Dentin Hypersensitivity: A Commonly Underdiagnosed
Dentin hypersensitivity is a common and painful condition that causes short, sharp pain for patients.
It can arise when the dentin of the teeth becomes exposed to external stimuli (like eating or drinking),
and is most often prevalent in patients 20–50 years old.1
Why Dentin Hypersensitivity Happens: The Hydrodynamic Theory1,2
Why Dentin Hypersensitivity Is Underdiagnosed
Though often a conversation with the dentist is all that’s needed, dentin hypersensitivity can be a challenge for patients to describe, making it harder for clinicians to accurately diagnose.3 By nature, it is a diagnosis of exclusion, meaning conditions that can mimic symptoms of dentin hypersensitivity must be ruled out via a differential diagnosis.2
Conditions to Rule Out2:
- Fractured restorations
- Dental caries
- Cracked tooth syndrome
- Chipped teeth
- Periodontal disease
- Post-restorative sensitivity
- Marginal leakage
- Palatogingival groove
1. Addy M. Dentine hypersensitivity: new perspectives on an old problem. Int Dent J. 2002;52(5)(suppl 1):367–375.
2. Pashley D, et al. Dentin hypersensitivity: consensus-based recommendations for the diagnosis & management of dentin hypersensitivity. Newtown, PA: AEGIS Publications; 2008.
3. Guignon AN. Dentinal hypersensitivity. http://www.rdhmag.com/articles/print/volume-34/issue-7/features/dentinal-hypersensitivity.html. Published 2014. Accessed July 12, 2017.