The premature presence of wear facets, fractures of teeth or restorative materials, tooth hypermobility seen without gingival inflammation or periodontal bone loss, isolated CDH episodes, tooth fremitus, hypersensitivity of teeth during mastication without the presence of a cracked tooth, localized vertical bone loss secondary to periodontal bone loss, masticatory muscle or TMD pain, without respective anatomic pathology.
Published in Chapter:
Detecting and Quantifying Cervical Dentin Hypersensitivity Using Air Indexing Combined with the T-Scan System
Thomas A. Coleman, DDS (Private Practice, USA)
Copyright: © 2015
|Pages: 38
DOI: 10.4018/978-1-4666-6587-3.ch009
Abstract
This chapter introduces the Air Indexing method for detecting and quantifying cervical dentin hypersensitivity as a companion to the T-Scan Occlusal Analysis System, which evaluates occlusal force and timing values of contacting teeth. The chapter discusses detection, diagnosis, and treatment of clinical signs and/or symptoms of Cervical Dentin Hypersensitivity (CDH). A 17-year-long retrospective study conducted between 1979 and 1996 is presented that illustrates the correlation between Cervical Dentin Hypersensitivity and its resolution following occlusal adjustment. Resulting stress from occlusal contact force is etiologic for non-carious cervical lesion formation and root degradation. This chapter details how biocorrosion and lost protective glycoproteins hasten the effects of applied force, creating CDH symptoms and cervical abfractions. Lastly, the Air Indexing method of CDH diagnosis is melded with T-Scan occlusal analysis to diagnose and treat CDH symptoms. Together, these two methods yield more CDH/occlusal insight than either method can alone.