Dental treatment of sensitive tooth

Introduction: Dentine hypersensitivity (DH) is a significant dental health concern characterized by sharp pain in response to stimuli on exposed dentine. It poses a diagnostic challenge due to its similarity to pain caused by other dental conditions. This condition predominantly affects adults, with canine and premolar teeth being the most commonly involved. Aim of the Study: The study aims to elucidate the management strategies for dentin hypersensitivity (DHS), focusing on various therapeutic options tailored to specific patient groups, including those with gingival recession, tooth wear lesions, and undergoing periodontal treatment. Material and Methods: For this study twelve patients (8 males and 4 females, aged 23-47 years) were selected after providing informed consent. Sensitivity testing involved exposure to thermal changes in the oral environment. The study design categorized teeth into groups receiving treatments like fluoride varnish, bonding agents to cover root surfaces after periodontal treatment, and a combination of periodontal and endodontic treatments with home care instructions. The effectiveness of these treatments was assessed through clinical examination and patient feedback. Results and Discussions: Treatment with fluoride varnish showed significant reductions in discomfort immediately and sustained improvement up to six weeks post-treatment, though effectiveness began to wane towards the end. No significant difference was observed between fluoride varnish and dental bonding in reducing DH. Interestingly, treatments combining periodontal and endodontic care with composite restoration were effective, underscoring the need for a multifaceted approach to DH management. Conclusions: The study concludes that various desensitizing agents, including fluoride varnish and dental bonding, are effective in managing dentin hypersensitivity to different extents. The management of DH necessitates a comprehensive understanding of its pathology and a tailored approach to treatment, considering individual patient needs and the specific causes of sensitivity.