다시 바라보는 지각과민증: 유병률, 진단과 치료, 한계와 미래
Revisiting Dentin Hypersensitivity: prevalence, diagnosis and treatment, limitations and future
전미정, 서덕규,
소속 상세정보
전미정 ( Jeon Mi-Jeong ) - Gangnam Severance Dental Hospital Department of Conservative Dentistry
서덕규 ( Seo Deog-Gyu ) - Seoul National University School of Dentistry Department of Conservative Dentistry
Abstract
Dentin hypersensitivity is sharp pain arising from exposed dentin in response to stimuli. Over the recent decades, the number of patients complaining of discomfort caused by dentin hypersensitivity has increased. The aim of this study was to find out the accurate diagnosis and treatment method of dentin hypersensitivity from an expert’s point of view. In a clinical situation, an accurate diagnosis must precede the treatment. For an accurate diagnosis, it is important to objectify and reproduce symptoms during clinical examination after a detailed history taking.
Treatment of dentin hypersensitivity is often more important as long-term intervention than a one-time treatment. The invasive and irreversible treatment should be considered as the last resort after attempting sufficient conservative methods. Many types of desensitizers are currently on the market to relieve dentin hypersensitivity. Representative methods include nerve desensitization and occlusion of dentinal tubules to reduce movement of the dentinal fluid to relieve pain. However, existing desensitizers have various limitations, and several attempts are such as bioceramic, nanoparticle, and protein have been made to overcome the limitations.
Treatment based on accurate diagnosis and correct understanding of dentin hypersensitivity can reduce the pain and increase the quality of life of many patients.
키워드
Dentin hypersensitivity; conservative treatment; desensitizer; nerve desensitization; dentinal tubule occlusion
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