Hipersensibilidade Dentinária Associada a Lesões Cervicais não Cariosas: Revisão de Literatura Dentin Hypersensitivite Associated with Non-Carious Cervical Lesions: a Literature Review
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Publicado:
Out 21, 2020
Palavras-chave:
Desgaste dentário., Gengiva., Sensibilidade da dentina., Recessão gengival.
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Resumo
O objetivo deste trabalho foi apresentar uma revisão de literatura sobre a etiologia, diagnóstico e tratamento da hipersensibilidade dentinária. A hipersensibilidade dentinária é caracterizada por dor curta e aguda, que surge da dentina exposta em resposta a estímulos, tipicamente térmicos, evaporativos, táteis, osmóticos ou químicos e que não podem ser atribuídos a qualquer outro defeito ou patologia dentária. O termo “Hipersensibilidade radicular” é usado para descrever a hipersensibilidade da dentina associada normalmente às recessões gengivais, abrasões, erosões e abfrações. A etiologia é multifatorial e a escolha do tratamento ideal é dependente de diagnóstico correto. Outras entidades relacionadas à hipersensibilidade são as lesões cervicais não cariosas (LCNC) que são condições comuns numa sociedade mais longínqua e com novos hábitos. Todos os tratamentos apresentados, como uso de agentes bloqueadores associados ao creme dental dessensibilizante, procedimentos restauradores, uso de lasers e procedimentos cirúrgicos são eficazes em reduzir a hipersensibilidade dentinária. Uma avaliação do perfil periodontal também torna-se importante principalmente quando objetivam-se estabilidade marginal e prevenção de possíveis LCNC futuras. Com isso, pode-se concluir que a hipersensibilidade dentinária e as lesões cervicais não cariosas são condições que exigem o conhecimento do cirurgião-dentista em relação à sua etiologia, formas de tratamento e manutenção a longo prazo.
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Como Citar
Tarcyla Pereira de Carvalho, Lucas Mendes Gabri, Victor Gila Gomes de Mattos, Marcela Melo dos Santos, & Luis Paulo Diniz Barreto. (2020). Hipersensibilidade Dentinária Associada a Lesões Cervicais não Cariosas: Revisão de Literatura. Revista Naval De Odontologia, 47(2), 68-76. https://doi.org/10.29327/25149.47.2-8
Seção
Revisões de Literatura
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Referências
1. Qualtrough AJ, Burke FJ. A look at dental esthetics. Quintessence Int. 1994; 25:7-14.
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.
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.