New Avenue for Treatment of Dentinal Hypersensitivity Assisted with Tekscan a Diagnostic Tool

Abstract

Background: Occlusion is dynamic and plays an important role in the functioning of the stomatognathic system. Disturbance in one of the components of the stomatognathic system may result in hypersensitivity of teeth, orofacial pain, migraine, and temporomandibular joint (TMJ) disorders. Coronoplasty done using articulating paper is the conventional method for occlusal corrections. T-scan is a computerized occlusal analysis system that overcomes the limitations of articulating paper. Methods: Patients with Myofacial pain dysfunction syndrome (MPDS) having dentinal hypersensitivity were taken into consideration. The case series included three cases. A joint vibratory analysis (JVA) is performed using a JVA device to rule out any TMJ disorders. T-scan-assisted coronoplasty is performed. Patients are asked to score for dentinal hypersensitivity on the VAS scale pre and postoperative. Results: Occlusion and disocclusion time is reduced along with hyperactivity of the muscles after T-scan-assisted coronoplasty. There is a reduction in dentinal hypersensitivity postoperative. Conclusion: T-scan quantifies the forces and hence proved a boon in the field of dentistry. The present case series highlights coronoplasty assisted with a T-scan for diagnosis and treatment planning of hypersensitivity of teeth; hence it is the future of dentistry. Practical Implications: T-scan is a device that is assisted with electromyography. It projects the forces of mastication at every contact point of maxillary and mandibular teeth and reveals muscular hyperactivity. It can be used in MPDS patients with dental hypersensitivity due to occlusal discrepancy as it can guide elective coronoplasty relieving pain and dentinal hypersensitivity.

Keywords

• coronoplasty
• occlusion
• t-scan