package 4 and 5 Flashcards
4 factors contributing to hypersensitivity
- loss of gingiva
- loss of cementum
- loss of enamel
- other dental factora
recession
peeling back of gums possibly uncovering the root surface, uncovering the dentinal tubules
6 causes of gingival recession
- periodontal infection
- instrumentation
- periodontal surgery
- resto procedures and oral surgery
- ortho treatment
- patient self care
what is the first fiber lost during periodontitis
collagen
what systemic conditions can periodontal disease cause
cardiovascular disease
diabetes mellitus
respiratory disease
loss of cementum
thickness is less than 0.5 mm and denton is exposed
cause of loss of cementum
treatment procedures
self care
root caries
loss of enamel
loss of protective area on the teeth dentin can be exposed
cause of loss of enamel
attrition
abrasion
erosion
abfraction
abfraction
loss of tooth structure by flexural forces at the CEJ
smear layer
a layer present on the exposed dentinal surfaces after instrumentation that attaches to the underlying surface in a manner that prevents the layer from being rinsed off or readily washed away
erosion can occur from..
exposure to stomach acid
dietary erosion from sources of excess acid
exposure to acidic industrial aerosols
5 types of tooth pain
- tactile (mechanical)
- chemical
- thermal
- osmotic flow in dental tubules
- bacteria
other dental factors that can cause hypersensitivity
actual pulpal pain or chronic pulpitis
acute pulpal pain feeling
constant and severe pain
dentinal hypersensitivity feeling
sharp brief localized pain usually for a short period of time
chronic pulpitis feeling
reaccuring episodes of pain
2 factors contributing to gradual lessening of sensitivity
formation of reparative dentin
deposition of minerals at the opening of the dentinal tubules
4 qualities of a good desensitizing agent
- provides surface coating over tubule entrance
- provides intratubular mineralization
- provides irritation to form secondary dentin
- provides interruption of nerve transmission
2 most common desensitizing agents
fluorides
metallic salts
fluoride as a desensitizing agent
found to be effective include sodium or stannous fluoride in solution varnish or gel forms
7 characteristics of an acceptable desensitizing agent
rapid action
ease of application
biologic acceptance by body tissues
long lasting effects
no side effects
no pain for application
consistent effectiveness
3 ways if patient self care to help sensitivity
bacterial plaque control
self applied fluoride
good diet
metallic salts as a desensitizing agent
crystallize and creates a precipitate on the tooth surface that occludes the dentinal tubules