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Dentinal Hypersensitivity

How to manage a patient with a severe dentinal hypersensitivity who have come for oral prophylaxis.



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1 Answer

At work we use the product Cetacaine. It’s a topical anesthetic that helps a lot. Or just regular benzocaine (topical gel used for injections). Let pt know you are using this to help with the sensitivity. Apply it to 4-5 teeth at a time. Going slower during the cleaning tends to help as well. I will use only hand instruments if I am able to and be very light-handed around recession or abfractions. I think sometimes dental anxiery has some to do with the sensitivity. I have one prophy patient with very sensitive gums that “needs” nitrous oxide for a regular prophy. There is a big difference now in how comfortable she is now. I also feel like talking to the pt, chatting things up, helps to get their mind off things and ease their tension. I really hope this helps you!

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