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- Rheinberger, Joseph Gabriel - Rheinfahrt op. 90/3 - men's choir (TTBB) (score).
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Siegfrieds Rheinfahrt [concert arrangement] Siegfried's Rhine Journey. Harp sheet music Format: Kalmus Be the first! Customers Who Bought Goetterdaemmerung; Prolog: Siegfrieds Rheinfahrt [concert arrangement] Siegfried Rate this product's difficulty level: Review Guidelines Explain exactly why you liked or disliked the product. Do you like the artist? Is the transcription accurate?
Is it a good teaching tool? Consider writing about your experience and musical tastes. Are you a beginner who started playing last month? As performed in many studies, treatment effects of different therapies or materials could be expressed in terms of the degree of reduction, but in developing further therapeutic strategies, we should always keep in mind that for our patient, the presence or absence of pain is the most important result.
Rheinfahrt op. 90/3 - men's choir (TTBB) (score)
The overall dental health impact of dentin hypersensitivity on a particular individual may ultimately correlate with the degree of discomfort and pain experienced [ 80 ]. Beside several published and validated questionnaires [ 55 , 57 , 60 ], a commonly and widely used instrument for this purpose is the Oral Health Impact Profile [ 81 ], which needs to be completed by the patient. In addition to the original version of this questionnaire, validated translations are available in many other languages [ 82 — 90 ]. The evaluation of the impact on the quality of life of patients suffering from dentin hypersensitivity might be a promising aspect in further clinical trials.
Certainly, these questionnaires, including 48 and 49 items, were too large for the routine use in daily practice. An acceptable alternative to record clinical oral health status relationships that affect the quality of life for daily practice may be using the short form of Oral Health Impact Profile or the item General Oral Health Assessment Index. Finally, education of both the public and dental professionals should be encouraged to allow that patients affected by and suffering from dentin hypersensitivity receive an adequate treatment.
Furthermore, the author sincerely thanks Dr. David Gillam for his support and all the helpful comments. National Center for Biotechnology Information , U. Published online Dec 6. Author information Article notes Copyright and License information Disclaimer.
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Received Jan 25; Accepted Nov This article has been cited by other articles in PMC. Abstract Objectives Although dentin hypersensitivity is a common clinical condition and is generally reported by the patient after experiencing a sharp, short pain caused by one of several different external stimuli, it is often inadequately understood. Results The literature search, also including the alternative terms and journals, revealed only a small number of specific papers related to valid diagnosis, diagnostic criteria, and assessment methods of dentin hypersensitivity. Conclusions The dental practitioner, using a variety of diagnostic and measurement techniques each day, will often have difficulties in differentiating dentin hypersensitivity from other painful conditions and in evaluating the success of a conducted therapy in a reliable way.
Dentin hypersensitivity, Diagnosis, Differential diagnosis, Diagnostic criteria, Dentin hypersensitivity assessment, Monitoring dentin hypersensitivity. Open in a separate window. Table 1 The results of a PubMed search last search date, 20th of April reveal that many more publications focus on the etiology and therapy of dentin hypersensitivity than on pathological, epidemiological, and especially on diagnostic aspects.
Discussion Typically, dentin hypersensitivity occurs when the external stimulus contacts exposed dentin surfaces with open and patent tubules [ 20 ]. General strategy for managing dentin hypersensitivity Although our knowledge may have been previously incomplete, subsequent advances in our understanding have made a comprehensive approach to dentin hypersensitivity management possible. Identification of etiologic and predisposing factors, particularly dietary and oral hygiene habits associated with erosion and abrasion. Removal or minimization of etiologic and predisposing factors through dietary advice and improved oral hygiene instruction.
Recommendation or implementation of treatment based upon individual needs in office and at home. Table 2 A not necessarily exhaustive list of conditions which may results in similar symptoms to cervical dentin hypersensitivity [ 2 , 7 , 11 ]. Differential diagnosis Cracked tooth syndrome Fractured restorations Restorations left in traumatic occlusion Chipped teeth Dental caries, root caries Postoperative sensitivity Pulpal response to restorative treatment or certain materials Marginal leakage of restorations Pulpitis, pulpal status Gingival inflammation Palatogingival grooves Vital bleaching procedures Atypical odontalgia.
Table 3 An almost complete list of different tools used for the diagnosis of dentin hypersensitivity [ 10 , 30 ]. Diagnostic tools Air jet Cold water jet Other thermal tests Electrical devices Dental explorer Periodontal probe Radiographs Caries diagnostic devices Percussion testing Assessment of occlusion Bite stress tests. Clinical recommendations for valid diagnosis of dentin hypersensitivity In order to avoid false diagnosis, underdiagnosis and further on an over- or undertreatment screening of patients for terms of dentin hypersensitivity should be routinely done.
Clinical recommendations for valid assessment and monitoring of dentin hypersensitivity The dental practitioner is confronted—within the daily practice and especially in clinical trials regarding the severity of symptoms or the efficiency of therapeutic interventions—with the need to assess and monitor discomfort and pain associated with dentin hypersensitivity.
This scale is scored as follows: Subject does not respond to air stimulus. Subject responds to air stimulus, considers stimulus to be painful, and requests discontinuation of the stimulus. Conclusion Today, dentin hypersensitivity is essentially a diagnosis of exclusion.
Conflict of interest The author declares that he has no conflict of interest. A review of terminology, mechanisms, aetiology and management. Addy M, Smith SR. Canadian Advisory Board On Dentin Hypersensitivity Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc.
Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. Diagnosis and treatment of dentinal hypersensitivity. Orchardson R, Gillam DG. J Am Dent Assoc. The differential diagnosis of sensitive teeth. Dentin hypersensitivity and its management. Trushkowsky RD, Oquendo A. Treatment of dentin hypersensitivity. Dent Clin North Am. Potassium containing toothpastes for dentine hypersensitivity. Cochrane Database Syst Rev. Dentin hypersensitivity and oxalates: Management of dentinal hypersensitivity: J Calif Dent Assoc. Dentine hypersensitivity in subjects recruited for clinical trials: Gillam DG, Orchardson R.
Advances in the treatment of root dentine sensitivity: Compend Contin Educ Dent 3: S— [ PubMed ]. Clinical evaluation of dentinal hypersensitivity: Methods of measuring tooth hypersensitivity. Kontturi-Nahri V, Narhi M. Testing sensitive dentine in man. Clinical measurement of hypersensitive dentine. Assessment of pain in cervical dentinal sensitivity studies. Measurement of tooth hypersensitivity and oral factors involved in its development.
Thermodontic stimulator—a new technology for assessment of thermal dentinal hypersensitivity. A pilot assessment of alternative methods of quantifying dental pain with particular reference to dentine hypersensitivity. Comparison of methods for measuring root and mucogingival sensitivity. The reproducibility of methods of assessment for cervical dentine hypersensitivity.
Anti-hypersensitivity mechanism of action for a dentifrice containing 0. Jones JA Dentin hypersensitivity: Dent Today 30 , — [ PubMed ]. Addy M, West N Etiology, mechanisms, and management of dentine hypersensitivity. Curr Opin Periodontol 1: A clinico-histological study on the hypersensitivity of dentin. A study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentine. The development and evaluation of a replica technique to study sensitive and non-sensitive cervical dentine.
Zero DT, Lussi A. Erosion—chemical and biological factors of importance to the dental practitioner. The prevalence of dentine hypersensitivity among adult patients attending a Nigerian teaching hospital. Oral Health Prev Dent. Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro, Brazil.
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