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VOLUME 9 , ISSUE 5 ( July, 2008 ) > List of Articles

RESEARCH ARTICLE

An Analysis of the Etiological and Predisposing Factors Related to Dentin Hypersensitivity

Adeleke O. Oginni, Cornelius T. Bamise, Adeyemi O. Olusile

Citation Information : Oginni AO, Bamise CT, Olusile AO. An Analysis of the Etiological and Predisposing Factors Related to Dentin Hypersensitivity. J Contemp Dent Pract 2008; 9 (5):52-59.

DOI: 10.5005/jcdp-9-5-52

License: CC BY-NC 3.0

Published Online: 01-03-2010

Copyright Statement:  Copyright © 2008; The Author(s).


Abstract

Aim

To determine the prevalence of different etiological factors of dentin hypersensitivity in patients and to provide information on their association with dentin hypersensitivity.

Methods and Materials

Twenty-nine patients (17 male, 12 female) suffering from pain of dentin hypersensitivity were recruited to participate in the study. A relevant history was taken and dentin hypersensitivity confirmed by using air-blast and tactile stimuli.

Results

All patients were right-handed. The left side of the mouth showed a preponderance of gingival recession, abrasion, abfraction, and erosion while more teeth on the right side showed attrition. Gingival recession and attrition were common among the molars, abrasions among the molars and premolars, abfraction among the premolars, while erosive lesions were predominantly found among the incisors.

A total of 911 teeth were examined in the 29 subjects presenting with dentin hypersensitivity. The following conditions were found to be associated with the dentin hypersensitivity: 43 of 117 teeth (36.8%) with gingival recession; 41 of 99 teeth (41.4%) with attrition; 40 of 67 teeth (59.7%) with abrasion; 16 of 25 teeth (64%) with abfraction; and 32 teeth had erosive lesions all associated with hypersensitivity.

Conclusion

Gingival recessions followed by attrition were the most commonly found etiological factors leading to dentin hypersensitivity. Erosive lesions were mostly associated with dentin hypersensitivity. A statistically significant relationship exists between dentin hypersensitivity, tooth wear lesions, and gingival recession.

Clinical Significance

This study provides clinical evidence supporting the notion of dentin hypersensitivity being a tooth wear phenomenon. Therefore, successful preventive and management strategies for sufferers of dentin hypersensitivity must take into consideration causal factors for tooth wear and gingival recession.

Citation

Bamise CT, Olusile AO, Oginni AO. An Analysis of the Etiological and Predisposing Factors Related to Dentin Hypersensitivity. J Contemp Dent Pract 2008 July; (9)5:052-059.

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  1. The incidence of hypersensitive teeth in the West of Scotland. J Dent 1985; 13:230-236.
  2. Dentin hypersensitivity an enigma? A review of terminology, epidemiology, mechanisms, aetiology and management. Br Dent J 1999; 187:606-611.
  3. Tooth brushing, tooth wear and dentin hypersensitivity--are they associated? Int Dent J. 2005; 55(4 Suppl 1):261-7.
  4. Dentin hypersensitivity: new perspective on an old problem. Int Dent J 2002; 52:367-375.
  5. The role of erosion, abrasion and attrition in tooth wear. J Clin Dent. 2006; 17(4):88-93.
  6. Can tooth brushing damage your health? Effects on oral and dental tissues. Int Dent J 2003;53(supplement 3):177–86.
  7. Wear in dentistry – Current terminology. J Dent 1992; 20:140-144.
  8. Etiology of dental erosion – extrinsic factors. Eur J Oral Sciences 1996; 104:162-177.
  9. Etiology of dental erosion – intrinsic factors. Eur J Oral Sci 1996; 104:178-190.
  10. Tooth surface loss: an overview. Br Dent J 1999; 186:61-66.
  11. Tooth wear: aetiology and diagnosis. Dent Update 1989; 16:204-212.
  12. Abfractions: A new classification of hand tissue lesions of teeth. J Prosthetic Dent 1991; 3:14-19.
  13. Stress induced cervical lesions. J Prosthet Dent 1992; 67:718-722.
  14. Toothwear: Aetiology and presentation. Dent Update 1998; 25:6-11.
  15. The Micromorphology in vivo of the buccocervival region of premolar teeth in young adults. A replica study by scanning election microcopy. Acta Odont Scand 1995; 52:323-334.
  16. Treating sensitivity during tooth whitening. Compend Contin Educ Dent. 2005; 26(9):11-20.
  17. Hydrogen peroxide tooth-whitening (bleaching) products: review of adverse effects and safety issues. Br Dent J. 2006; 200(7):371-6.
  18. Dentin hypersensitivity: a review of its aetiology, pathogenesis and management. SADJ. 2007; 62(2):066-71.
  19. Dentin hypersensitivity. The effects in vitro of acids and dietary substances on root-planed and burred dentin. J Clin Periodontol 1987; 14:274-279.
  20. Examining the prevalence and characteristics of abfraction-like cervical lesions in a population of U.S. veterans. J Am Dent Assoc 2001; 132(12):1694-1701.
  21. The role of toothpastes and toothbrushes in the aetiology of toothwear. Int Dent J 2002; 52:399-405.
  22. Mechanical cleaning in oral hygiene. In: Frandsen A, (ed) Oral hygiene. Munksgaard: Copenhagen 1976;27-60.
  23. Non carious cervical lesions. J Dent 1994; 22:195-207.
  24. Gingival recession: a cross-sectional clinical investigation. Eur J Prosthodont Rest Dent 1997; 5:57-61.
  25. The natural toothbrush. World health forum 1995; 16:206-210.
  26. Chewing sticks and oral health – review. Nigerian Dental Journal 1997; 11:27-31.
  27. Prevalence and severity of tooth attrition in Nigerian rural areas. Niger Med J. 1978; 8:557-562.
  28. Non-carious cervical lesion in a Nigerian population: Abrasion or Abfraction. Int Dent J 2003; 53:275-279.
  29. Tooth attrition among rural Nigerians. Afr Dent J 1987; 1:73-78.
  30. A comparison of patterns of toothwear with the etiological factors. Br Dent J 1984; 157:16-19.
  31. Essentials of oral pathology and oral medicine. Churchill Livingstone 1998;60-61.
  32. The distribution of plaque and gingivitis and the influence of toothbrushing hand in a group of Southwales 11-12 year old children. J Clin Periodontol 1987; 14:564-572.
  33. Tooth surface loss from abrasion, attrition and erosion. Dent update 1982; 9:373-381.
  34. Dentin hypersensitivity. A study of the patency of dentinal tubules in sensitive and non-sensitive cervical dentin. J Clin Periodontol 1987; 14:280-284.
  35. Dentin hypersensitivity: the distribution of recession, sensitivity and plaque. J Dent 1987; 15:242-248.
  36. The effect of toothbrushing frequency, toothbrushing hand, sex and social class on the incidence of plaque, gingivitis and pocketing in adolescents: a longitudinal cohort study. Community Dental Health 1990; 7:237-247.
  37. Clinical aspects of dentin hypersensitivity. Proc Finn Dent Soc 1992; 88(suppl 1):23-30.
  38. An index for measuring the wear of teeth. Br Dent J 1984;156:435-438.
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