Dentin Hypersensitivite Associated with Non-Carious Cervical Lesions: a Literature Review Hipersensibilidade Dentinária Associada a Lesões Cervicais não Cariosas: Revisão de Literatura
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Published:
Oct 21, 2020
Keywords:
Tooth wear., Gingiva., Dentin Sensitivity., Gingival recession.
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Abstract
The aim of this study was to present a literature review on the etiology, diagnosis and treatment of dentin hypersensitivity. Dentin hypersensitivity is characterized by short and acute pain, which arises from exposed dentin in response to stimuli, typically thermal, evaporative, tactile, osmotic or chemical and which cannot be attributed to any other dental defect or pathology. The term “Root Hypersensitivity” is used to describe the dentin hypersensitivity normally associated with gingival recessions, abrasions, erosions and abfractions. The etiology is multifactorial and the choice of the ideal treatment depends on a correct diagnosis. Other entities related to hypersensitivity are non-carious cervical lesions (NCCL), which are common conditions in a more distant society with new habits. All treatments presented, such as the use of blocking agents associated with desensitizing toothpaste, restorative procedures, the use of lasers and surgical procedures are effective in reducing dentinal hypersensitivity. An evaluation of the periodontal profile is also important especially when aiming at marginal stability and prevention of possible future NCCL. Thus, it can be concluded that dentin hypersensitivity and non-carious cervical lesions are conditions that require the dentist’s knowledge in relation to their etiology, forms of treatment and long-term maintenance.
Article Details
How to Cite
Tarcyla Pereira de Carvalho, Lucas Mendes Gabri, Victor Gila Gomes de Mattos, Marcela Melo dos Santos, & Luis Paulo Diniz Barreto. (2020). Dentin Hypersensitivite Associated with Non-Carious Cervical Lesions: a Literature Review. Naval Dental Jounal, 47(2), 68-76. https://doi.org/10.29327/25149.47.2-8
Section
Literature Reviews
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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Degradação dos materiais restauradores utilizados em lesões cervicais não cariosas. RGO - Rev Gaúcha Odontol., out./dez. 2010, v. 58, n. 4 :431-436.
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33. Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985; 5(2): 9–13.
34. Agudio G, Chambrone L, Selvaggi F, Pini-Prato GP. Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non-carious cervical lesions: A 25- to 30-year follow-up study. J Periodontol. 2019 Nov;90(11):1235-1243.
2. Walter C, Kress E, Götz H et al. The anatomy of non-carious cervical lesions. Clin Oral Invest.2014; 18:139–146.
3. Holland GR, Narhi MN, Addy M,Gangarosa L,Ochardson R. Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. Journal of Clinical Periodontology. 1997; v. 24, n. 11: 808–813.
4. Brännström, M. The hydrodynamic theory of dentinal pain: Sensation in preparations, caries, and the dentinal crack syndrome. Journal of Endodontics. 1986; v. 12, n. 10: 453–457.
5. Hapernau, L.A. et al. Periodontia e Implantodontia - Algoritmos de hall para a pratica clínica. 5 ed. Ed. Santos; 2016.
6. Splieth CH, Tachou A. Epidemiology of dentin hypersensitivity. Clinical Oral Investigations. 2016; 17:3–8.
7. Silva MS, Lima ANAN, Pereira MMA, Ferraz Mendes R, Prado Júnior RR. Prevalence and predictive factors of dentin hypersensitivity in Brazilian adolescents. J Clin Periodontol. 2019 Apr;46(4):448-456.
8. Lindhe, J. et al. Tratado de Periodontia Clínica e Implantologia Oral. 4.ed. Rio de Janeiro: Guanabara Koogan; 2005.
9. Guida B, Nasciben M, Carvalho E, Ribeiro EDP. Recobrimento radicular de recessões gengivais associadas a lesões cervicais não-cariosas: Revisão de literatura. R. Periodontia.2010; 20(2): 14-21.
10. Costa RSA, Rios FS, Moura MS, Jardim JJ, Maltz M, Haas AN. Prevalence and Risk Indicators of Dentin Hypersensitivity in Adult and Elderly Populations From Porto Alegre, Brazil. J Periodontol.September 2014; v.85, n.9: 1247-1258.
11. Moraschini V, Costa LS, Santos GO. Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis. Clin Oral Invest.2018; 22:617–631.
12. Santamaria MP, Queiroz LA, Mathias IF, Neves FLS, Silveira CA, Bresciani E et al. Resin composite plus connective tissue graft to treat single maxillary gingival recession associated with non-carious cervical lesion: randomized clinical trial. J Periodontol. 2016; 43:461-468.
13. Yoshizaki KT, Francisconi-dos-Rios LF, Sobral MAP, Aranha ACC, Mendes FM, Scaramucci T. Clinical features and factors associated with non-carious cervical lesions and dentin hypersensitivity. Journal of Oral Rehabilitation. 2017; Vol.4, issue 2: 112-118.
14. Arenal A, Alvarez-Menendez L, Gonzalez-Gonzalez, Alvarez-Riesgo JA, Velasco AB, Lanchares HL. Non-carious cervical lesions and risk factors: A case-control study. Journal of Oral Rehabilitation. 2018; Vol.46, issue 1: 65-75.
15. Teixeira DNR, Zeola LF, Machado AC, Gomes RR, Souza PG, Mendes DC, Soares PV. Relationship between noncarious cervical lesions, cervical dentin hypersensitivity, gingival recession, and associated risk factors: A cross-sectional study. Journal of Dentistry.2018; 76: 93-97.
16. Sobral, MAP, Luz MAAC, Gama-Teixeira A, Garone Netto N. Influência da dieta líquida ácida no desenvolvimento de erosão dental. Pesqui Odontol Bras.2000; v. 14, n. 4: 406-410.
17. Gambom DL, Brand HS, Veerman. Dental erosion in the 21st century: what is happening to nutritional habits and lifestyle in our society? Br Dent J. 2012; 213(2):55-7.
18. Figueiredo VMG, Santos RL, Batista AUD. Avaliação de hábitos de higiene bucal, hábitos alimentares e pH salivar em pacientes com ausência e presença de lesões cervicais não cariosas. Rev Odontol UNESP. 2013 Nov-Dec; 42(6): 414-419.
19. Neville BW, Damm DD, Allen CM. Patologia oral & maxilofacial. 3ª ed; Rio de Janeiro: Guanabara Koogan, 2009.
20. Turssi CP, Kelly AB, Harac AT .Toothbrush bristle configuration and brushing load: Effect on the development of simulated non-carious cervical lesions. Journal of Dentistry. 2019; 86:75-80.
21. Lee WC, Eakle WS. Possible role of tensile stress in the etiology of cervical erosive lesions of teeth. J Prosthet Dent. 1984; 52(3):374-80.
22. Modanese D, Canevese VA, Alessandretti R, Spazzin AO, Radaelli MTB. Lesões cervicais não-cariosas de abfração: prevalência e relação com bruxismo do sono. Journal of Oral Investigations. jun.2018; 7(1): 22-32.
23. Arrais CAG, Chan DCN, Giannini M. Effects of desensitizing agents on dentinal tubule occlusion. J Appl Oral Sci .2004; 12(2):144-8.
24. Dursun E, Güncü GN, Dursun CK, Kiremitçi A, Karabulut E, Akalın FA. Nanofilled and conventional resin-modified glass ionomer fillings combined with connective tissue grafts for treatment of gingival recessions with non-carious cervical lesions. Journal of Oral Science.2018; 60(3): 344-351.
25. Braga SMR, Garone Netto N, Soler JMP, Sobral MAP.
Degradação dos materiais restauradores utilizados em lesões cervicais não cariosas. RGO - Rev Gaúcha Odontol., out./dez. 2010, v. 58, n. 4 :431-436.
26. Carvalho RD, Nogueira COP, Silva AP, Mesquita JA, Salgado KHC, Medeiros MCS et al. Periodontal Evaluation in Noncarious Cervical Lesions Restored with Resin-modified Glass-Ionomer Cement and Resin Composite: A Randomised Controlled Study. Oral Health Prev Dent. 2018; 16(2):131-136.
27. Rehman AU, Naeem S, Rehman S,Ali A . Comparison of composite resin and resin modified glass ionomer restorations on dentinal hypersensitivity in non-carious cervical lesions. Pakistan Oral & Dental Journal. 2019; Vol.19 (3): 281-284.
28. Takeda Y. Irradiation effect of low energy laser in alveolar one after tooth extraction in rats. J Oral Maxillofac Surg 1988 dec.; 17(6): 388-91.
29. White JM, Goodis HE, Setcos JC, Eakle S, Hulscher BE, Rose CL. Effects of pulsed Nd: YAG laser energy on human teeth: a three –year follow up study. J Am Dent Assoc, 1993 jul.; 124(7): 45-51.
30. Shintome LK, Umetsubo LS, Nagayassu MP, Jorge ALC, Gonçalves SEP,Torres CRG. Avaliação clínica da laserterapia no tratamento da hipersensibilidade dentinária. Cienc Odontol Bras. 2007; 10 (1): 26-33.
31. Lopes AO, Eduardo CP, Aranha ACC. Evaluation of different treatment protocols for dentin hypersensitivity: an 18-month randomized clinical trial. Lasers Med Sci, 2017; 32:1023–1030.
32. Pini-Prato G, Franceschi D, Cairo F, Nieri M, Rotundo R. Classification of Dental Surface Defects in Areas of Gingival Recession. Journal of Periodontology. Jun 2010 Volume 81, Issue 6: 885-890.
33. Miller PD. A classification of marginal tissue recession. Int J Periodontics Restorative Dent. 1985; 5(2): 9–13.
34. Agudio G, Chambrone L, Selvaggi F, Pini-Prato GP. Effect of gingival augmentation procedure (free gingival graft) on reducing the risk of non-carious cervical lesions: A 25- to 30-year follow-up study. J Periodontol. 2019 Nov;90(11):1235-1243.