Trushkowsky Richard D, Oquendo Anabella
Advanced Program for International Dentists in Aesthetic Dentistry, Department of Cariology and Comprehensive Care, New York University College of Dentistry, 345 East 24th Street, New York, NY 10010, USA.
Dent Clin North Am. 2011 Jul;55(3):599-608, x. doi: 10.1016/j.cden.2011.02.013.
Dentinal hypersensitivity is exemplified by brief, sharp, well-localized pain in response to thermal, evaporative, tactile, osmotic, or chemical stimuli that cannot be ascribed to any other form of dental defect or pathology. Pulpal pain is usually more prolonged, dull, aching, and poorly localized and lasts longer than the applied stimulus. Up to 30% of adults have dentinal hypersensitivity at some time. Current techniques for treatment may be only transient in nature and results are not always predictable. Two methods of treatment of dentin hypersensitivity are tubular occlusion and blockage of nerve activity. A differential diagnosis needs to be accomplished before any treatment.
牙本质过敏表现为对冷、热、蒸发、触觉、渗透压或化学刺激产生短暂、尖锐、定位明确的疼痛,且这种疼痛不能归因于任何其他形式的牙齿缺损或病变。牙髓疼痛通常持续时间更长,呈钝痛、隐痛,定位不明确,且持续时间长于施加的刺激。高达30%的成年人在某些时候会出现牙本质过敏。目前的治疗技术本质上可能只是暂时的,效果并不总是可预测的。治疗牙本质过敏的两种方法是小管封闭和神经活动阻断。在进行任何治疗之前都需要进行鉴别诊断。