DTUS2010

presentations included more occu- pational factors such as the damage sustained by competitive swimmers and professional wine tasters. Obviously, wine got many peo- ple’s attention and Tinoco showed an instruction about how to taste wine properly. To fully experience the taste of a wine, swirl a little bit of it in your mouth to cover all your taste buds. Take a moment to enjoy the flavour before either swallowing or spitting out the wine. In addition to the ini- tial taste, you will find there is also an aftertaste to the wine, usually referred to as the finish. Tinoco then discussed treatment adjuncts, both for patients at home and clinical interventions in surgery. Clinical treatments included the use find a cause for hypersensitivity, but did caution that it could be difficult as patients will modify their behav- iour when being observed. West also discussed enamel ero- sion at length. She explained the difference between intrinsic (i.e., GORD) and extrinsic (i.e., acid chal- lenges caused by food and drink) erosion. When looking at extrinsic erosion, West focussed on the acidic challenges that teeth came under from the diet of a hypersensitivity sufferer. Many of the problems seem to stem from the number of acidic drinks available. According to the 2009 sales fig- ures for soft drinks in the United Kingsom, a staggering 229.1 litres of soft drinks are consumed per person per year; that’s 0.65 litres a day! For a person susceptible to erosion, this can present a large acidic challenge to teeth. West called for routine screening for tooth wear and erosion, espe- cially in the face of the rise in patient and tooth longevity and the availabil- ity of treatments to help reduce the severity of the sensitivity for patients. She also listed some recommenda- tions for clinicians to give to patients: reduce frequency of acid exposure; avoid acidic foods and drinks at night time; no swishing or frothing; avoid tooth brushing straight after an acid- ic challenge. The next presentation was from Dr. Stephen Mason. His presen- tation, “Sensodyne Rapid Relief Instant and Long-lasting Protec- tion,” detailed the latest GSK product offering to combat sensitivity. Mason detailed the different formulations Sensodyne has had in the past using strontium chloride and the particular challenges this presented, namely, a taste many consumers disliked and non-compatibility with fluoride. Strontium chloride was then surpassed by strontium acetate because of its compatibility with flu- oride, non-staining properties and improved taste. This has now been developed into a marketable product called Sensodyne Rapid Relief. Mason discussed some of the clin- ical research that has been conduct- ed for the rapid-relief product, first against fluoride-control toothpaste and then against a competitor brand using 8 percent arginine calcium carbonate. The studies showed that there was a marked reduction in pain felt by the subjects both after immediate application with a pea-sized amount direct to the tooth and after marked periods of time brushing twice a day. In nearly every study, the group using rapid relief showed the most improvement. The final speaker at the sym- posium was Prof. Eduardo M.B. Tinoco, associate professor at Rio de Janeiro State University (UERJ/ UNIGRANRIO). His presentation, “Practical Approaches to Manage- ment of Dentine Hypersensitivity in Practice,” looked at the diagno- sis and management of sufferers in practice. The fact that he did his presentation in Portuguese proved a stronger challenge for the Eng- lish speakers amongst the audience; however, translation was provided. After a brief overview of the preva- lence, possible causes and definition of dentine hypersensitivity, which Addy had already covered in more depth, Tinoco then posed the ques- tion “dentine hypersensitivity: How do I treat this?” A good starting point for man- aging hypersensitivity in practice once a correct diagnosis has been made and other causes have been excluded or treated, said Tinoco, is the identification of aetiological fac- tors and their prevention by means of diet modification or oral health instruction. Other factors he discussed beyond those already mentioned in previous DENTAL TRIBUNE | September 2010 Industry Symposium Review 23A AD of varnishes and primers, the use of glass ionomers to cover the affected area and laser treatments or muco- gingival surgery. He concluded that there should be pro-active screening on all patients to help with a correct diagnosis. Advising patients about diet modifi- cation, etc., should help remove or modify the severity of the sensitivity and the recommendation of brushing with desensitising toothpaste twice daily as well as rubbing it on affected areas is an extremely efficacious, low-cost, non-invasive treatment. This symposium gave delegates an excellent update into treatments and modalities for patients with dentine hypersensitivity as well a great overview of Sensodyne Rapid Relief. DT