Hypersensitivity

Question 1

Dentinal Hypersensitivity

Answer 1

occurs when vital dentin exposed to oral environment. rapid, short, sharp pain. *cannot be attributed to any other pathology

Question 2

Types of Hypersensitivity Pain

Answer 2

Thermal (extreme temps), Tactile (instrumentation, osc) Chemical (acidic foods, acid reflux, topical meds)

Question 3

Hydrodynamic Theory

Answer 3

dentin exposed > fluid in tubercles > pain transmitted by odontoblasts + receptors > to pulp

Question 4

Smear Layer

Answer 4

salivary proteins that block entrance of dentinal tubercles.

Question 5

Pre-Eruption causes of Hypersensitivity

Answer 5

enamel + cementum do not meet [10%]

Question 6

Post-Eruption causes of Hypersensitivity

Answer 6

hard tissue [enamel] loss by abrasion/erosion/abfraction/caries. soft tissue loss by recession. + diet/tooth morph/oral habits/whitening/denitrifies/over instrumenting

Question 7

Mild to Moderate Dentinal Hypersensitivity

Answer 7

OTC or Rx toothpaste (PreviDent)

Question 8

Professional Treatments / Interventions

Answer 8

Fluoride varnish, Zarosen, Arginine, Calcium Carbonate, Light cured resin < to seal tubercles. DDS = laser therapy, restorations, perio surgery

Question 9

Documentation

Answer 9

agent used, area applied, outcome/pt response, education/osc instruction, recommendations

Question 10

DHY Standards of Care - QA

Answer 10

Assess, Diagnose, Plan, Implement, Evaluate, Document

Question 11

QA Monitoring Surveys

Answer 11

Patient Centered Care QA, Patient Exit Survey, Patient Care Electronic Transaction Audit