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ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity
Dentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledg...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362809/ https://www.ncbi.nlm.nih.gov/pubmed/35959314 http://dx.doi.org/10.4103/jisp.jisp_233_22 |
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author | Grover, Vishakha Kumar, Ashish Jain, Ashish Chatterjee, Anirban Grover, Harpreet Singh Pandit, Nymphea Satpathy, Anurag Madhavan Pillai, Baiju Radhamoni Melath, Anil Dhruvakumar, Deepa Thakur, Roshani Joshi, Nilesh V. Deshpande, Neeraj Dadlani, Himanshu Meenakshi, A. Archana Ashok, K. P. Reddy, K. Vinathi Bhasin, Meenu Taneja Salaria, Sanjeev Kumar Verma, Abhishek Gaikwad, Rajesh Prabhakar Darekar, Hemant Amirisetty, Ramesh Phadnaik, Mangesh Karemore, Vaibhav Dhulipalla, Ravindranath Mody, Dhawal Rao, Tushar Shri Chakarpani, Swarna Ranganath, V. |
author_facet | Grover, Vishakha Kumar, Ashish Jain, Ashish Chatterjee, Anirban Grover, Harpreet Singh Pandit, Nymphea Satpathy, Anurag Madhavan Pillai, Baiju Radhamoni Melath, Anil Dhruvakumar, Deepa Thakur, Roshani Joshi, Nilesh V. Deshpande, Neeraj Dadlani, Himanshu Meenakshi, A. Archana Ashok, K. P. Reddy, K. Vinathi Bhasin, Meenu Taneja Salaria, Sanjeev Kumar Verma, Abhishek Gaikwad, Rajesh Prabhakar Darekar, Hemant Amirisetty, Ramesh Phadnaik, Mangesh Karemore, Vaibhav Dhulipalla, Ravindranath Mody, Dhawal Rao, Tushar Shri Chakarpani, Swarna Ranganath, V. |
author_sort | Grover, Vishakha |
collection | PubMed |
description | Dentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledge gaps regarding DH, viz., under-diagnosis, incorrect differential diagnosis, and treatment strategies/recommendations for the management of DH patients in daily clinical practice. The current paper has been envisioned and conceptualized to update the practicing Indian dentists regarding the so-called enigma of dentistry “Dentin Hypersensitivity,” based on the best available contemporary evidence. An expert panel was constituted comprising 30 subject experts from across the country, which after extensive literature review and group discussions formulated these recommendations. The panel advocated routine screening of all dentate patients for exposed dentin areas and DH to avoid under-diagnosis of the condition and suggested an early preventive management. Consensus guidelines/recommendations for the use of desensitizing agents (DAs) at home, including the use of herbal agents, are also provided within the backdrop of the Indian context. The guidelines recommend that active management of DH shall be accomplished by a combination of at home and in-office therapies, starting with the simplest and cost-effective home use of desensitizing toothpastes. A diagnostic decision tree and a flowchart for application in daily practice are designed to manage the patients suffering from DH or presenting with exposed dentin areas in dentition. Various treatment methods to manage DH have been discussed in the paper, including the insights from previously published treatment guidelines. Further, a novel system of classification of DH patients based on specific case definitions has been developed for the first time. Explicit charts regarding the available treatment options and the chronology of institution of the agent, for the management in different case categories of DH, have been provided for quick reference. The management strategy takes into account a decision algorithm based on hierarchy of complexity of treatment options and intends to improve the quality of life of the patient by long-term maintenance with an innovatively defined triple C's or 3Cs approach. |
format | Online Article Text |
id | pubmed-9362809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-93628092022-08-10 ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity Grover, Vishakha Kumar, Ashish Jain, Ashish Chatterjee, Anirban Grover, Harpreet Singh Pandit, Nymphea Satpathy, Anurag Madhavan Pillai, Baiju Radhamoni Melath, Anil Dhruvakumar, Deepa Thakur, Roshani Joshi, Nilesh V. Deshpande, Neeraj Dadlani, Himanshu Meenakshi, A. Archana Ashok, K. P. Reddy, K. Vinathi Bhasin, Meenu Taneja Salaria, Sanjeev Kumar Verma, Abhishek Gaikwad, Rajesh Prabhakar Darekar, Hemant Amirisetty, Ramesh Phadnaik, Mangesh Karemore, Vaibhav Dhulipalla, Ravindranath Mody, Dhawal Rao, Tushar Shri Chakarpani, Swarna Ranganath, V. J Indian Soc Periodontol Guidelines for Periodontal Care Dentin hypersensitivity (DH) is a rising concern in clinical dentistry that causes pain and discomfort and negatively affects the quality of life of patients. Indian Society of Periodontology conducted a nationwide survey, involving 3000 dentists in December 2020, which revealed significant knowledge gaps regarding DH, viz., under-diagnosis, incorrect differential diagnosis, and treatment strategies/recommendations for the management of DH patients in daily clinical practice. The current paper has been envisioned and conceptualized to update the practicing Indian dentists regarding the so-called enigma of dentistry “Dentin Hypersensitivity,” based on the best available contemporary evidence. An expert panel was constituted comprising 30 subject experts from across the country, which after extensive literature review and group discussions formulated these recommendations. The panel advocated routine screening of all dentate patients for exposed dentin areas and DH to avoid under-diagnosis of the condition and suggested an early preventive management. Consensus guidelines/recommendations for the use of desensitizing agents (DAs) at home, including the use of herbal agents, are also provided within the backdrop of the Indian context. The guidelines recommend that active management of DH shall be accomplished by a combination of at home and in-office therapies, starting with the simplest and cost-effective home use of desensitizing toothpastes. A diagnostic decision tree and a flowchart for application in daily practice are designed to manage the patients suffering from DH or presenting with exposed dentin areas in dentition. Various treatment methods to manage DH have been discussed in the paper, including the insights from previously published treatment guidelines. Further, a novel system of classification of DH patients based on specific case definitions has been developed for the first time. Explicit charts regarding the available treatment options and the chronology of institution of the agent, for the management in different case categories of DH, have been provided for quick reference. The management strategy takes into account a decision algorithm based on hierarchy of complexity of treatment options and intends to improve the quality of life of the patient by long-term maintenance with an innovatively defined triple C's or 3Cs approach. Wolters Kluwer - Medknow 2022 2022-07-02 /pmc/articles/PMC9362809/ /pubmed/35959314 http://dx.doi.org/10.4103/jisp.jisp_233_22 Text en Copyright: © 2022 Indian Society of Periodontology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Guidelines for Periodontal Care Grover, Vishakha Kumar, Ashish Jain, Ashish Chatterjee, Anirban Grover, Harpreet Singh Pandit, Nymphea Satpathy, Anurag Madhavan Pillai, Baiju Radhamoni Melath, Anil Dhruvakumar, Deepa Thakur, Roshani Joshi, Nilesh V. Deshpande, Neeraj Dadlani, Himanshu Meenakshi, A. Archana Ashok, K. P. Reddy, K. Vinathi Bhasin, Meenu Taneja Salaria, Sanjeev Kumar Verma, Abhishek Gaikwad, Rajesh Prabhakar Darekar, Hemant Amirisetty, Ramesh Phadnaik, Mangesh Karemore, Vaibhav Dhulipalla, Ravindranath Mody, Dhawal Rao, Tushar Shri Chakarpani, Swarna Ranganath, V. ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity |
title | ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity |
title_full | ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity |
title_fullStr | ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity |
title_full_unstemmed | ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity |
title_short | ISP Good Clinical Practice Recommendations for the management of Dentin Hypersensitivity |
title_sort | isp good clinical practice recommendations for the management of dentin hypersensitivity |
topic | Guidelines for Periodontal Care |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9362809/ https://www.ncbi.nlm.nih.gov/pubmed/35959314 http://dx.doi.org/10.4103/jisp.jisp_233_22 |
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