Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study

West, Nicola Xania; Sanz, Mariano; Lussi, Adrian; Bartlett, David; Bouchard, Phillipe; Bourgeois, Denis (2013). Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. Journal of dentistry, 41(10), pp. 841-851. Elsevier Science 10.1016/j.jdent.2013.07.017

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OBJECTIVES Dentine hypersensitivity (DH) manifests as a transient but arresting oral pain. The incidence is thought to be rising, particularly in young adults, due to increases in consumption of healthy, yet erosive, diets. This study aimed to assess the prevalence of DH and relative importance of risk factors, in 18-35 year old Europeans. METHODS In 2011, 3187 adults were enrolled from general dental practices in France, Spain, Italy, United Kingdom, Finland, Latvia and Estonia. DH was clinically evaluated by cold air tooth stimulation, patient pain rating (yes/no), accompanied by investigator pain rating (Schiff 0-3). Erosive toothwear (BEWE index 0-3) and gingival recession (mm) were recorded. Patients completed a questionnaire regarding the nature of their DH, erosive dietary intake and toothbrushing habits. RESULTS 41.9% of patients reported pain on tooth stimulation and 56.8% scored ≥1 on Schiff scale for at least one tooth. Clinical elicited sensitivity was closely related to Schiff score and to a lesser degree, questionnaire reported sensitivity (26.8%), possibly reflecting the transient nature of the pain, alongside good coping mechanisms. Significant associations were found between clinically elicited DH and erosive toothwear and gingival recession. The questionnaire showed marked associations between DH and risk factors including heartburn/acid reflux, vomiting, sleeping medications, energy drinks, smoking and acid dietary intake. CONCLUSION Overall, the prevalence of DH was high compared to many published findings, with a strong, progressive relationship between DH and erosive toothwear, which is important to recognise for patient preventive therapies and clinical management of DH pain.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry

UniBE Contributor:

Lussi, Adrian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0300-5712

Publisher:

Elsevier Science

Language:

English

Submitter:

Eveline Carmen Schuler

Date Deposited:

24 Feb 2014 10:32

Last Modified:

24 Apr 2017 15:22

Publisher DOI:

10.1016/j.jdent.2013.07.017

PubMed ID:

23911597

Uncontrolled Keywords:

Dentine hypersensitivity, Erosion, Oral pain, Toothwear

BORIS DOI:

10.7892/boris.40811

URI:

https://boris.unibe.ch/id/eprint/40811

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