The speaker line-up of the 2nd Tubules Congress is truly outstanding. World-leading dental professionals are coming to London to educate and inspire you.
Dr Alessandro Agnini and Dr Andrea Agnini, the authors of 'The Digital Revolution: the learning curve', will be flying over from Italy to talk about DDS - focusing on a very specific technique in Implantology called the Surgical Veneer Graft. If you do implant surgery this is one great option for you.
Book your ticket here: http://www.dentinaltubules.com/congress
INTERNATIONAL WOMEN'S DAY
I ♥️ dentistry and the wonderful women (and men) who are progressive, raise the profile of the profession and are its voice... Final day with the BDA and I'm proud to come away with not only this fab badge, but the skills to represent my peers... Now I am officially accredited 🤓
Quick pop in to the Tubules gang for some green screen magic and now snuggled back up at home 😀 what a fab few days!
Dentinal Hypersensitivity (DH) is defined as a short, sharp pain, usually arising in response to thermal, evaporative, tactile, osmotic, or chemical stimuli, which cannot be ascribed to any other dental pathology. Physiological and morphological studies have shown that DH in non-carious cervical lesions is caused by exposed dentinal tubules at the dentin surface. .
Traditionally, dentin exposure in the cervical region is caused by three distinct factors: abrasion, erosion, and abfraction. However, the occurrence of these factors does not always cause DH. Furthermore, individuals with a thin gingival phenotype (i.e., a narrow band of keratinized mucosa) tend to accumulate more biofilm and, consequently, become more susceptible to gingival recession and subsequent dentin exposure.
Although countless mechanisms have been proposed to explain DH, currently the hydrodynamic theory is widely ac- cepted. According to this theory, physical stimuli promote fluid movement within the dentinal tubules; this leads to contraction or distension of the odontoblastic processes, which stimulate nerve fibers present at the dentin–pulp interface. Studies have shown that tubule exposure can be up to eight times greater in DH than in non-sensitive dentin.
The results of the meta-analysis suggest that dentinal tubule occlusion (chemical or physical) and nerve desensitization provide the best outcomes for in-office treatment of DH. There was no significant difference in the direct comparison between the treatment groups. For in-home treatments, only chemical occlusion of dentin tubules and nerve desensitization showed a greater treatment efficacy than placebo, and the difference was statistically significant.