Dababneh R H, Khouri A T, Addy M
Jordanian Royal Medical Services, Queen Alia Military Hospital, Jordan.
Br Dent J. 1999 Dec 11;187(11):606-11; discussion 603. doi: 10.1038/sj.bdj.4800345.
Dentine hypersensitivity is a relatively common problem experienced in clinical dental practice. This condition may disturb the patient during eating, drinking, brushing and sometimes even breathing. Therapeutic intervention by desensitising agents may provide only partial pain relief and recurrence is common. Much remains unknown about dentine hypersensitivity, even the terminology can be questioned. Most of the literature over decades has been concerned with reporting clinical trials proving the efficacy of numerous treatments for dentine hypersensitivity. Indeed, besides haemorrhoids, there can be few other diseases or conditions known to man that can apparently be successfully treated by so many and extremely varied agents and formulations applied topically. This paper will discuss the epidemiology, mechanisms of pain production and aetiological factors for the condition in the hope of developing ideas for more realistic prevention and management strategies.
牙本质过敏是临床牙科实践中较为常见的问题。这种情况在患者进食、饮水、刷牙时，有时甚至在呼吸时都会造成困扰。使用脱敏剂进行治疗干预可能只能部分缓解疼痛，且复发很常见。关于牙本质过敏仍有许多未知之处，甚至其术语都可能受到质疑。几十年来，大多数文献都致力于报道临床试验，以证明众多治疗牙本质过敏方法的疗效。事实上，除了痔疮，人类已知的其他疾病或状况中，很少有能用如此众多且极为多样的局部应用药物和制剂成功治疗的。本文将讨论牙本质过敏的流行病学、疼痛产生机制和病因，以期为更切实可行的预防和管理策略提供思路。
