FENG Y, Huang XJ, Lei LS, Zheng BQ, Lu YG. Effect of the self- etching adhesives system on human pulp fibroblast. Hua X i Kou Qiang Yi Xue Za Zhi, 2008; 26(1): 94-97.
• Galler K, Hiller KA, Ettl T, Schmalz G. Selective influence of dentin thickness upon cytotoxicity of dentin contacting maı terials. J Endod, 2005; 31(5): 396-99.
• CH Drisko. Dentine hypersensiti- vity-dental hygiene and periodontal consiı derations. Int Dent J, 2002; 52: 385-93.
• Minkoff S, Axelrod A. Efficacy of strontium chloride in dentinal hypersensiti- vity. J Periondontol, 1987; 58: 470-74.
• Layer T, Hughes N. Evidence for the efficacy of an 8% strontium acetate dentifrice for instant and lasting relief of dentin hyper- sensitivity. J Clin Dent, 2010; 21(2): 56-58.
• Parkinson CR, Butler A, Willson RJ. Development of an acid challenge-based in vitro dentin disc occlusion model. J Clin Dent, 2010; 21(2): 31-36.
• Mason S, Hughes N , Sufi F, Bannon L, Maggio B, North M , Holt J. A comparative clinical study investigating the efficacy of a dentifrice containing 8% strontium acetate and 1040 ppm fluoride in a silica base and zing efficacy of a new dentifrice containing a control dentifrice containing 1450 ppm fluoride in a silica base to provide immediate fluoride. Am J Dent, 2000; 13(3): 111-15. relief of dentin hypersensitivity. J Clin Dent, 2010; 21(2): 42-48.
• Hughes N , Mason S, Jeffery P, Wel- ton H , Tobin M , O'Shea C, Browne M . A sensitive maximum strength and fresh mint comparative clinical study investigating the efficacy of a test dentifrice containing 8% strontium acetate and 1040 ppm sodium flu- oride versus a marketed control dentifrice DeVizio W, Volpe A, Ellwood R, Davies R. containing 8% arginine, calcium carbonate, and 1450 ppm sodium monofluorophosphate sitising efficacy of a new dentifrice. J Clin in reducing dentinal hypersensitivity. J Clin Dent, 2010; 21(2): 49-55.
• Kobler A , Kub O, Schaller HG, Gernhardt CR. Clinical effectiveness of a Pitiphat W. The effect of a new toothpaste strontium chloride- containing desensitizing agent over 6 months: a randomized, double- blind, placebo-controlled study. Quintessen- ce Int, 2008; 39(4): 321-25.
• Kishore A , Mehrotra K K , Saimbi CS. Effectiveness of desensitizing agents. Curro FA. Clinical effectiveness of a den- J Endod, 2002; 28(1): 34-35.
• Orchardson R, Gillam DG. Mana- ging dentin hypersensitivitv. J Am Dent As- soc, 2006; 137(7): 990-98
• Schiff T, Zhang YP, DeVizio W, Ste- wart B, Chaknis P, Petrone ME, Volpe AR, Proskin H M . A randomized clinical trial of the desensitizing efficacy of three dentifrices. Compend Contin Educ Dent, 2000; 21(27): 4-10.
• Sowinski JA, Battista GW, Petrone ME Chaknis P, Zhang YP, DeVizio W, Vol- pe AR, Proskin H M . A new desensitizing dentifrice: an 8-week clinical investigation. Compend Contin Educ Dent, 2000; 21(27): 11-16.
• Schiff T, Bonta Y, Proskin H M , De- Vizio W, Petrone M , Volpe AR. Desensitiı
• Sowinski JA, Bonta Y, Battista GW, Petrone D , DeVizio W, Petrone M , Pros- kin H M . Desensitizing efficacy of colgate 13(3): 116-20.
• Sowinski JA, Ayad F, Petrone M , Comparative investigations of the desen- Periodontal, 2001; 28: 1032-36.
• Wara-aswapati N , Krongnawakul D, Jiraviboon D, Adulyanon S, Karimbux N , containing potassium nitrate and triclosan on gingival health, plaque formation and dentine hypersensitivity. J Clin Periodontal, 2005; 32(1): 53-58.
• Salvato AR, Clark GE, Gingold J, tifrice containing potassium chloride as a desensitising agent. Amer J Dent, 1994; 5: 303-06.
• Silverman G, Gingold J, Curro FA. Desensitising effect of a potassium chloride dentifrice. Amer J Dent, 1994; 7: 9-12.
• Schiff T, Dotson M , Cohen S. Effi- cacy of a dentifrice containing potassium nitrate, soluble pyrophosphate, PVM / M A copolymer, and sodium fluoride on denti- nal hypersensitivity: a twelve-week clinical study. J Clin Dent, 1994; 5: 87-92.
• Nagata T, Ishida H, Shinohara H, Nis- hikawa S, Kasahara S, Wakano Y, Daigen S, Troullos ES. Clinical evaluation of a potas­ sium nitrate dentifrice for the treatment of dentinal hypersensitivity. J Clin Periodontol, 1994; 21(3): 217-21.
• Gillam DG, Bulman JS, Jackson RJ, Newman HN. Efficacy of a potassium nitrate mouthwash in alleviating cervical dentine tion. J Oral Rehabil, 2001; 28(11): 1037-44. hypersensitivity. J Clin Periodontol, 1996; 23: 993-97.
• West N X , Addy M , Jackson RJ, for dentine sensitivity. Eur J Prosthodont Ridge DB. Dentin hypersensitivity and the placebo response. A comparison of the efı fect of strontium acetate, potassium nitrate tebugnoli L. Treatment of cervical dentin hy- and fluoride toothpastes. J Clin Periodontol, 1997; 24: 209-15.
• Cummins D. Dentin hypersensiti- vity: from diagnosis to a breakthrough theı rapy for everyday sensitivity relief. J Clin Dent, 2009; 20(1): 1-9.
• Cummins D. Recent advances in dentin hypersensitivity: clinically proven treatments for instant and lasting sensiti­ vity relief. Am J Dent, 2010; 23 Spec No A: 3A-13A.
• Lavender SA, Petrou I , Heu R, Stra- nick MA, Cummins D, Kilpatrick-Liverman L, Sullivan RJ, Santarpia RP 3rd. Mode of action studies on a new desensitizing den­ tifrice containing 8.0% arginine, a high cle­ aning calcium carbonate system and 1450 ppm fluoride. Am J Dent, 2010; 23 Spec No A: 14A-19A.
• Pashley DH, Galloway SE. The ef­ fect of oxalate treatment on the smear layer of ground surfaces of human dentin. Arch Oral Biol, 1985; 30: 731-37.
• Pashley EL, Tao L, Pashley DH. Ef­ fects of oxalate on dentin bonding. A m J Dent, 1993; 6: 116-18.
• Cunha-Cruz J, Stout JR, Heaton LJ, Wataha JC. Dentin hypersensitivity and oxa­ lates: a systematic review. J Dent Res, 2011; 90(3): 304-10.
• Gillam DG, Mordan NJ, Sinodinou AD, Tang JY,Knowles JC, Gibson IR. The effects of oxalate-containing products on the exposed dentine surface: an SEM investiga­
• Merika K, HeftitArthur F, Preshaw PM. Comparison of two topical treatments Restor Dent, 2006; 14(1): 38-41.
• Prati C, Cervellati F, Sanasi V, Mon- persensitivity with resin adhesives: 4-week evaluation. Am J Dent, 2001; 14(6): 378-82.
• Yiu CK, King NM, Suh BI, Sharp LJ, Carvalho RM, Pashley DH, Tay FR. Incom­ patibility of oxalate desensitizers with acidic, fluoride-containing total-etch adhesives. J Dent Res, 2005; 84(8): 730-35.
• Vachiramon V, Vargas MA, Pashley DH, Tay FR, Geraldeli S, Qian F, Armstrong SR. Effects of oxalate on dentin bond after 3-month simulated pulpal pressure. J Dent, 2008; 36(3): 178-85.
• Lehmann N , Degrange M . Effect of four dentin desensitizer on the shear bond strength of three bonding systems. Eur Cell Mater, 2005; 9(1): 52-53.
• Huh JB, K i m JH, Chung M K , Lee HY, Choi YG, Shim JS. The effect of several dentin desensitizers on shear bond strength of adhesive resin luting cement using self-etchı ing primer. J Dent, 2008; 36(12): 1025-32.
• He T, Barker M L , Qaqish J, Sharma N . Fast onset sensitivity relief of a 0.454% stannous fluoride dentifrice. J Clin Dent, 2011; 22(2): 46-50.
• Chu CH, Lo E. Uses of sodium fluo- ride varnish in dental practice. Ann R Aust- ralas Coll Dent Surg, 2008; 19: 58-61.
• Aparna S, Setty S, Thakur S. Comı parative efficacy of two treatment modalities for dentinal hypersensitivity: a clinical trial. Indian J Dent Res, 2010; 21(4): 544-48.
• McBride M A , Gilpatric RO, Fowler LW. The effectiveness of sodium fluoride iontophoresis in patients with sensitive teeth. Quintessence Int, 1991; 22: 637-40.
• Owell LV, Gordon GE, Johnson GH. Sensitivity restored of Class V abrasion/eroı sion lesions. J Am Dent Assoc, 1990; 121: 694-96.
• Gerschman JA, Ruben J, Gebart- Eaglemont J. Low level laser therapy for dentinal tooth hypersensitivity. Aust Dent J, 1994; 39(6): 353-57.
• Gholami GA, Fekrazad R, Esmaiel- Nejad A, Kalhori KA. An evaluation of the occluding effects of Er;Cr:YSGG, Nd:YAG, CO2 and diode lasers on dentinal tubules: a scanning electron microscope in vitro study. Photomed Laser Surg, 2011; 29(2): 115-21.
• Aranha AC, de Paula Eduardo C. Ef­ fects of Er:YAG and Er,Cr:YSGG lasers on dentine hypersensitivity. Short-term clinical evaluation. Lasers Med Sci, 2011; 13. [Epub ahead of print]
• Sgolastra F, Petrucci A , Gatto R, Monaco A. Effectiveness of laser in denti- nal hypersensitivity treatment: a systematic review. J Endod, 2011; 37(3): 297-303.