Etiology and clinical implications of dentine hypersensitivity.

In conclusion, if dentine hypersensitivity is to be prevented or more effectively managed, greater consideration must be given to the etiology of the condition than has been the norm to date. In established cases of dentine hypersensitivity, exclusion of other possible causes of pain is essential by considering a differential diagnosis. Management requires the determination of etiologic factors and predisposing influences, and where possible, their control or modification. In particular, the presence of erosive elements should be identified and separated from abrasive influences such as toothbrushing. To ensure the successful management of the clinical implications of dentine hypersensitivity, a careful assessment of the etiologic factors must be considered in evaluating the dental patient presenting with these symptoms.