Post Operative Hypersensitivity PDF

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Learn D E N T A L S E R I E S P R E S E N T S C L I N I C A L O P E R A T I V E D E N T I S T R Y D D D VE VE VE ER ER ER ES ES ES PR PR PR TS TS TS H H H G G G RI RI RI L L L AL AL AL I. POST OPERATIVE HYPERSENSITIVITY I. I. IF IF IF AS AS AS LW LW LW.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO Y A S S E R A L I A L M O RT A D A A L W A S I F I C O P Y R I G H T © 2 0 2 4 , A L W A S I F I , Y. A. A L L R I G H T S R E S E R V E D B D S , M S C , D D S , P H D  D D D - Egyptian dentist VE VE VE ER ER ER - Researcher, Educator & International Lecturer ES ES ES PR PR PR - Founder of LEARN - DENTAL SERIES @ YouTube TS TS TS H H H - Presentation skills coach G G G RI RI RI - Painter L L L AL AL AL I. I. I. IF IF IF AS AS AS LW LW LW - Life long learner -.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 3  D D D DISCLAIMER VE VE VE ER ER ER STATEMENT ES ES ES I don’t receive fees, compensation or royalties from the sales of any of the PR PR PR products shown or discussed. Also, I declare that I haven't any conflict of interest TS TS TS H H H with any of the discussed products and techniques. G G G RI RI RI L L L AL AL AL I. All products, equipment and techniques presented are those most commonly I. I. IF IF IF used in professional restorative clinical practice. Finally, this presentation has not AS AS AS LW LW LW been sponsored by any company, agency or organization and is only prepared for.A.A.A educational purposes..Y.Y.Y 24 24 24 20 20 20 T© T© T© Yasser Alwasifi H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 4  D D D COPYRIGHT VE VE VE ER ER ER ES ES ES Copyright © 2024. All rights reserved. No part of this presentation may be PR PR PR reproduced, distributed, or transmitted in any form or by any means, including TS TS TS H H H copying, recording, or other electronic or mechanical methods, without the prior G G G RI RI RI written permission of the author. L L L AL AL AL I. I. I. IF IF IF AS AS AS Yasser Alwasifi LW LW LW.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 5  D D D EXCEPECTED VE VE VE ER ER ER O U T C O M E S ES ES ES By the end of this presentation, you are expected to be able to: PR PR PR TS TS TS H H H G G G 1. Differentiate between hypersensitivity and pain RI RI RI L L L 2. Clarify the mechanism of dentin sensation AL AL AL I. I. I. 3. Design a plan to prevent post operative hypersensitivity IF IF IF AS AS AS 4. Manage different clinical conditions with post operative LW LW LW hypersensitivity or pain.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 6  D D D C O N T E N T S PART I: THEORIES & CONCEPTS 9 VE VE VE ER ER ER ES ES ES I.A. INTRODUCTION 10 PR PR PR I.B. DEFINITIONS 14 TS TS TS H H H I.C. ADVERSE EFFECTS OF DENTIN HYPERSENSITIVITY 17 G G G RI RI RI I.D. MECHANISM OF DENTIN SENSITIVITY 20 L L L AL AL AL I.D.1. TYPES OF STIMULI 20 I. I. I. IF IF IF I.D.2. SENSORY FIBERS OF THE PULP 22 AS AS AS I.D.3. THEORIES OF DENTIN SENSATION 24 LW LW LW I.D.4. FACTORS AFFECTING DENTIN SENSITIVITY 31.A.A.A I.E. FACTORS CONTRIBUTING TO DENTIN HYPERSENSITIVITY 37.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO Expected Time: 60 Min POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 7  D D D C O N T E N T S PART II: CLINICAL MANAGEMENT 44 VE VE VE ER ER ER ES ES ES II.A. PREVENTION OF POST OPERATIVE HYPERSENSITIVITY 45 PR PR PR II.B. CLINICAL MANAGEMENT OF DIFFERENT CASES 60 TS TS TS H H H II.B.1. LEAKY RESTORATION 61 G G G RI RI RI II.B.2. CRACKED OR FRACTURE RESTORATION 65 L L L II.B.3. INADEQUATELY LINED RESTORATION 68 AL AL AL II.B.4. CRACKED TOOTH 72 I. I. I. IF IF IF II.B.5. GALVANISM 74 AS AS AS II.B.6. FAULTY OCCLUSAL AND/OR PROXIMAL RELTION 76 LW LW LW.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO Expected Time: 60 Min POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 8  CO PY RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR ES ER CO VE PY D RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR ES ER CO VE PY D R PART I: THEORIES & CONCEPTS IG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. ES ER 9 VE D  D D D I. THEORIES & VE VE VE ER ER ER CONCEPTS ES ES ES I.A. INTRODUCTION PR PR PR TS TS TS I.B. DEFINITIONS H H H G G G RI RI RI I.C. ADVERSE EFFECTS OF POST OPERATIVE HYPERSENSITIVITY L L L AL AL AL I. I.D. MECHANISM OF DENTIN SENSATION I. I. IF IF IF AS AS AS I.D.1. TYPES OF STIMULI LW LW LW I.D.2. SENSORY FIBERS OF THE PULP.A.A.A.Y.Y.Y I.D.3. THEORIES OF DENTIN SENSATION 24 24 24 I.D.4. FACTORS AFFECTING DENTIN SENSITIVITY 20 20 20 T© T© T© I.E. FACTORS CONTRIBUTING TO DENTIN HYPERSENSITIVITY H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 10  CO PY RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR ES ER CO VE PY D RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR ES ER CO VE PY D RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. ES ER VE 11 NO ME, KNOW PAIN KNOW ME, NO PAIN D  CO PY RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR ES ER CO VE PY D RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS PR ES ER CO VE PY D RIG H T© 20 24.Y.A LW AS IF I. AL L RI G H TS KNOW ME PR POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. ES ER KNOW PAIN VE 12 D  D D D I. THEORIES & VE VE VE ER ER ER CONCEPTS ES ES ES I.A. INTRODUCTION PR PR PR TS TS TS I.B. DEFINITIONS H H H G G G RI RI RI I.C. ADVERSE EFFECTS OF POST OPERATIVE HYPERSENSITIVITY L L L AL AL AL I. I.D. MECHANISM OF DENTIN SENSATION I. I. IF IF IF AS AS AS I.D.1. TYPES OF STIMULI LW LW LW I.D.2. SENSORY FIBERS OF THE PULP.A.A.A.Y.Y.Y I.D.3. THEORIES OF DENTIN SENSATION 24 24 24 I.D.4. FACTORS AFFECTING DENTIN SENSITIVITY 20 20 20 T© T© T© I.E. FACTORS CONTRIBUTING TO DENTIN HYPERSENSITIVITY H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 13 I.B. DEFINITIONS D D D VE VE VE ER ER ER ES ES ES Pain is an unpleasant sensory and emotional Hypersensitivity is an exaggerated sharp PR PR PR experience associated with actual or potential tissue transient or temporary sensation of discomfort due TS TS TS H H H damage to non-noxious low intensity stimuli G G G RI RI RI Pain is felt whenever a noxious stimulus just exceeds L L L AL AL AL the pain perception threshold I. I. I. IF IF IF AS AS AS LW LW LW.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 14  D D D TA K E A N OT E VE VE VE ER ER ER ES ES ES PR PR PR TS TS TS H H H G G G RI RI RI L L L AL AL AL I. - Hypersensitivity doesn't denote or related to tissue damage, but it could continue up to tissue I. I. IF IF IF AS AS AS damage and pain LW LW LW.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 15  D D D I. THEORIES & VE VE VE ER ER ER CONCEPTS ES ES ES I.A. INTRODUCTION PR PR PR TS TS TS I.B. DEFINITIONS H H H G G G RI RI RI I.C. ADVERSE EFFECTS OF POST OPERATIVE HYPERSENSITIVITY L L L AL AL AL I. I.D. MECHANISM OF DENTIN SENSATION I. I. IF IF IF AS AS AS I.D.1. TYPES OF STIMULI LW LW LW I.D.2. SENSORY FIBERS OF THE PULP.A.A.A.Y.Y.Y I.D.3. THEORIES OF DENTIN SENSATION 24 24 24 I.D.4. FACTORS AFFECTING DENTIN SENSITIVITY 20 20 20 T© T© T© I.E. FACTORS CONTRIBUTING TO DENTIN HYPERSENSITIVITY H H H IG IG IG R R R PY PY PY CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 16 I.C. ADVERSE EFFECTS OF POST OPERATIVE HYPERSENSITIVITY D D D VE VE VE ER ER ER ES ES ES PATIENT NEEDS PR PR PR TS TS TS 1. ASYMPTOMATIC H H H G G G RI RI RI L L L AL AL AL I. I. I. IF IF IF AS AS AS LW LW LW 2. FUNCTIONING.A.A.A.Y.Y.Y 24 24 24 20 20 20 T© T© T© H H H 3. WITHOUT PATHOSIS IG IG IG R R R PY PY PY AFFECTED TOOTH BIOLOGICALLY ACCEPTABLE TOOTH CO CO CO POST OPERATIVE HYPERSENSITIVITY - Copyrights © 2024, ALWASIFI, Y.A. 17 I.C. ADVERSE EFFECTS OF POST OPERATIVE HYPERSENSITIVITY D D D VE VE VE ER ER ER ES ES ES Restoration of health and function is the major PR PR PR goal of restorative dentistry, dentin TS TS TS H H H hyperse