Diagnostic tool in treatment planning of dentinal hypersensitivity: T-scan the unheeded newer dimension

Abstract

Background: Occlusion is dynamic and plays an important role in the functioning of the stomatognathic system. Disturbance in one of the components of the stomatognathic system may result in hypersensitivity of teeth, orofacial pain, migraine, and temporomandibular joint (TMJ) disorders. Coronoplasty performed using articulating paper is the conventional method for occlusal corrections. T-scan is a computerized occlusal analysis system that overcomes the limitations of articulating paper. Methods: Patients with Myofascial Pain Dysfunction Syndrome (MPDS) having dentinal hypersensitivity were taken into consideration. The joint vibratory analysis is performed using JVA device to rule out any TMJ disorders. T-scan-assisted coronoplasty is performed. The patient is asked to score for dentinal hypersensitivity on a visual analog scale pre- and postoperative. Results: Occlusion and disocclusion time are reduced along with hyperactivity of the muscles after T-scan-assisted coronoplasty. There is a reduction in dentinal hypersensitivity postoperative. Conclusion: T-scan quantifies the forces and hence proved a boon in the field of dentistry. The present case report highlights coronoplasty assisted with T-scan for diagnosis and treatment planning of hypersensitivity of teeth and hence it is the future of dentistry.