Management and Prevention Strategies for Treating Dentine Hypersensitivity

David G. Gillam
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Abstract

The clinician faces numerous challenges when confronted with patients complaining of oro-facial pain, which can involve both dental and non-dental causes. Perhaps one of the most enigmatic clinical conditions that a clinician may encounter is that of dentine hypersensitivity (DH), dentine sensitivity (DS) or root sensitivity (RS), which is both problematic to identify and difficult to treat and may have a major effect on the patient’s quality of life (QoL). Ideally, the clinician needs to prevent or minimize these effects to reduce any unnecessary discomfort for the patient and this may be accomplished through preventive strategies, the provision of the required information about the procedures both pre- and post-treatments as well as reassuring the patient in the event of any subsequent discomfort. Furthermore, it is important for the clinician to be able to correctly diagnose the exact cause of the patient’s discomfort and have the confidence to successfully manage the problem. This chapter aims to cover the relevant aspects for both diagnosing and managing DH with an emphasis on adopting a preventive strategy that will attempt to minimize or eliminate the problem, thereby enabling the patient to have an improved quality of life.
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牙本质过敏的处理与预防策略
临床医生面临着许多挑战,当面对病人抱怨口腔-面部疼痛,这可能涉及牙科和非牙科的原因。牙本质过敏(DH)、牙本质敏感(DS)或牙根敏感(RS)可能是临床医生可能遇到的最神秘的临床症状之一,这既难以识别又难以治疗,并可能对患者的生活质量(QoL)产生重大影响。理想情况下,临床医生需要预防或最小化这些影响,以减少患者不必要的不适,这可以通过预防策略来实现,提供有关治疗前后过程的必要信息,以及在发生任何后续不适时让患者放心。此外,对于临床医生来说,能够正确诊断出患者不适的确切原因并有信心成功地处理这个问题是很重要的。本章旨在介绍诊断和管理卫生署的相关方面,重点是采取预防策略,尽量减少或消除问题,从而提高病人的生活质量。
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