Before prescribing desensitization therapy, clinicians must make the differential diagnosis of tooth, or see what is involved, which may cause hypersensitivity. Having defined the problem of the patient, the degree of destruction of the tooth and the extent of dentine hypersensitivity, you can choose between a reversible or outpatient treatment, or a permanent or irreversible therapy, which eliminates the cause of the problem and restores the great destruction that have teeth that need these treatments. We then have two groups of methods, classified according to their durability over time, and marked by us according to the severity and complexity of dentine hypersensitivity:
Irreversible methods : Those who permanently plugged tubules exposed, thus removing dentine hypersensitivity. Alternatives range from restorations (fillings), composites (composites), surgical grafts or flaps of gum (periodontal surgery) to root canal treatment (endodontics). These alternatives are considered invasive, or put another way, where you sometimes have to remove some healthy teeth to place these materials, taking risks in surgery and root canal treatment. Besides, methods of this group are of greater monetary cost. All these “buts” make us start first with less complex maneuvers.
Reversible Methods : Drugs that act blocking the entrance of dentinal tubules or at the level of nerve fibers. The substances available are: potassium nitrate, potassium citrate, strontium chloride and fluoride. They are commonly available commercially as toothpaste and rinsing .
Mechanism of action of drugs desensitizing
Potassium nitrate and Potassium Citrate: desensitize the nerve terminal present in the flesh, penetrating into the tubules to the nerve, causing a blockage, preventing the nerve to send pain signals to the brain. It presents a significant reduction in usage per month hypersensitivity.
Strontium chloride: Cover the dentinal tubules with crystals (strontium phosphate crystals), which eliminates or reduces the track to reach the pulp stimuli. They also contribute to the formation of reparative dentin. You can submit a good response to treatment after a week of use, increasing the improvement over time.
Fluoride: Top dentinal tubules with crystals (calcium fluoride), which reduces the diameter of the tubule and the transmission of stimuli. It presents a good response to the three weeks of use.
Desensitizing Drug Business Presentations
First of all, I must emphasize that dentine hypersensitivity is a problem that requires the supervision of a dentist, we are the responsible and qualified to make the diagnosis and treatment planning. The products should not be administered in children younger than 12 years. Desensitizing drugs show they are used topically or by contact with the tooth through daily brushing after every meal, just like traditional pasta. Daily use of desensitizing pastes helps to control and prevent sensitivity, generating a protection that is incremented each brushing, and maintained with continuous use. If this is interrupted, the protection goes back and hypersensitivity. I recommend filing toothpaste (dentifrice), as with brushing teeth cleaning is also done the same, preventing tooth decay. Besides this list of products that combine pasta contains drugs with a greater arsenal attacking the problem. If you complement to pasta, you can use desensitizing mouthwash.
bleaching mustache and hypersensitivity, dentine pasta, hypersensitivity after root canal, Surgery dentine hypersensitivityTags: Dentine hypersensitivity, Diagnosis of tooth, Reparative dentin, Top dentinal tubules, bleaching mustache and hypersensitivity, dentine pasta, hypersensitivity after root canal, Surgery dentine hypersensitivity