Dentine Hypersensitivity

Author: Advanced Hygienist Naz

Dentine hypersensitivity refers to heightened sensitivity of the teeth, typically triggered by temperature changes, touch, or exposure to certain chemicals. This condition is commonly seen in dental practices and is often associated with discomfort when consuming hot, cold, or acidic substances. Understanding its causes and implementing effective management strategies is essential for ensuring patient comfort and long-term oral health.

Initial Management of Dentine Hypersensitivity

The first approach is usually conservative and involves modifying the patient’s oral hygiene habits.

Oral Hygiene Advice

• Gentle but thorough oral hygiene regime to prevent further tooth wear.
• Suggesting a non-abrasive desensitising toothpaste containing evidence-based agents such stannous fluoride, strontium acetate, arginine/calcium carbonate, calcium sodium phosphosilicate.
• Educating the patient on avoiding acidic foods and drinks that can erode enamel. The key focus should also be on frequency.
• Encourage drinking still water over sparkling when possible. 
• To use straw when drinking fizzy or acidic beverages to limit direct contact. 

In Dental Practice Treatment Options

• If home care alone does not resolve the issue, professional treatments can help reduce sensitivity: 

• Fluoride Treatments: Application of fluoride varnishes or gels helps remineralise enamel and reduce sensitivity. We use BiFluorid in the clinic.

• Using other Desensitising Agents. BioMin is one of our favourites.

• Restorative options.