Skip to main content

Advertisement

SpringerLink
Log in

The prevalence, clinical features, and related factors of dentin hypersensitivity in the Turkish population

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

The purpose of this study was to identify the prevalence and predisposing and etiologic factors of dentin hypersensitivity (DH), as well as the demographic characteristics of patients.

Materials and methods

The 1210 patients were examined. The research was based on a two-step investigation: questionnaire and clinical examination. DH was evaluated by the response of the patient to tactile and air-blast stimuli. Loss of attachment and gingival recession of sensitive teeth was measured on the buccal and lingual surfaces. Also, the tooth wear of sensitive teeth was graded on the buccal and lingual surfaces. Comparisons of nonnormally distributed continuous variables were performed using the Mann–Whitney U test and Kruskal–Wallis one-way analysis of variance (ANOVA) and Dunn’s post hoc test. Comparisons of categorical variables were performed using Pearson’s chi-square, Fisher’s exact chi-square, Yates’s chi-square, and the Monte Carlo chi-square test.

Results

One hundred twenty-four patients reported DH, showing a prevalence for self-reported DH of 10.2%. Eight hundred forty teeth were diagnosed as having DH, giving a clinical diagnosis rate of DH of 29.4%. Females (76.8%), the 31–40 years age group (26%), housewives (36.8%), and high school education level (38%) had the highest prevalence of DH as demographic properties. A cold stimulus was the most common stimuli trigger for hypersensitivity (97.1%). Occasional pain (55.5%) showed the highest prevalence in terms of frequency of DH. A higher rate of DH was found with the use of medium brushes (47.4%) and brushing twice per day (59.4%) for 1–2 min (56.2%) with the circular method (33.8%) as oral hygiene habits. The buccal surface of the lower right central incisors (5.7%) had the highest prevalence. The most affected teeth by DH were incisors (38.4%). The buccal surfaces (86.3%) of teeth showed a higher high prevalence of DH compared with the lingual surface (52.7%), similar to gingival recession (40.9% vs. 15.7%) and loss of attachment (68.3% vs. 42.6%).

Conclusions

Clinically diagnosed DH was more common than self-reported DH. Some factors related to patients such as sex (female), the 31–40 years age group, housewives, high school students, using medium brushes, brushing twice per day, and the circular brushing method were more likely to have a risk for DH. Also, buccal surfaces of teeth, gingival recession, and loss of attachment on the buccal surface of teeth should be considered as predisposing factors for DH.

Clinical relevance

To control and prevent DH, clinicians should consider patients’ demographics, predisposing factors, and etiologic factors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R (1997) Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 24:808–813. https://doi.org/10.1111/j.1600-051x.1997.tb01194.x

    Article  PubMed  Google Scholar 

  2. Orchardson R, Collins WJ (1987) Clinical features of hypersensitive teeth. Br Dent J 162:253–256. https://doi.org/10.1038/sj.bdj.4806096

    Article  PubMed  Google Scholar 

  3. Addy M (1992) Clinical aspects of dentine hypersensitivity. Proc Finn Dent Soc 88(Suppl 1):23–30

    PubMed  Google Scholar 

  4. Haneet RK, Vandana LK (2016) Prevalence of dentinal hypersensitivity and study of associated factors: a cross-sectional study based on the general dental population of Davangere, Karnataka, India. Int Dent J 66:49–57. https://doi.org/10.1111/idj.12206

    Article  PubMed  Google Scholar 

  5. Brannstrom M, Astrom A (1972) The hydrodynamics of the dentine; its possible relationship to dentinal pain. Int Dent J 22:219–227

    PubMed  Google Scholar 

  6. Smith BG (1989) Toothwear: aetiology and diagnosis. Dent Update 16:204–212

    PubMed  Google Scholar 

  7. Dababneh RH, Khouri AT, Addy M (1999) Dentine hypersensitivity — an enigma? A review of terminology, mechanisms, aetiology and management. Br Dent J 187:606–11; discussion 603. https://doi.org/10.1038/sj.bdj.4800345

  8. Favaro Zeola L, Soares PV, Cunha-Cruz J (2019) Prevalence of dentin hypersensitivity: systematic review and meta-analysis. J Dent 81:1–6. https://doi.org/10.1016/j.jdent.2018.12.015

    Article  PubMed  Google Scholar 

  9. Yoshizaki KT, Francisconi-Dos-Rios LF, Sobral MA, Aranha AC, Mendes FM, Scaramucci T (2017) Clinical features and factors associated with non-carious cervical lesions and dentin hypersensitivity. J Oral Rehabil 44:112–118. https://doi.org/10.1111/joor.12469

    Article  PubMed  Google Scholar 

  10. Teixeira DNR, Zeola LF, Machado AC, Gomes RR, Souza PG, Mendes DC, Soares PV (2018) Relationship between noncarious cervical lesions, cervical dentin hypersensitivity, gingival recession, and associated risk factors: a cross-sectional study. J Dent 76:93–97. https://doi.org/10.1016/j.jdent.2018.06.017

    Article  PubMed  Google Scholar 

  11. Que K, Guo B, Jia Z, Chen Z, Yang J, Gao P (2013) A cross-sectional study: non-carious cervical lesions, cervical dentine hypersensitivity and related risk factors. J Oral Rehabil 40:24–32. https://doi.org/10.1111/j.1365-2842.2012.02342.x

    Article  PubMed  Google Scholar 

  12. Rahiotis C, Polychronopoulou A, Tsiklakis K, Kakaboura A (2013) Cervical dentin hypersensitivity: a cross-sectional investigation in Athens, Greece. J Oral Rehabil 40:948–957. https://doi.org/10.1111/joor.12109

    Article  PubMed  Google Scholar 

  13. Ramlogan S, Raman V, Rees JS, Legall G (2017) A cross-sectional study of dentine sensitivity in periodontitis patients in Trinidad and Tobago. Int J Dent Hyg 15:e69–e77. https://doi.org/10.1111/idh.12202

    Article  PubMed  Google Scholar 

  14. Olley RC, Sehmi H (2017) The rise of dentine hypersensitivity and tooth wear in an ageing population. Br Dent J 223:293–297. https://doi.org/10.1038/sj.bdj.2017.715

    Article  PubMed  Google Scholar 

  15. Olley RC, Moazzez R, Bartlett D (2015) The relationship between incisal/occlusal wear, dentine hypersensitivity and time after the last acid exposure in vivo. J Dent 43:248–252. https://doi.org/10.1016/j.jdent.2014.11.002

    Article  PubMed  Google Scholar 

  16. West NX, Sanz M, Lussi A, Bartlett D, Bouchard P, Bourgeois D (2013) Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. J Dent 41:841–851. https://doi.org/10.1016/j.jdent.2013.07.017

    Article  PubMed  Google Scholar 

  17. Amarasena N, Spencer J, Ou Y, Brennan D (2011) Dentine hypersensitivity in a private practice patient population in Australia. J Oral Rehabil 38:52–60. https://doi.org/10.1111/j.1365-2842.2010.02132.x

    Article  PubMed  Google Scholar 

  18. Silva MS, Lima A, Pereira MMA, Ferraz Mendes R, Prado Junior RR (2019) Prevalence and predictive factors of dentin hypersensitivity in Brazilian adolescents. J Clin Periodontol 46:448–456. https://doi.org/10.1111/jcpe.13097

    Article  PubMed  Google Scholar 

  19. Cunha-Cruz J, Wataha JC, Heaton LJ, Rothen M, Sobieraj M, Scott J, Berg, Northwest Practice-based Research Collaborative in Evidence-based D (2013) The prevalence of dentin hypersensitivity in general dental practices in the Northwest United States. J Am Dent Assoc 144:288–96. https://doi.org/10.14219/jada.archive.2013.0116

    Article  PubMed  PubMed Central  Google Scholar 

  20. Bahsi E, Dalli M, Uzgur R, Turkal M, Hamidi MM, Colak H (2012) An analysis of the aetiology, prevalence and clinical features of dentine hypersensitivity in a general dental population. Eur Rev Med Pharmacol Sci 16:1107–1116

    PubMed  Google Scholar 

  21. Ye W, Feng XP, Li R (2012) The prevalence of dentine hypersensitivity in Chinese adults. J Oral Rehabil 39:182–187. https://doi.org/10.1111/j.1365-2842.2011.02248.x

    Article  PubMed  Google Scholar 

  22. Kehua Q, Yingying F, Hong S, Menghong W, Deyu H, Xu F (2009) A cross-sectional study of dentine hypersensitivity in China. Int Dent J 59:376–380

    PubMed  Google Scholar 

  23. Liang X, Wei Z, Hu D, Ruan J (2017) Prevalence of dentin hypersensitivity among the residents of Xi’an city, China. Acta Odontol Scand 75:387–393. https://doi.org/10.1080/00016357.2017.1323348

    Article  PubMed  Google Scholar 

  24. Costa RS, Rios FS, Moura MS, Jardim JJ, Maltz M, Haas AN (2014) Prevalence and risk indicators of dentin hypersensitivity in adult and elderly populations from Porto Alegre, Brazil. J Periodontol 85:1247–1258. https://doi.org/10.1902/jop.2014.130728

    Article  PubMed  Google Scholar 

  25. Que K, Ruan J, Fan X, Liang X, Hu D (2010) A multi-centre and cross-sectional study of dentine hypersensitivity in China. J Clin Periodontol 37:631–637. https://doi.org/10.1111/j.1600-051X.2009.01513.x

    Article  PubMed  Google Scholar 

  26. Awad MA, El Kassas D, Al Harthi L, Abraham S, Al-Khalifa K, Khalaf M, Alhabashneh R, Bartlett D (2020) Dentine hypersensitivity and dentine exposure in Arab patient populations. J Oral Rehabil 47:473–479. https://doi.org/10.1111/joor.12927

    Article  PubMed  Google Scholar 

  27. Wang Y, Que K, Lin L, Hu D, Li X (2012) The prevalence of dentine hypersensitivity in the general population in China. J Oral Rehabil 39:812–820. https://doi.org/10.1111/j.1365-2842.2012.02334.x

    Article  PubMed  Google Scholar 

  28. Gillam DG, Seo HS, Bulman JS, Newman HN (1999) Perceptions of dentine hypersensitivity in a general practice population. J Oral Rehabil 26:710–714. https://doi.org/10.1046/j.1365-2842.1999.00436.x

    Article  PubMed  Google Scholar 

  29. Scaramucci T, de Almeida Anfe TE, da Silva FS, Frias AC, Sobral MA (2014) Investigation of the prevalence, clinical features, and risk factors of dentin hypersensitivity in a selected Brazilian population. Clin Oral Investig 18:651–657. https://doi.org/10.1007/s00784-013-1008-1

    Article  PubMed  Google Scholar 

  30. Colak H, Aylikci BU, Hamidi MM, Uzgur R (2012) Prevalence of dentine hypersensitivity among university students in Turkey. Niger J Clin Pract 15:415–419. https://doi.org/10.4103/1119-3077.104514

    Article  PubMed  Google Scholar 

  31. Rees JS, Addy M (2002) A cross-sectional study of dentine hypersensitivity. J Clin Periodontol 29:997–1003. https://doi.org/10.1034/j.1600-051x.2002.291104.x

    Article  PubMed  Google Scholar 

  32. Barroso NFF, Alcantara PM, Botelho AM, Douglas-de-Oliveira DW, Goncalves PF, Flecha OD (2019) Prevalence of self-reported versus diagnosed dentinal hypersensitivity: a cross-sectional study and ROC curve analysis. Acta Odontol Scand 77:219–223. https://doi.org/10.1080/00016357.2018.1536804

    Article  PubMed  Google Scholar 

  33. Bamise CT, Olusile AO, Oginni AO, Dosumu OO (2007) The prevalence of dentine hypersensitivity among adult patients attending a Nigerian teaching hospital. Oral Health Prev Dent 5:49–53

    PubMed  Google Scholar 

  34. Rees JS (2000) The prevalence of dentine hypersensitivity in general dental practice in the UK. J Clin Periodontol 27:860–865. https://doi.org/10.1034/j.1600-051x.2000.027011860.x

    Article  PubMed  Google Scholar 

  35. Clayton DR, McCarthy D, Gillam DG (2002) A study of the prevalence and distribution of dentine sensitivity in a population of 17–58-year-old serving personnel on an RAF base in the Midlands. J Oral Rehabil 29:14–23. https://doi.org/10.1046/j.1365-2842.2002.00805.x

    Article  PubMed  Google Scholar 

  36. Splieth CH, Tachou A (2013) Epidemiology of dentin hypersensitivity. Clin Oral Investig 17(Suppl 1):S3-8. https://doi.org/10.1007/s00784-012-0889-8

    Article  PubMed  Google Scholar 

  37. Liu HC, Lan WH, Hsieh CC (1998) Prevalence and distribution of cervical dentin hypersensitivity in a population in Taipei. Taiwan J Endod 24:45–47. https://doi.org/10.1016/S0099-2399(98)80213-6

    Article  PubMed  Google Scholar 

  38. O’Toole S, Bartlett D (2017) The relationship between dentine hypersensitivity, dietary acid intake and erosive tooth wear. J Dent 67:84–87. https://doi.org/10.1016/j.jdent.2017.10.002

    Article  PubMed  Google Scholar 

  39. Bamise CT, Kolawole KA, Oloyede EO, Esan TA (2010) Tooth sensitivity experience among residential university students. Int J Dent Hyg 8:95–100. https://doi.org/10.1111/j.1601-5037.2009.00385.x

    Article  PubMed  Google Scholar 

  40. Haber J, Wattles J, Crowley M, Mandell R, Joshipura K, Kent RL (1993) Evidence for cigarette smoking as a major risk factor for periodontitis. J Periodontol 64:16–23. https://doi.org/10.1902/jop.1993.64.1.16

    Article  PubMed  Google Scholar 

  41. Sağ Güngör F, Karabekiroğlu S, Unlu N (2017) Prevalance and risk factors of dentine hypersensitivity among Turkish adults in Konya, Turkey. IOSR J Dent Med Sci 16:76–82. https://doi.org/10.9790/0853-1609057682

    Article  Google Scholar 

  42. Fischer C, Fischer RG, Wennberg A (1992) Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro, Brazil. J Dent 20:272–276. https://doi.org/10.1016/0300-5712(92)90043-c

    Article  PubMed  Google Scholar 

  43. Alcantara PM, Barroso NFF, Botelho AM, Douglas-de-Oliveira DW, Goncalves PF, Flecha OD (2018) Associated factors to cervical dentin hypersensitivity in adults: a transversal study. BMC Oral Health 18:155. https://doi.org/10.1186/s12903-018-0616-1

    Article  PubMed  PubMed Central  Google Scholar 

  44. Gillam DG, Aris A, Bulman JS, Newman HN, Ley F (2002) Dentine hypersensitivity in subjects recruited for clinical trials: clinical evaluation, prevalence and intra-oral distribution. J Oral Rehabil 29:226–231. https://doi.org/10.1046/j.1365-2842.2002.00813.x

    Article  PubMed  Google Scholar 

  45. Board CA, on Dentin H, (2003) Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc 69:221–226

    Google Scholar 

  46. Krieger N, Williams DR, Moss NE (1997) Measuring social class in US public health research: concepts, methodologies, and guidelines. Annu Rev Public Health 18:341–378. https://doi.org/10.1146/annurev.publhealth.18.1.341

    Article  PubMed  Google Scholar 

  47. Bradnock G, White DA, Nuttall NM, Morris AJ, Treasure ET, Pine CM (2001) Dental attitudes and behaviours in 1998 and implications for the future. Br Dent J 190:228–232. https://doi.org/10.1038/sj.bdj.4800935a

    Article  PubMed  Google Scholar 

  48. Smith BG, Knight JK (1984) An index for measuring the wear of teeth. Br Dent J 156:435–438. https://doi.org/10.1038/sj.bdj.4805394

    Article  PubMed  Google Scholar 

  49. Lobbezoo F, Visscher CM, Koutris M, Wetselaar P, Aarab G (2018) Bruxism in dentists’ families. J Oral Rehabil 45:657–658. https://doi.org/10.1111/joor.12648

    Article  PubMed  Google Scholar 

  50. West N, Seong J, Davies M (2014) Dentine hypersensitivity. Monogr Oral Sci 25:108–122. https://doi.org/10.1159/000360749

    Article  PubMed  Google Scholar 

  51. Chabanski MB, Gillam DG (1997) Aetiology, prevalence and clinical features of cervical dentine sensitivity. J Oral Rehabil 24:15–19. https://doi.org/10.1046/j.1365-2842.1997.00471.x

    Article  PubMed  Google Scholar 

  52. Rees JS, Jin LJ, Lam S, Kudanowska I, Vowles R (2003) The prevalence of dentine hypersensitivity in a hospital clinic population in Hong Kong. J Dent 31:453–461. https://doi.org/10.1016/s0300-5712(03)00092-7

    Article  PubMed  Google Scholar 

  53. Rees JS, Addy M (2004) A cross-sectional study of buccal cervical sensitivity in UK general dental practice and a summary review of prevalence studies. Int J Dent Hyg 2:64–69. https://doi.org/10.1111/j.1601-5029.2004.00068.x

    Article  PubMed  Google Scholar 

  54. Rocha MOC, Cruz A, Santos DO, Douglas DEODW, Flecha OD, Goncalves PF (2020) Sensitivity and specificity of assessment scales of dentin hypersensitivity — an accuracy study. Braz Oral Res 34:e043. https://doi.org/10.1590/1807-3107bor-2020.vol34.0043

    Article  PubMed  Google Scholar 

  55. Zhang Y, Cheng R, Cheng G, Zhang X (2014) Prevalence of dentine hypersensitivity in Chinese rural adults with dental fluorosis. J Oral Rehabil 41:289–295. https://doi.org/10.1111/joor.12145

    Article  PubMed  Google Scholar 

  56. Hamza B, Tanner M, Korner P, Attin T, Wegehaupt FJ (2021) Effect of toothbrush bristle stiffness and toothbrushing force on the abrasive dentine wear. Int J Dent Hyg. https://doi.org/10.1111/idh.12536

    Article  PubMed  PubMed Central  Google Scholar 

  57. Bartlett DW, Fares J, Shirodaria S, Chiu K, Ahmad N, Sherriff M (2011) The association of tooth wear, diet and dietary habits in adults aged 18–30 years old. J Dent 39:811–816. https://doi.org/10.1016/j.jdent.2011.08.014

    Article  PubMed  Google Scholar 

  58. Yang J, Cai D, Wang F, He D, Ma L, Jin Y, Que K (2016) Non-carious cervical lesions (NCCLs) in a random sampling community population and the association of NCCLs with occlusive wear. J Oral Rehabil 43:960–966. https://doi.org/10.1111/joor.12445

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Beyazıt Campus 34452 Beyazıt, Istanbul, Turkey

    Mustafa Demirci, Ferda Karabay, Meriç Berkman & Safa Tuncer

  2. Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Istanbul University, Istanbul, Turkey

    İlknur Özcan

  3. Department of Restorative Dentistry, Faculty of Dentistry, Kocaeli University, Kocaeli, Turkey

    Neslihan Tekçe

  4. Department of Biostatistics and Medical Informatics, Kocaeli University Faculty of Medicine, Kocaeli, Turkey

    Canan Baydemir

Authors
  1. Mustafa Demirci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ferda Karabay
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Meriç Berkman
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. İlknur Özcan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Safa Tuncer
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Neslihan Tekçe
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Canan Baydemir
    View author publications

    You can also search for this author in PubMed Google Scholar

Contributions

Conceptualization, methodology, and writing — original draft: Mustafa Demirci. Material preparation and data collection and analysis: Ferda Karabay and Meriç Berkman. Methodology, review, and editing: Safa Tuncer and Neslihan Tekçe. Project administration: Mustafa Demirci and İlknur Özcan. Statistical evaluation: Canan Baydemir. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mustafa Demirci.

Ethics declarations

Ethics approval

The study was approved by the Clinical Research Ethics Committee of the Faculty of Dentistry, Istanbul University, with protocol 2016/49. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Conflict of interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Demirci, M., Karabay, F., Berkman, M. et al. The prevalence, clinical features, and related factors of dentin hypersensitivity in the Turkish population. Clin Oral Invest 26, 2719–2732 (2022). https://doi.org/10.1007/s00784-021-04245-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-021-04245-4

Keywords

Search

Navigation