Association Between Etiological Factors and Dentin Hypersensitivity: A Cross-Sectional Study in Turkey

Objective: This study purposed to estimate the prevalence of DH and how effective the etiological factors are in the development of DH in Turkey. Methods: Demographic features, hygiene habits, bruxism, beverage habits, parafunctional habits, smoking, and other medical problems were asked. Air was blasted to the teeth via the air-water syringe for 3 seconds. The Visual Analogue Scale was used to measure DH sensitivity, and data were recorded in the 0-100 mm range, and 5 mm and higher were considered DH. The attrition, abrasion, erosion, abfraction per dental type (Incisal OR Canine OR Premolar OR Molar) were recorded. The same procedure was applied for abnormal tooth position and gingival recession. Results: A total of 4476 teeth and 236 individuals were evaluated. Significantly higher DH frequency was observed in females (p= .034), the 40- 55 age range (p= .009), and non-smokers (p= .016). Those who brushed their teeth three times a day or more (p< .001), preferred horizontal technique (p= .017), used toothbrushes with a hard bristle (p< .001) exhibited higher DH frequency. There was no significant difference in DH regarding bruxism, acidic beverage consumption, vomiting, and reflux (p> .05). Conclusion: DH is a multi-etiological symptom affected by demographic attributes, hygiene, and other habits. Clinicians should painstakingly distinguish the source of DH to gain the long-term success of DH treatment, which depends on many etiological factors.

Keywords:

Dentin hypersensitivity dentin sensitivity, cross-sectional studies,

PDF

___

Markowitz K, Pashley D. Dentine Hypersensitivity. 1st ed. Switzerland: Springer; 2015.
Rees J, Addy M. A cross‐sectional study of dentine hypersensitivity. J Clin Periodontol. 2002;29(11):997-1003. DOI:1.1034/j.1600-051X.2002.291104.x
Brännström M. The hydrodynamics of the dentine; its possible relationship to dentinal pain. Int Dent J. 1972;22(2):219-227.
Jacobsen PL, Bruce G. Clinical dentin hypersensitivity: understanding the causes and prescribing a treatment. J Contemp Dent Pract. 2001;2(1):1-12. DOI: 1.5005/jcdp-2-1-27
Chabanski M, Gillam D, Bulman J, Newman H. Prevalence of cervical dentine sensitivity in a population of patients referred to a specialist Periodontology Department. J Clin Periodontol. 1996;23(11):989-992. DOI:1.1111/j.1600-051X.1996.tb00525.x
Murray L. The prevalence of selfreported hypersensitive teeth Arch. Oral Biol. 1994;39:129S. DOI:1.11263/jsotp1982.14.165
Udoye C. Pattern and distribution of cervical dentine hypersensitivity in a Nigerian tertiary hospital. Odontostomatol Trop. 2006;29(116):19-22.
Taani SQ, Awartani F. Clinical evaluation of cervical dentin sensitivity (CDS) in patients attending general dental clinics (GDC) and periodontal specialty clinics (PSC). J Clin Periodontol. 2002;29(2):118-122. DOI:1.1034/j.1600-051x.2002.290205.x
Çolak H, Demirer S, Hamidi M, Uzgur R, Köseoğlu S. Prevalence of dentine hypersensitivity among adult patients attending a dental hospital clinic in Turkey. West Indian Med J. 2012;61(2):174-179.
Porto IC, Andrade AK, Montes MA. Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci. 2009;51(3):323-332. DOI:1.2334/josnusd.51.323
Cunha-Cruz J, Wataha JC, Heaton LJ, Rothen M, Sobieraj M, Scott J, Berg J, Northwest Practice-based Research Collaborative in Evidence-based D. The prevalence of dentin hypersensitivity in general dental practices in the northwest United States. J Am Dent Assoc. 2013;144(3):288-296. DOI:1.14219/jada.archive.201.0340
Bamise CT, Olusile AO, Oginni AO, Dosumu OO. The prevalence of dentine hypersensitivity among adult patients attending a Nigerian teaching hospital. Oral Health Prev Dent. 2007;5(1):49-53. DOI: 1.3290/j.ohpd.a11958
Rees J. The prevalence of dentine hypersensitivity in general dental practice in the UK. J Clin Periodontol. 2000;27(11):860-865. DOI:1.1034/j.1600-051x.200.02701186.x
Liang X, Wei Z, Hu D, Ruan J. Prevalence of dentin hypersensitivity among the residents of Xi'an city, China. Acta Odontol Scand. 2017;75(6):387-393. DOI:1.1080/00016357.2017.1323348
Scaramucci T, de Almeida Anfe TE, da Silva Ferreira S, Frias AC, Sobral MA. Investigation of the prevalence, clinical features, and risk factors of dentin hypersensitivity in a selected Brazilian population. Clin Oral Investig. 2014;18(2):651-657. DOI:1.1007/s00784-013-1008-1
Zeola LF, Soares PV, Cunha-Cruz J. Prevalence of dentin hypersensitivity: Systematic review and meta-analysis. J Dent. 2019;81:1-6. DOI:1.1016/j.jdent.2018.12.015
Costa RS, Rios FS, Moura MS, Jardim JJ, Maltz M, Haas AN. Prevalence and risk indicators of dentin hypersensitivity in adult and elderly populations from Porto Alegre, Brazil. J Periodontol. 2014;85(9):1247-1258. DOI:1.1902/jop.2014.130728
Garg N, Garg A. Textbook of operative dentistry. 2nd ed. New Delhi:Boydell & Brewer Ltd; 2013.
Rees J, Jin L, Lam S, Kudanowska I, Vowles R. The prevalence of dentine hypersensitivity in a hospital clinic population in Hong Kong. J Dent. 2003;31(7):453-461. DOI:1.1016/S0300-5712(03)00092-7
Orchardson R, Gillam DG. Managing dentin hypersensitivity. J Am Dent Assoc. 2006;137(7):990-998. DOI:1.14219/jada.archive.2006.0321
Seymour RA, Simpson JM, Charlton JE, Phillips ME. An evaluation of length and end-phrase of visual analogue scales in dental pain. Pain. 1985;21(2):177-185. DOI:1.1016/0304-3959(85)90287-8
Walters PA. Dentinal hypersensitivity: a review. J Contemp Dent Pract. 2005;6(2):107-117. DOI: 1.5005/jcdp-6-2-107
Toy VE, Eltas A. Malatya bölgesinde dişeti çekilmesinin yaygınlığının, şiddetinin ve etkenlerinin araştırılması (Turkish). Ann med health sci res. 2013;2(1):?-?. (Turkish)
Al-Khafaji H. Observations on dentine hypersensitivity in general dental practices in the United Arab Emirates. Eur J Dent. 2013;7(4):389. DOI: 1.4103/1305-7456.120634
Susin C, Haas AN, Oppermann RV, Haugejorden O, Albandar JM. Gingival recession: epidemiology and risk indicators in a representative urban Brazilian population. J Periodontol. 2004;75(10):1377-1386. DOI:1.1902/jop.2004.75.1.1377
Bartold P. Dentinal hypersensitivity: A review. Aust Dent J. 2006;51(3):212-218. DOI:1.1111/j.1834-7819.2006.tb00431.x
West N, Hooper S, O'sullivan D, Hughes N, North M, Macdonald E, Davies M, Claydon N. In situ randomised trial investigating abrasive effects of two desensitising toothpastes on dentine with acidic challenge prior to brushing. J Dent. 2012;40(1):77-85. DOI:1.1016/j.jdent.2011.1.010
Que K, Guo B, Jia Z, Chen Z, Yang J, Gao P. A cross‐sectional study: non‐carious cervical lesions, cervical dentine hypersensitivity and related risk factors. J Oral Rehabil. 2013;40(1):24-32. DOI:1.1111/j.1365-2842.2012.02342.x
Volpe A, Mooney R, Zumbrunnen C, Stahl D, Goldman H. A long term clinical study evaluating the effect of two dentifrices on oral tissues. J Periodontol. 1975;46(2):113-118. DOI: 1.1902/jop.1975.46.2.113
MacGregor I, Rugg‐Gunn A. A survey of toothbrushing sequence in children and young adults. J Periodontal Res. 1979;14(3):225. DOI:1.1111/j.1600-0765.1979.tb00227.x
Vijaya V, Sanjay V, Varghese RK, Ravuri R, Agarwal A. Association of dentine hypersensitivity with different risk factors–A cross sectional study. J Int Oral Health. 2013;5(6):88.
Rossi V, Weidlich P, Oppermann R. Comparative analysis between hard-and soft-filament toothbrushes related to plaque removal and gingival abrasion. J Clin Dent. 2007;18(3):61-64.
Rahiotis C, Polychronopoulou A, Tsiklakis K, Kakaboura A. Cervical dentin hypersensitivity: A cross‐sectional investigation in Athens, Greece. J Oral Rehabil. 2013;40(12):948-957. DOI:1.1111/joor.12109
Amarasena N, Spencer J, Ou Y, Brennan D. Dentine hypersensitivity in a private practice patient population in Australia. J Oral Rehabil. 2011;38(1):52-56. DOI:1.1111/j.1365-2842.201.02132.x
Bamise CT, Olusile AO, Oginni AO. An analysis of the etiological and predisposing factors related to dentin hypersensitivity. J Contemp Dent Pract. 2008;9(5):52-59.
Corrêa FOB, Sampaio JEC, Rossa Júnior C, Orrico SRP. Influence of natural fruit juices in removing the smear layer from root surfaces-an in vitro study. J Can Dent Assoc. 2004;:697-702.
Larsen M, Pearce E. Saturation of human saliva with respect to calcium salts. Arch Oral Biol. 2003;48(4):317-322. DOI:1.1016/S0003-9969(03)00007-4
West NX, Lussi A, Seong J, Hellwig E. Dentin hypersensitivity: pain mechanisms and aetiology of exposed cervical dentin. Clin Oral Investig. 2013;17(Suppl 1):9-19. DOI:1.1007/s00784-012-0887-x
Alcantara PM, Barroso NFF, Botelho AM, Douglas-de-Oliveira DW, Goncalves PF, Flecha OD. Associated factors to cervical dentin hypersensitivity in adults: a transversal study. BMC Oral Health. 2018;18(1):155. DOI:1.1186/s12903-018-0616-1
Martens LC. A decision tree for the management of exposed cervical dentin (ECD) and dentin hypersensitivity (DHS). Clin Oral Investig. 2013;17(Suppl 1):77-83. DOI:1.1007/s00784-012-0898-7
West NX, Sanz M, Lussi A, Bartlett D, Bouchard P, Bourgeois D. Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. J Dent. 2013;41(10):841-851. DOI:1.1016/j.jdent.2013.07.017
Ladalardo TCCGP, Pinheiro A, Campos RAdC, Brugnera Júnior A, Zanin F, Albernaz PLM, Weckx LLM. Laser therapy in the treatment of dentine hypersensitivity. Braz Dent J. 2004;15:144-145. DOI:1.1590/S0103-64402004000200011
Dababneh R, Khouri A, Addy M. Dentine hypersensitivity—An enigma? A review of terminology, mechanisms, aetiology and management. Br Dent J. 1999;187(11):606-611. DOI:1.1038/sj.bdj.4800345
Christensen GJ. Desensitization of cervical tooth structure. J Am Dent Assoc. 1998;129(6):765-766. DOI: 1.14219/jada.archive.1998.0319
Yaylı NZA, Sarı ET. Dişeti çekilmesi: Yetişkin bir alt popülasyonda prevalans ve ilişkili faktörler (Turkish). Van Sağ Bil Derg.14(2):216-27. DOI:1.52976/vansaglik.942756
Martínez-Ricarte J, Faus-Matoses V, Faus-Llácer VJ, Flichy-Fernández AJ, Mateos-Moreno B. Dentinal sensitivity: Concept and methodology for its objective evaluation. Med Oral Patol Oral Cir Bucal. 2008;13(3):E201-206.
Francetti L, Weinstein R, Taschieri S, Corbella S. Coronally advanced flap with or without subepithelial connective tissue graft for the treatment of single recession: 5-Year Outcomes from a Comparative Study. Int J Periodontics Restorative Dent. 2018;38(6): DOI: 1.11607/prd.3036
Schlee M, Rathe F, Bommer C, Bröseler F, Kind L. Self‐assembling peptide matrix for treatment of dentin hypersensitivity: A randomized controlled clinical trial. J Periodontol. 2018;89(6):653-656. DOI:1.1002/JPER.17-0429
Santamaria MP, Silveira CA, Mathias IF, Neves FLdS, Dos Santos LM, Jardini MAN, Tatakis DN, Sallum EA, Bresciani E. Treatment of single maxillary gingival recession associated with non‐carious cervical lesion: Randomized clinical trial comparing connective tissue graft alone to graft plus partial restoration. J Clin Periodontol. 2018;45(8):968-976. DOI:1.1111/jcpe.12907
Seong J, Bartlett D, Newcombe R, Claydon N, Hellin N, West NJJod. Prevalence of gingival recession and study of associated related factors in young UK adults. J Dent. 2018;76:58-67. DOI:1.1016/j.jdent.2018.06.005
Que K, Ruan J, Fan X, Liang X, Hu D. A multi‐centre and cross‐sectional study of dentine hypersensitivity in China. J Clin Periodontol. 2010;37(7):631-637. DOI:1.1111/j.1600-051X.2009.01513.x
Hatipoğlu O, Küçükönder A, Oral E. Positional factors affecting the bond failure rates in orthodontic treatment: A systematic review and meta-analysis. Orthod Waves. 2019;78(3):93-101. DOI:1.1016/j.odw.2019.06.001