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DOI: 10.4103/1305-7456.175678
Dentine sensitivity risk factors: A case–control study
Publication History
Publication Date:
23 September 2019 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00042133/201601/lookinside/thumbnails/10-4103-1305-7456-175678_00001-1.jpg)
ABSTRACT
Objective: To identify the clinical and psychological risk factors associated with dentine hypersensitivity (DH) in order to provide an early diagnosis and preventive therapy. Materials and Methods: A nested case–control study was design between 2011 and 2012. A total of 61 DH cases and 122 controls participated in this investigation. Cases and controls were matched for sex, group of age and socioeconomic status in a ratio of 1:2. DH to different stimuli such as cold, heat, acid, and sweet was asked in patient interviews, and dental examinations were used to detect DH. Clinical and psychological risk factors such as dental hygiene, periodontal disease, acid diet, alcohol consumption, psychological stress, and psychopathological symptoms were inquired. Psychological stress was measured through the PSS-10 and psychopathological symptoms were evaluated by SCL-90-R in Spanish. Descriptive and univariate binary logistic regression analysis were performed to estimate the association between clinical and psychological risk factors and the presence of DH. Results: Toothpaste abrasivity (odds ratio [OR] 1.881, 95% confidence interval [CI] 1.010–3.502, P = 0.045), gingival recession (OR 2.196, 95% CI 1.020–4.728, P = 0.041), and periodontal therapy (OR 5.357, 95% CI 2.051–13.993, P < 0.001) were associated with DH. Subjects with perceived stress (OR 1.211, 95%, CI 0.518–2.833, P = 0.658), obsessive-compulsive (OR 1.266, 95%, CI 0.494–3.240, P = 0.623) and hostility (OR 1.235, 95%, CI 0.507–3.007, P = 0.642) symptoms had a clinical greater odd of DH. Conclusion: Oral hygiene products and periodontal conditions are important risk factors for DH. Individuals with perceived stress, obsessive-compulsive, and hostility symptoms may increase a clinical risk for this entity. Targeting to dental counseling focused on oral hygiene products, periodontal therapy and a psychological evaluation may be promising in DH prevention.
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REFERENCES
- 1 IASP Task Force on Taxonomy. Part III: Pain terms, a current list with definitions and notes on usage. In: Merskey H, Bogduk N. editors. Classification of Chronic Pain. 2nd ed.. Seattle: IASP Press; 1994: p. 209-214
- 2 Dowell P, Addy M. Dentine hypersensitivity – A review. Aetiology, symptoms and theories of pain production. J Clin Periodontol 1983; 10: 341-50
- 3 Bekes K, John MT, Schaller HG, Hirsch C. Oral health-related quality of life in patients seeking care for dentin hypersensitivity. J Oral Rehabil 2009; 36: 45-51
- 4 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: 49-53
- 5 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: 631-7
- 6 Rees JS, Jin LJ, Lam S, Kudanowska I, Vowles R. The prevalence of dentine hypersensitivity in a hospital clinic population in Hong Kong. J Dent 2003; 31: 453-61
- 7 Rahiotis C, Polychronopoulou A, Tsiklakis K, Kakaboura A. Cervical dentin hypersensitivity: A cross-sectional investigation in Athens, Greece. J Oral Rehabil 2013; 40: 948-57
- 8 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: 1247-58
- 9 Splieth CH, Tachou A. Epidemiology of dentin hypersensitivity. Clin Oral Investig 2013; 17 (Suppl. 01) S3-8
- 10 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: 841-51
- 11 Addy M, Pearce N. Aetiological, predisposing and environmental factors in dentine hypersensitivity. Arch Oral Biol 1994; 39 Suppl 33S-38S
- 12 Bernhardt O, Gesch D, Schwahn C, Mack F, Meyer G, John U. et al. Epidemiological evaluation of the multifactorial aetiology of abfractions. J Oral Rehabil 2006; 33: 17-25
- 13 Naidu GM, Ram KC, Sirisha NR, Sree YS, Kopuri RK, Satti NR. et al. Prevalence of dentin hypersensitivity and related factors among adult patients visiting a dental school in andhra pradesh, southern India. J Clin Diagn Res 2014; 8: ZC48-51
- 14 Engel GL. The need for a new medical model: A challenge for biomedicine. Science 1977; 196: 129-36
- 15 Kiecolt-Glaser JK, McGuire L, Robles TF, Glaser R. Psychoneuroimmunology: Psychological influences on immune function and health. J Consult Clin Psychol 2002; 70: 537-47
- 16 Bartley EJ, Fillingim RB. Sex differences in pain: A brief review of clinical and experimental findings. Br J Anaesth 2013; 111: 52-8
- 17 Wiesenfeld-Hallin Z. Sex differences in pain perception. Gend Med 2005; 2: 137-45
- 18 Olley RC, Moazzez R, Bartlett D. The relationship between incisal/occlusal wear, dentine hypersensitivity and time after the last acid exposure in vivo . J Dent 2015; 43: 248-52
- 19 Dorner TE, Muckenhuber J, Stronegger WJ, Ràsky E, Gustorff B, Freidl W. The impact of socio-economic status on pain and the perception of disability due to pain. Eur J Pain 2011; 15: 103-9
- 20 Estrela C, Guedes OA, Silva JA, Leles CR, Estrela CR, Pécora JD. Diagnostic and clinical factors associated with pulpal and periapical pain. Braz Dent J 2011; 22: 306-11
- 21 Hefferren JJ. A laboratory method for assessment of dentrifrice abrasivity. J Dent Res 1976; 55: 563-73
- 22 Remor E. Psychometric properties of a European Spanish version of the perceived stress scale (PSS). Span J Psychol 2006; 9: 86-93
- 23 Bonicatto S, Dew MA, Soria JJ, Seghezzo ME. Validity and reliability of symptom checklist ‘90 (SCL90) in an Argentine population sample. Soc Psychiatry Psychiatr Epidemiol 1997; 32: 332-8
- 24 Gempp-Fuentealba R, Avendaño-Bravo C. Normative data and psychometric properties of the SCL-90-R in Chilean college students. Ter Psicol 2008; 26: 39-58
- 25 Bahsi E, Dalli M, Uzgur R, Turkal M, Hamidi MM, Colak H. An analysis of the aetiology, prevalence and clinical features of dentine hypersensitivity in a general dental population. Eur Rev Med Pharmacol Sci 2012; 16: 1107-16
- 26 Taani Q, 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: 118-22
- 27 von Troil B, Needleman I, Sanz M. A systematic review of the prevalence of root sensitivity following periodontal therapy. J Clin Periodontol 2002; 29 (Suppl. 03) 173-7
- 28 Lin YH, Gillam DG. The prevalence of root sensitivity following periodontal therapy: A systematic review. Int J Dent 2012; 2012: 407023
- 29 Uchida A, Wakano Y, Nishida M, Terayama E, Kida T, Fukuyama O. et al. The effect of periodontal dressing containing 2% sodium fluoride in treatment of dentin hypersensitivity following periodontal surgery (author's transl). Nihon Shishubyo Gakkai Kaishi 1979; 21: 463-70
- 30 Wallace JA, Bissada NF. Pulpal and root sensitivity rated to periodontal therapy. Oral Surg Oral Med Oral Pathol 1990; 69: 743-7
- 31 Bosshardt DD, Selvig KA. Dental cementum: The dynamic tissue covering of the root. Periodontol 2000 1997; 13: 41-75
- 32 Addy M, West NX. The role of toothpaste in the aetiology and treatment of dentine hypersensitivity. Monogr Oral Sci 2013; 23: 75-87
- 33 Philpotts CJ, Weader E, Joiner A. The measurement in vitro of enamel and dentine wear by toothpastes of different abrasivity. Int Dent J 2005; 55 (03) (Suppl. 01) 183-7
- 34 Carvalho RdeS, Rossi V, Weidlich P, Oppermann RV. Comparative analysis between hard- and soft-filament toothbrushes related to plaque removal and gingival abrasion. J Clin Dent 2007; 18: 61-4
- 35 Zanatta FB, Bergoli AD, Werle SB, Antoniazzi RP. Biofilm removal and gingival abrasion with medium and soft toothbrushes. Oral Health Prev Dent 2011; 9: 177-83
- 36 West NX, Hughes JA, Addy M. The effect of pH on the erosion of dentine and enamel by dietary acids in vitro . J Oral Rehabil 2001; 28: 860-4
- 37 Mulic A, Tveit AB, Hove LH, Skaare AB. Dental erosive wear among Norwegian wine tasters. Acta Odontol Scand 2011; 69: 21-6
- 38 Kulkarni S, O'Farrell I, Erasi M, Kochar MS. Stress and hypertension. WMJ 1998; 97: 34-8
- 39 Spalletta G, Romeo E, Bonaviri G, Bernardi G, Caltagirone C, di Michele F. Preliminary evidence for an association between aggressive and hostile behaviour and 3α, 5α-tetrahydroprogesterone plasma levels in schizophrenia. J Psychiatry Neurosci 2005; 30: 49-52
- 40 Bateson M, Brilot B, Nettle D. Anxiety: An evolutionary approach. Can J Psychiatry 2011; 56: 707-15
- 41 Ghafournia M, Hajenourozali TehraniM. Relationship between bruxism and malocclusion among preschool children in Isfahan. J Dent Res Dent Clin Dent Prospects 2012; 6: 138-42
- 42 Grippo JO. Tooth flexure. J Am Dent Assoc 1991; 122: 13
- 43 Lee WC, Eakle WS. Possible role of tensile stress in the etiology of cervical erosive lesions of teeth. J Prosthet Dent 1984; 52: 374-80
- 44 Spranger H. Investigation into the genesis of angular lesions at the cervical region of teeth. Quintessence Int 1995; 26: 149-54
- 45 McGuire MK, Nunn ME. Prognosis versus actual outcome. III. The effectiveness of clinical parameters in accurately predicting tooth survival. J Periodontol 1996; 67: 666-74
- 46 Addy M. Tooth brushing, tooth wear and dentine hypersensitivity – Are they associated?. Int Dent J 2005; 55 (04) (Suppl. 01) 261-7