Información del artículo
Resumo
A hipersensibilidade dentinária (HD) é uma condição relativamente comum na prática clínica da Medicina Dentária. Este problema poderá incomodar o doente durante vários atos rotineiros como sejam: durante a escovagem, ao ingerir alimentos ou bebidas e por vezes até ao respirar. A terapêutica interventiva com agentes dessensibilizantes atualmente disponíveis, apenas providencia alívio parcial da dor referida pelo doente, sendo a sua recorrência um evento frequente. Muito permanece ainda por esclarecer sobre a HD, sendo a sua própria designação ainda questionada por alguns. Por outro lado, existem numerosos estudos clínicos sobre ainda mais numerosos métodos de tratamento, todos alegando a sua eficácia e superioridade, havendo autores que afirmam que não existe outra doença conhecida pelo Homem que tenha tido tantos tratamentos diferentes todos com sucesso. Este artigo irá debruçar-se sobre a etiologia, epidemiologia, protocolo clínico e métodos de tratamento profissionais disponíveis da HD, sendo certo que não existe nenhum protocolo universalmente aceite para o correto tratamento desta.
Palavras-chave:
Hipersensibilidade dentinária
Hipersensibilidade dentária
Tratamento da hipersensibilidade
dentinária
Abstract
Dentin hypersensitivity is a relatively common condition in dentistry's clinical practice. This condition can disturb the patient during numerous daily tasks, such as brushing his teeth, eating, drinking and sometimes even breathing. Interceptive therapy with desensitizing agents currently available only relieves part of the pain felt by the patient, being its recurrence a frequent finding. Much remains to be determined about dentin hypersensitivity, being its own designation still questioned by some. On the other hand, there are numerous studies over even more numerous treatment methods, all of them claiming their success and superiority, up to an extent that some authors claim that there is no other disease known to Man that had so many treatment regimens, all carried out with success. This paper will discuss the etiology, epidemiology, clinical protocol and professional treatment methods available for dentin hypersensitivity, being a fact that there is no universally accepted protocol when it comes to treating dentin hypersensitivity.
Keywords:
Dentinal hypersensitivity
Dental hypersensitivity
Treatment of dentinal
hypersensitivity
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Bibliografia
[1.]
P. Dowell, M. Addy.
Dentine hypersensitivity – a review. Aetiology, symptoms and theories of pain production.
J Clin Periodontol, 10 (1983), pp. 341-350
[2.]
R.H. Dababneh, A.T. Khouri, M. Addy.
Dentine Hypersensitivity – An enigma? – A review of terminology, epidemiology, mechanisms, aetiology and management.
Br Dent J, 187 (1999), pp. 606-611
[3.]
R. Orchardson, D. Gillam.
Managing dentin hypersensitivity.
J Am Dent Assoc, 7 (2006), pp. 990-998
[4.]
J. Ricarte, V. Matoses, V. Llácer, A. Fernández, B. Moreno.
Dentinal Sensitivity: concept and methodology for its objective evaluation.
Med Oral Patol Oral Cir Bucal, 13 (2008), pp. E201-E206
[5.]
I. Porto, A. Andrade, M. Montes.
Diagnosis and Treatment of Dentinal Hypersensitivity.
J Oral Sci, 51 (2009), pp. 323-332
[6.]
D. Pashley, F. Tay, V. Haywood, M. Collins, C. Drisko.
Consensus – based recommendations for the diagnosis and management of Dentin Hipersensitivity.
Inside Dentistry, 4 (2008), pp. 1-5
[7.]
D. Pashley, F. Tay, V. Haywood, M. Collins, C. Drisko.
Dentin Hypersensitivity: Current state of the art and science.
Inside Dentistry, 4 (2008), pp. 8-18
[8.]
D. Pashley, F. Tay, V. Haywood, M. Collins, C. Drisko.
Dentin Hipersensitivity and gingival recession.
Inside Dentistry, 4 (2008), pp. 19-24
[9.]
M. Brännström, A. Äström.
A study on the mechanism of pain elicited from the dentin.
J Dent Res, 43 (1964), pp. 619-625
[10.]
W. Chidchuangchai, N. Vongsavan, B. Matthews.
Sensory transduction mechanisms responsible for pain caused by cold stimulation of dentine in man.
Arch Oral Biol, 52 (2007), pp. 154-160
[11.]
D.R. Clayton, D. McCarthy, D.G. Gillam.
A study of the prevalence and distribution of dentine sensitivity in a population of 17-58-year-old serving personnel on an RAF base in the Midlants.
J Oral Rehabil, 29 (2002), pp. 14-23
[12.]
D.G. Gillam, H.S. Seo, H.N. Newman, J.S. Bulman.
Comparison of dentine hypersensitivity in selected occidental and oriental populations.
J Oral Rehabil, 28 (2001), pp. 20-25
[13.]
D.G. Gillam, R. Orchardson.
Advances in the treatment of root dentine sensitivity: mechanisms and treatment principles.
Endod Topics, 13 (2006), pp. 13-33
[14.]
A. Kawasaki, K. Ishikawa, T. Suge, H. Shimizu, K. Suzuki, T. Matsuo, S. Ebisu.
Effects of plaque control on the patency and occlusion of dentine tubules in situ.
J Oral Rehabil, 28 (2001), pp. 439-449
[15.]
K. Markowitz.
The original desensitizers: strontium and potassium salts.
J Clin Dent, 20 (2009), pp. 145-151
[16.]
S. Mason, N. Hugles, T. Layer.
Considerations for the development of over-the-counter dentifrices for the treatment and relief of dentin sensitivity.
J Clin Dent, 20 (2009), pp. 167-173
[17.]
M. Du, Z. Bian, H. Jiang, D. Greenspan, A. Burwell, I. Zhong, B. Tai.
Clinical evaluation of a dentifrice containing calcium sodium phosphosilicate (Novamin) for the treatment of dentin hypersensitivity.
Aust J Dent, 21 (2008), pp. 210-214
[18.]
R. Yates, R. Ferro, R. Newcombe, M. Addy.
A comparison of a reformulated potassium citrate desensitizing toothpaste with the original proprietary product.
J Dent, 33 (2005), pp. 19-25
[19.]
N. Claydon, M. Addy, E. MacDonald, N. West, B. Maggio, A. Barlow, C. Parkinson, A. Butler.
Development of an “in situ” methodology for the clinical evaluation of dentine hypersensitivity occlusion ingredients.
J Clin. Dent, 20 (2009), pp. 158-166
[20.]
T. Ladalardo, A. Pinheiro, R. Campos, A. Júnior, F. Zanin, P. Albernaz, L. Weckx.
Laser therapy in the treatment of Dentine Hypersensitivity.
Braz Dent J, 15 (2004), pp. 144-150
[21.]
B. Hoang-Dao, H. Horang-Tu, L. Tran-Hung, J. Camps, G. Koubi, I. About.
Evaluation of a natural resin-based new material (Shellac F) as a potencial desensitizing agent.
Dent Mater, 24 (2008), pp. 1001-1007
[22.]
J. Pereira, A. Segala, D. Gillam.
Effect of desensitizing agents on the hydraulic conductance of human dentin subjected to different surface pre-treatments – an “in vitro” study.
Dent Mater, 21 (2005), pp. 129-138
[23.]
G. Silvermann, E. Berman, C. Hanna, A. Salvato, P. Fratarcongelo, R. Bartizek, B. Bollmer, S. Campbell, A. Lanzalaco, B. Mackay, M. McClanahan, M. Perlich, J. Shaffer.
Assessing the efficacy of 3 dentifrices in the treatment of Dentinal Hypersensitivity.
J Am Dent Assoc, 127 (1996), pp. 191-201
[24.]
S. Shen, C. Tsai, L. Yang, Y. Chang.
Clinical efficacy of toothpaste containing potassium citrate in treating Dentin Hypersensitivity.
J Dent Sci, 4 (2009), pp. 173-177
[25.]
C. Parkinson, J. Earl.
Advances in methodologies to characterize dentine and dentine hypersensitivity treatments “in vitro”.
J Clin Dent, 20 (2009), pp. 152-157
[26.]
D. Cummins.
Dentin hypersensitivity: from diagnosis to a breakthrough therapy for everyday sensitivity relief.
J Clin Dent, 20 (2009), pp. 1-9
[27.]
A. Cherng, L. Chow, S. Takagi.
Reduction in dentin permeability using mildly supersaturated calcium phosphate solutions.
Arch Oral Biol, 49 (2004), pp. 91-98
[28.]
S. Sauro, M. Gandolfi, C. Prati, R. Mongiorgi.
Oxalate – containing phytocomplexes as dentine desensitisers: an” in vitro” study.
Arch Oral Biol, 51 (2006), pp. 655-664
[29.]
V. Vachiramon, M. Vargas, D. Pashley, F. Tay, S. Geraldeli, F. Quian, S. Armstrong.
Effects of oxalate on dentin bond after 3-month simulated pulpal pressure.
J Dent, 36 (2008), pp. 178-185
[30.]
C. Qin, J. Xu, Y. Zhang.
Spectroscopic investigation of the function of aqueous 2-hydroxyethylmethacrylate/glutaraldehyde solution as a dentin desensitizer.
Eur J Oral Sci, 114 (2006), pp. 354-359
[31.]
T. Suge, A. Kawasaki, K. Ishikawa, T. Matsuo, S. Ebisu.
Ammonium hexafluorosilicate elicits calcium phosphate precipitation and shows continuous dentin tubule occlusion.
Dent Mater, 24 (2008), pp. 192-198
[32.]
Q.-F. Chen, Y. Chen, R. Smales, K. Yip.
Effect of fluoride iontophoresis on the microtensile bond strength between dentin and two adhesive systems.
J Dent, 36 (2008), pp. 697-702
[33.]
B. Lee, C. Chang, W. Chen, W. Lan, C. Lin.
In vitro study of dentin hypersensitivity treated by Nd-YAG laser and bioglass.
Dent Mater, 21 (2005), pp. 511-519
[34.]
P. Hsu, J. Chen, F. Chuang, R. Roan.
The combinated occluding effects of fluoride-containing Dentin Desensitizer and Nd-YAG Laser irradiation on human Dentinal tubules: an “in vitro” study.
J Med Sci, 22 (2006), pp. 24-29
[35.]
C. Kara, R. Orbak.
Comparative Evaluation of Nd-YAG Laser and Fluoride Varnish for the treatment of dentinal hypersensitivity.
J Endod, 35 (2009), pp. 971-974
[36.]
A. Azarpazhooh, H. Limeback, H. Lawrence, E. Fillery.
Evaluating the effect of an Ozone Delivery System on the reversal of dentin hypersensitivity: a randomized, double-blinded clinical trial.
J Endod, 35 (2009), pp. 1-9
[37.]
I. Petron, R. Heu, M. Stranick, S. Lavender, L. Zaidel, D. Cummings, R. Sullivan.
A breakthrough therapy for dentin hypersensitivity: how dental products containing 8% Arginine and calcium carbonate work to deliver effective relief of sensitive teeth.
J Clin Dent, 20 (2009), pp. 23-31
[38.]
F. Ayad, N. Ayad, Y. Zhang, W. DeVizio, D. Cummins.
Comparing the efficacy in reducing dentin hypersensitivity of a new toothpaste containing 8,0% arginine, calcium carbonate, and 1450ppm fluoride to a commercial sensitive toothpaste containing 2% potassium ion: an eight-week clinical study on Canadian adults.
J Clin Dent, 20 (2009), pp. 10-16
[39.]
R. Docino, L. Montesani, P. Maturo, M. Costacurta, M. Bartolino, W. DeVizio, Y. Zhang, D. Cummins, S. Dibart, L. Mateo.
Comparing the efficacy in reducing dentin hypersensitivity of a new toothpaste containing 8,0% arginine, calcium carbonate, and 1450ppm fluoride to a commercial sensitive toothpaste: an eight-week clinical study in Rome, Italy.
J Clin Dent, 20 (2009), pp. 17-22
[40.]
F. Panagakos, T. Schiff, A. Guignon.
Dentin hypersensitivity: effective treatment with an in-office desensitizing paste containing 8% arginine and calcium carbonate.
Am J Dent, 22 (2009), pp. 3A-7A
[41.]
T. Schiff, E. Delgado, Y. Zhang, D. Cummins, W. DeVizio.
Clinical evaluation of the efficacy of an in-office desensitizing paste containing 8% arginine and calcium carbonate in providing instant and lasting relief of dentin hypersensitivity.
Am J Dent, 22 (2009), pp. 8A-15A
[42.]
D. Hamlin, K. Williams, E. Delgado, Y. Zhang, W. DeVizio, L. Mateo.
Clinical evaluation of the efficacy of an in-office desensitizing paste containing 8% arginine and calcium carbonate for the in-office relief of dentin hypersensitivity associated with dental prophylaxis.
Am J Dent, 22 (2009), pp. 16A-20A
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