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dentine hypersensitivity

MH, SH, DH, DR> using any sens t/p pt s&s I/O : recession, toothwear (erosion, attrition, abrasion) look for possible other dental pathology identify the causative factor focus should be on prevention and elimination OHI > usual plus ABRASION > atraumatic t/b prevention of further recession >etc with pressure sensor > soft-medium bristle t/b with round ended filaments small head using bass technqiue with systematic method EROSION Diet advice; reduce the risk of root caries; demin pH 6.2-6.4 buffer pH; rinse with water, milk, af f- m/w 225ppm after acidic episode no t/b after acidic episode for 1 hr ATTRITION -occlusal adjustment -POC -restorations -sensitivity advice smoking cessation RECESSION -tx perio -restorations -surgery SENS T/P at home products (2min x2 daily) > SLS free t/p > due opening up of dentinal tubules with 2 min use >F- t/p poss high F- POM, to tubule occlude > F- after t/b topically apply F- t/p to sensitive area >F- m/w 225ppm at separate time to brushing > low RDA t/p -spit dont rinse -tooth mouse tubule occluding IN SURGERY management (little evidence) >F- varnish with prescription, best efficacy 3-6months >oxalates; smart seal >lasers; melt tubules to occlude them >resins; GIC ALTERNATIVES -nupro prophy paste prior to tx -la for tx -low speed suction -cotton wool roll as a barrier -h/s -low power u/s -Referral to GDP for definitive tx; restorations, rct, xla





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