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A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS)

机译:宫颈暴露性牙本质(ECD)和牙本质超敏反应(DHS)管理的决策树

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摘要

Introduction: Dentin hypersensitivity (DHS) is a problematic clinical entity that may become an increasing clinical problem for dentists to treat as a consequence of patients retaining their teeth throughout life and improved oral hygiene practices. Objectives: The aim of this review was to develop a decision tree for the management of exposed cervical dentin (ECD) and DHS. Material and methods: A brief PUBMED literature search was performed on dentin hypersensitivity using "MeSH" terms, "review", and "management". In addition, some websites and local guidelines were screened. Results: From this review, it became clear that all dentate patients should routinely be screened for ECD and DHS. In this respect, underdiagnosis of the condition will be avoided and the preventive management can be initiated early. Conclusion: A decision tree process and a flowchart for daily practice were designed which should be started up as soon as a patient present with ECD or suffers from DHS. This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options. In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies. Starting with the use of desensitizing toothpastes is strongly recommended.
机译:简介:牙本质过敏症(DHS)是一个有问题的临床实体,由于患者终生保持牙齿并改善了口腔卫生习惯,因此可能成为牙科医生越来越多的临床问题。目标:这项审查的目的是为暴露的子宫颈牙本质(ECD)和DHS的管理制定决策树。材料和方法:简短的PUBMED文献搜索使用“ MeSH”,“评论”和“管理”对牙本质过敏症进行了研究。此外,还筛选了一些网站和本地指南。结果:通过这次审查,很明显,应定期筛查所有齿状患者的ECD和DHS。在这方面,将避免对该病的诊断不足,并可以及早开展预防管理。结论:设计了决策树流程和日常操作流程图,应在存在ECD或DHS的患者中立即启动。该方法考虑了患者生活质量的可能改善,并且进一步基于治疗选择的层次。在这方面,DHS的积极管理通常将在家和办公室内治疗结合起来。强烈建议从使用脱敏牙膏开始。

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