DENTİN HASSASİYETİ TANI VE TEDAVİ YÖNTEMLERİ

Dentin hassasiyeti dişte herhangi bir dental defekt veya patoloji ile açıklanamayan, açık dentin yüzeylerine bağlı termal, buharlaşma, dokunma, kimyasal veya ozmotik uyaranlar sonucunda başlayan, uyaran ortadan kalktığında geçen, kısa süreli ve keskin ağrı olarak tanımlanmaktadır. Dentin yüzeyinin, mine veya sement gibi diş sert dokularının kaybı veya dişeti çekilmesiyle açığa çıkması dentin hassasiyeti ile sonuçlanır. Dentin hassasiyetini meydana getiren dentin tübülleri içerisindeki sıvı hareketidir. Tedavisinde amaç sıvı hareketini engellemek veya pulpadaki sinir iletimini bloke etmektir. Tedavi planlamasında hassasiyete sebep olan etiyolojik faktörlerin tespiti önem taşımaktadır. Bu derlemenin amacı dentin hassasiyetinin tanımı, etiyolojisi, prevelansı, oluşum mekanizması, teşhis ve tedavi planlaması hakkında bilgi vermektir. Anahtar Kelimeler: dentin hassasiyeti, etiyoloji, teşhis, hidrodinamik teori DIAGNOSIS AND TREATMENT METHODS OF DENTIN HYPERSENSITIVITY ABSTRACTDentin hypersensitivity is defined as a short and sharp pain arising from exposed dentin in response to thermal, evaporation, touch, chemical or osmotic stimuli associated with open dentin surfaces, which can not be explained by any dental defect or pathology of the tooth. For the development of dentin hypersensitivity: dentin must become exposed, through either loss of enamel, cement or gingival recession. Dentin hypersensitivity is due to fluid movement in the dentin tubules. The aim of treatment is to reduce fluid flow in the tubules and block the nerve response in the pulp. Treatment planning should include determination of etiologic factors. The purpose of this review is to provide information on the definition, etiology, prevalence, mechanism, diagnosis and treatment planning of the dentin hypersensitivity.Keywords: dentine hypersensitivity, aetiology, diagnosis, hydrodynamic theory

Anahtar Kelimeler:

dentin hassasiyeti, etiyoloji, teşhis

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