Treatment Strategy and Prevention of Dentine Hypersensitivity

Management of Dentine Hypersensitivity

Management of DH is not a one-time procedure but an ongoing process requiring both in-clinic and at-home interventions.¹ Patients often look for instant relief, but the journey to managing DH is gradual and involves multiple steps.

Identify, Maintain, and Be aware¹

Identify Triggers

For example, consuming acidic foods like fizzy drinks, lemon juice or vinegar can contribute to hypersensitivity.¹
Maintain Good Oral Hygiene

Introduce techniques like the BASS tooth brushing method and highlight the causes of Dentine Hypersensitivity.

Caution against the use of electric toothbrushes, which are contraindicated for DH patients.¹
Be Aware of Patient’s Stress

Emotional or mental stress can trigger habits such as, bruxism, clenching and grinding of teeth which may result to tooth wear.¹

In-clinic Treatment Based on Severity¹

It is advised by experts to divide Dentine Hypersensitivity treatment into categories based on the severity level described by the patient on a numerical scale into:

Mild DH (Severity 0-3)

Begin with conservative, non-invasive methods such as desensitizing toothpaste containing potassium nitrate, which helps desensitize without occluding the dentinal tubules.¹

Moderate DH (Severity 4-6)

For more severe cases, treatments such as fluoride varnishes or desensitizing agents may be employed for in office treatments.¹

Severe DH (Severity 7-10)

It may be necessary to introduce endodontic treatment or extraction.¹ Follow-up visits are crucial to assess improvement and modify the treatment plan as needed.¹

Recommended At-home and In-clinic Prescriptions

Oral Care Regimen
Home and Clinic Oral Regimen

Use tubule occluding or nerve desensitizing toothpastes daily.¹

Incorporate fluoride mouthwash alongside a soft-bristle toothbrush and waxed dental floss. Water flossers should be avoided¹.
Changing oral care behaviors

In-office Care

Behavioral modifications¹, such as educating patients on proper brushing techniques, the right type of mouthwash, and avoiding harsh brushing habits such as over or excessive brushing, are critical in Dentinal Hypersensitivity management.

Fluoride varnishes can be used as treatment.² For severe cases, gingival grafting or root canal treatment (RCT) may be considered¹.