**7. Concluding remarks**

DH is an enigmatic dental condition that is often discounted or underdiagnosed by clinicians who may fail to appreciate its impact on the QoL of their patients, and therefore, screening for the problem should be included in a clinical examination.

Clinicians should recognize it is a diagnosis of exclusion and all other possible causes of the pain should be ruled out. This will require the clinician to collate the relevant medical, dental, social, and diet history from the patient, which will supplement the clinical examination. It is important for clinicians to acknowledge that the management is not just based on providing or recommending OTC products or in-office therapies and procedures but on the removal or modification of any predisposing feature together with involving the patient to make changes in their own behavior to minimize the impact of DH on their QoL.
