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A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS)

Luc Martens (UGent)
(2013) CLINICAL ORAL INVESTIGATIONS. 17(suppl. 1). p.S77-S83
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Abstract
Dentin hypersensitivity (DHS) is a problematic clinical entity that may become an increasing clinical problem for dentists to treat as a consequence of patients retaining their teeth throughout life and improved oral hygiene practices. The aim of this review was to develop a decision tree for the management of exposed cervical dentin (ECD) and DHS. A brief PUBMED literature search was performed on dentin hypersensitivity using "MeSH" terms, "review", and "management". In addition, some websites and local guidelines were screened. From this review, it became clear that all dentate patients should routinely be screened for ECD and DHS. In this respect, underdiagnosis of the condition will be avoided and the preventive management can be initiated early. A decision tree process and a flowchart for daily practice were designed which should be started up as soon as a patient present with ECD or suffers from DHS. This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options. In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies. Starting with the use of desensitizing toothpastes is strongly recommended.
Keywords
Dentine Hypersensitivity, Review, QUALITY-OF-LIFE, Exposed cervical dentine, HEALTH

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MLA
Martens, Luc. “A Decision Tree for the Management of Exposed Cervical Dentin (ECD) and Dentin Hypersensitivity (DHS).” CLINICAL ORAL INVESTIGATIONS, vol. 17, no. suppl. 1, 2013, pp. S77–83, doi:10.1007/s00784-012-0898-7.
APA
Martens, L. (2013). A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS). CLINICAL ORAL INVESTIGATIONS, 17(suppl. 1), S77–S83. https://doi.org/10.1007/s00784-012-0898-7
Chicago author-date
Martens, Luc. 2013. “A Decision Tree for the Management of Exposed Cervical Dentin (ECD) and Dentin Hypersensitivity (DHS).” CLINICAL ORAL INVESTIGATIONS 17 (suppl. 1): S77–83. https://doi.org/10.1007/s00784-012-0898-7.
Chicago author-date (all authors)
Martens, Luc. 2013. “A Decision Tree for the Management of Exposed Cervical Dentin (ECD) and Dentin Hypersensitivity (DHS).” CLINICAL ORAL INVESTIGATIONS 17 (suppl. 1): S77–S83. doi:10.1007/s00784-012-0898-7.
Vancouver
1.
Martens L. A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS). CLINICAL ORAL INVESTIGATIONS. 2013;17(suppl. 1):S77–83.
IEEE
[1]
L. Martens, “A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS),” CLINICAL ORAL INVESTIGATIONS, vol. 17, no. suppl. 1, pp. S77–S83, 2013.
@article{3091795,
  abstract     = {{Dentin hypersensitivity (DHS) is a problematic clinical entity that may become an increasing clinical problem for dentists to treat as a consequence of patients retaining their teeth throughout life and improved oral hygiene practices. 
The aim of this review was to develop a decision tree for the management of exposed cervical dentin (ECD) and DHS. 
A brief PUBMED literature search was performed on dentin hypersensitivity using "MeSH" terms, "review", and "management". In addition, some websites and local guidelines were screened. 
From this review, it became clear that all dentate patients should routinely be screened for ECD and DHS. In this respect, underdiagnosis of the condition will be avoided and the preventive management can be initiated early. 
A decision tree process and a flowchart for daily practice were designed which should be started up as soon as a patient present with ECD or suffers from DHS. This approach takes into account the possible improved quality of life of the patient and is further based on a hierarchy of treatment options. In this respect, active management of DHS will usually involve a combination of at-home and in-office therapies. Starting with the use of desensitizing toothpastes is strongly recommended.}},
  author       = {{Martens, Luc}},
  issn         = {{1432-6981}},
  journal      = {{CLINICAL ORAL INVESTIGATIONS}},
  keywords     = {{Dentine Hypersensitivity,Review,QUALITY-OF-LIFE,Exposed cervical dentine,HEALTH}},
  language     = {{eng}},
  number       = {{suppl. 1}},
  pages        = {{S77--S83}},
  title        = {{A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS)}},
  url          = {{http://dx.doi.org/10.1007/s00784-012-0898-7}},
  volume       = {{17}},
  year         = {{2013}},
}

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