SlideShare a Scribd company logo
1 of 11
MANAGEMENT
OF
POSTOPERATIVE
(ROOT)
SENSITIVITY
ROOT DENTIN HYPERSENSITIVITY
• Exaggerated response to non noxious stimuli
• Short, sharp pain from exposed dentin Thermal, chemical &
tactile sensation
• AS A RESULT OF:
1. Denuded root surface
2. Post SRP Procedure
3. Periodontal pockets
4. Post periodontal surgeries
5. Faulty brushing
AREA OF OCCURRENCE:
Cervical area of the root as the cementum is extremely thin.
THEORIES :
1. Hydrodynamic theory
2. Odontoblastic theory
3. Neural theory
MANAGEMENT ?
WHAT do we use – DESENSITIZING AGENTS?
IN HOME AGENTS - DENTRIFICES
• Sensodyne
• Thermodent
• Protect
• Promise+
• Colgate sensitive
• Mcleans sensitive
IN HOME IN OFFICE
CONTAINS: Potassium nitrate, sodium monofluorophosphate, sodium
citrate, , strontium chloride, dicalcium phosphate.
IN OFFICE AGENTS:
Cavity varnish
Composite resin
Dentin bonding agents
Oxalates – Potassium oxalate
Fluorides – NaF, SnF.
Iontophoresis
Laser – Nd:YAG
OTHERS:
Gingial graft surgery
Pulpectomy
Extraction
# DIETARY COUNSELLING
HOW does it act on tooth?
DENTRIFIC ES:
• It acts through the precipitation of crystalline salts on the dentin
• Complete occlusion of the dentinal tubules
• Produce a coagulant effect on tubular content
BONDING AGENT & VARNISH:
• Seal out the dentinal tubules
IONTOPHORESIS:
• Transfer of desensitizing agents into the tooth under electric pressure
BURNISHING:
• Formation of smear layer produced by burnishing of the exposed surface
DIETARY COUNSELLING:
To control the frequency and quantity of ACID intake
CLINICAL TIPS:
To avoid hard bristled tooth brush
To avoid over brushing and flossing
To avoid brushing immediately after consumption of acidic foods
CONCLUSION
Thus root dentin hypersensitivity is clearly related to open tubules
which is difficult to treat and sometimes frequently developed. The
symptoms usually evoked during first week and then subsides in the
subsequent weeks..
REFERENCES
• Clinical periodontology, CARRANZA
• Clinical periodontology , LINDHE
• Periodontology & Oral implantology, Nayak
• Textbook of periodontics, Shalu bathla
THANK
YOU !

More Related Content

What's hot

Endodontic materials ♥
Endodontic materials ♥Endodontic materials ♥
Endodontic materials ♥
Rawan Abu Arra
 

What's hot (20)

Minimally invasive endodontics
Minimally invasive endodonticsMinimally invasive endodontics
Minimally invasive endodontics
 
Fluoride releasing
Fluoride releasingFluoride releasing
Fluoride releasing
 
Composite resins PART 1
Composite resins PART 1Composite resins PART 1
Composite resins PART 1
 
Instrument separation
Instrument separationInstrument separation
Instrument separation
 
Direct filling gold in dentistry /cosmetic dentistry courses
Direct filling gold in dentistry  /cosmetic dentistry coursesDirect filling gold in dentistry  /cosmetic dentistry courses
Direct filling gold in dentistry /cosmetic dentistry courses
 
Pulp capping
Pulp capping Pulp capping
Pulp capping
 
Operative instruments in Conservative Dentistry & Endodontics
Operative instruments in Conservative Dentistry & EndodonticsOperative instruments in Conservative Dentistry & Endodontics
Operative instruments in Conservative Dentistry & Endodontics
 
Obturation materials ppt
Obturation materials pptObturation materials ppt
Obturation materials ppt
 
Cast gold Inlay restorations
Cast gold Inlay restorationsCast gold Inlay restorations
Cast gold Inlay restorations
 
Failure of composites
Failure of compositesFailure of composites
Failure of composites
 
Tooth colored restorative materials
Tooth colored restorative materialsTooth colored restorative materials
Tooth colored restorative materials
 
Obturation
ObturationObturation
Obturation
 
Border Moulding prosthodontics ppt
Border Moulding prosthodontics pptBorder Moulding prosthodontics ppt
Border Moulding prosthodontics ppt
 
Resorption
ResorptionResorption
Resorption
 
Endodontic materials ♥
Endodontic materials ♥Endodontic materials ♥
Endodontic materials ♥
 
Hot tooth
Hot toothHot tooth
Hot tooth
 
AF™ F-ONE——FANTA DENTAL
AF™ F-ONE——FANTA DENTALAF™ F-ONE——FANTA DENTAL
AF™ F-ONE——FANTA DENTAL
 
local anesthesia in dentistry 5 armamentarium
local anesthesia in dentistry 5 armamentariumlocal anesthesia in dentistry 5 armamentarium
local anesthesia in dentistry 5 armamentarium
 
Pin retained restorations
Pin retained restorationsPin retained restorations
Pin retained restorations
 
Single file system
Single file systemSingle file system
Single file system
 

Similar to Management of postoperative (root) sensitivity

Lasers and Its Use In Dentistry
Lasers and Its Use In DentistryLasers and Its Use In Dentistry
Lasers and Its Use In Dentistry
Sahal Abu
 

Similar to Management of postoperative (root) sensitivity (18)

Dentinal hypersensitivity
Dentinal hypersensitivityDentinal hypersensitivity
Dentinal hypersensitivity
 
Dentinal Hypersensitivity
Dentinal HypersensitivityDentinal Hypersensitivity
Dentinal Hypersensitivity
 
DENTINAL HYPERSENSITIVITY..pptx
DENTINAL HYPERSENSITIVITY..pptxDENTINAL HYPERSENSITIVITY..pptx
DENTINAL HYPERSENSITIVITY..pptx
 
Etiology of pulp diseases
Etiology of pulp diseasesEtiology of pulp diseases
Etiology of pulp diseases
 
2. astringents & keratolytics
2. astringents & keratolytics2. astringents & keratolytics
2. astringents & keratolytics
 
Recent advances in management of dental hypersensitivity
Recent advances in management of dental hypersensitivityRecent advances in management of dental hypersensitivity
Recent advances in management of dental hypersensitivity
 
hypersensitivity of teeth and its management
hypersensitivity of teeth and its managementhypersensitivity of teeth and its management
hypersensitivity of teeth and its management
 
ELECTROSURGERY & LASERS in.pptx
ELECTROSURGERY & LASERS     in.pptxELECTROSURGERY & LASERS     in.pptx
ELECTROSURGERY & LASERS in.pptx
 
Drugs & Aids with specific applications in dental
Drugs & Aids with specific applications in dentalDrugs & Aids with specific applications in dental
Drugs & Aids with specific applications in dental
 
Pulpal reactions to various stimuli
Pulpal reactions to various stimuli Pulpal reactions to various stimuli
Pulpal reactions to various stimuli
 
Dentin hyper sensitivity 1 /certified fixed orthodontic courses by Indian de...
Dentin hyper sensitivity 1  /certified fixed orthodontic courses by Indian de...Dentin hyper sensitivity 1  /certified fixed orthodontic courses by Indian de...
Dentin hyper sensitivity 1 /certified fixed orthodontic courses by Indian de...
 
Dentine hypersensitivity / /certified fixed orthodontic courses by Indian den...
Dentine hypersensitivity / /certified fixed orthodontic courses by Indian den...Dentine hypersensitivity / /certified fixed orthodontic courses by Indian den...
Dentine hypersensitivity / /certified fixed orthodontic courses by Indian den...
 
Dentinal hypersensitivity
Dentinal  hypersensitivityDentinal  hypersensitivity
Dentinal hypersensitivity
 
dentinalhypersensitivity, classification and material used
dentinalhypersensitivity,  classification and material useddentinalhypersensitivity,  classification and material used
dentinalhypersensitivity, classification and material used
 
Remedy to Dentinal hypersensitivity /certified fixed orthodontic courses by I...
Remedy to Dentinal hypersensitivity /certified fixed orthodontic courses by I...Remedy to Dentinal hypersensitivity /certified fixed orthodontic courses by I...
Remedy to Dentinal hypersensitivity /certified fixed orthodontic courses by I...
 
Diagnosis and treatment planning
Diagnosis and treatment planningDiagnosis and treatment planning
Diagnosis and treatment planning
 
Lasers and Its Use In Dentistry
Lasers and Its Use In DentistryLasers and Its Use In Dentistry
Lasers and Its Use In Dentistry
 
Lasers in operative dentistry seminar ppt
Lasers in operative dentistry seminar pptLasers in operative dentistry seminar ppt
Lasers in operative dentistry seminar ppt
 

Recently uploaded

Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Sheetaleventcompany
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Sheetaleventcompany
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
amritaverma53
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
rajnisinghkjn
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Sheetaleventcompany
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
 

Recently uploaded (20)

Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
 
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
❤️Chandigarh Escorts Service☎️9814379184☎️ Call Girl service in Chandigarh☎️ ...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
 
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 

Management of postoperative (root) sensitivity

  • 2. ROOT DENTIN HYPERSENSITIVITY • Exaggerated response to non noxious stimuli • Short, sharp pain from exposed dentin Thermal, chemical & tactile sensation • AS A RESULT OF: 1. Denuded root surface 2. Post SRP Procedure 3. Periodontal pockets 4. Post periodontal surgeries 5. Faulty brushing
  • 3. AREA OF OCCURRENCE: Cervical area of the root as the cementum is extremely thin. THEORIES : 1. Hydrodynamic theory 2. Odontoblastic theory 3. Neural theory
  • 5. WHAT do we use – DESENSITIZING AGENTS? IN HOME AGENTS - DENTRIFICES • Sensodyne • Thermodent • Protect • Promise+ • Colgate sensitive • Mcleans sensitive IN HOME IN OFFICE CONTAINS: Potassium nitrate, sodium monofluorophosphate, sodium citrate, , strontium chloride, dicalcium phosphate.
  • 6. IN OFFICE AGENTS: Cavity varnish Composite resin Dentin bonding agents Oxalates – Potassium oxalate Fluorides – NaF, SnF. Iontophoresis Laser – Nd:YAG OTHERS: Gingial graft surgery Pulpectomy Extraction # DIETARY COUNSELLING
  • 7. HOW does it act on tooth? DENTRIFIC ES: • It acts through the precipitation of crystalline salts on the dentin • Complete occlusion of the dentinal tubules • Produce a coagulant effect on tubular content BONDING AGENT & VARNISH: • Seal out the dentinal tubules IONTOPHORESIS: • Transfer of desensitizing agents into the tooth under electric pressure BURNISHING: • Formation of smear layer produced by burnishing of the exposed surface
  • 8. DIETARY COUNSELLING: To control the frequency and quantity of ACID intake CLINICAL TIPS: To avoid hard bristled tooth brush To avoid over brushing and flossing To avoid brushing immediately after consumption of acidic foods
  • 9. CONCLUSION Thus root dentin hypersensitivity is clearly related to open tubules which is difficult to treat and sometimes frequently developed. The symptoms usually evoked during first week and then subsides in the subsequent weeks..
  • 10. REFERENCES • Clinical periodontology, CARRANZA • Clinical periodontology , LINDHE • Periodontology & Oral implantology, Nayak • Textbook of periodontics, Shalu bathla