and Answers
characterization of pain associated with dental hypersensitivity - ✔✔short, sharp pain
3 types of stimuli for dental hypersens - ✔✔1. thermal
2. mechanical
3. chemical
hypersensitive dentin characteristics - ✔✔1. dentin tubes open
2. large and numerous tubules
3. thin, poor calcified or breach smear layer
causes of gingival recession are defined by research? - ✔✔NO
multifactor- caused by one or more factors usually
causes of recession - ✔✔1. age
2. tooth type
3. plaque
4. trauma from brushing
**** plaque most common****
relationship with recession and age - ✔✔- increases with age
- almost, or all older adults have recession
- cumulative effect and longer presents of etiology factors
*** root caries common for older ppl***
most common area for localized recession - ✔✔mand anterior teeth
most common generalized area of recession - ✔✔buccal cervical regions
toothbrushing and recession - ✔✔traumatic toothbrushing and/or injury from abrasive
toothpaste.
technique, frequency, duration
aka "scrubbing"
no evidenve between electric and manual
causes of enamel loss - ✔✔1. attrition
2. abrasion
, 3. erosion
4. abfraction
attrition - ✔✔tooth-tooth
occlusal/ incisal surfaces can see wear
if due to malocclusion, would see wear on buccal
causes of dentin hypersensistivity - ✔✔1. recession
2. enamel loss
3. periodontal therapy -debridment, polishing, surgery etc
4. teeth whitening
is dental hypersen common - ✔✔25-30% of adult population report having it
age peak 30-40
most prevelent on buccal cervical
how to manage a client with hypersens - ✔✔-acess client to rule out other factors of
pain
- identify cayse and risk factors
-educate
begin with:
1. self applied OTC densesitizing- toothpaste
2. professionally applied denses- Fl
3. other, referall for restoration or perio surgery
most common OTC agent - ✔✔-5% potassium nitrate - inactivates nerve
most common desensitizing agent found in toothpaste- has research to back it up -
✔✔1. stannous fluoride
2. 8% arginine and calcium carbonate
how are profesionally applied desensitizing agents applied - ✔✔- painted on, rubber
cup, light cured
types of professionally applied desensitizing agents - ✔✔1. varnish
2. precipitants- arginine/ calcium carbonate/ CPP-ACP, CSP
3. primers containing hydroxyl methacrylate
4. polymerizing agents