Assessing variables causing dentinal hypersensitivity: a study

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Assessing the variables responsible for causing dentinal hypersensitivty – a cross sectional study
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Original source:

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Author:

Gowri Shankar S., Sangeetha Chockalingam, Rachele Vishanti, Saravanan Velayutham and Vidya Krishnan


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Assessing the variables responsible for causing dentinal hypersensitivty – a cross sectional study

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20169-6916

Copyright (license): WJPR: All rights reserved


Download the PDF file of the original publication


Summary of article contents:

Introduction

Dentinal hypersensitivity is a common issue encountered in dental practice, with a prevalence of approximately 12.3% among adults in the United States. This condition manifests as sharp pain arising from exposed dentin, typically in response to various stimuli, including thermal, chemical, or tactile. Numerous factors contribute to the exposure of dentinal tubules leading to sensitivity, making diagnosis and management a challenge for dentists. This study aims to investigate the various etiological factors associated with dentinal hypersensitivity and to discern the correlations between these factors and the oral habits of patients.

The Role of Gingival Recession

One of the significant findings of the study is that gingival recession is frequently associated with dentinal hypersensitivity. Approximately 49.6% of subjects with hypersensitivity displayed varying degrees of gingival recession. The correlation between the severity of gingival recession and subjective pain levels, as measured by the Visual Analogue Scale (VAS), suggests that greater gingival recession results in increased sensitivity. The study highlights that factors contributing to gingival recession include poor oral hygiene, excessive brushing, and high frenal attachment, all of which can lead to the exposure of dentinal tubules and subsequent sensitivity.

Oral Hygiene Practices

The study emphasizes the impact of oral hygiene practices on dentinal hypersensitivity. Results indicated that patients with poor oral hygiene were more likely to experience sensitivity compared to those with better oral hygiene. The types of toothbrush bristles also played a crucial role; subjects using medium or hard bristles exhibited higher sensitivity compared to those using soft bristles. The findings advocate for guidance on proper brushing techniques and the selection of appropriate dental care products to prevent abrasion and excessive wear, which can contribute to the exposure of dentin.

Lifestyle Factors

Lifestyle habits, such as smoking and pan chewing, were found to have a significant correlation with dentinal hypersensitivity. The study revealed that individuals with these habits exhibited a greater degree of gingival recession and tooth structure loss, further exacerbating sensitivity issues. The detrimental effects of smoking on oral health, particularly in contributing to gingival recession, as well as the abrasive nature of pan chewing, underline the importance of addressing these habits in oral health education and treatment plans for affected individuals.

Conclusion

In conclusion, dentinal hypersensitivity is a multifactorial problem with various etiological factors, including gingival recession, oral hygiene practices, and lifestyle habits. This study provides valuable insights into the relationships between these factors and their contribution to sensitivity. Effective management strategies should encompass a comprehensive approach that includes patient education on proper oral hygiene, lifestyle modifications, and targeted treatment options for sensitivity. Continued research is essential to deepen understanding of this condition and to improve clinical outcomes for patients suffering from dentinal hypersensitivity.

FAQ section (important questions/answers):

What is dentinal hypersensitivity and its common causes?

Dentinal hypersensitivity is a sharp pain from exposed dentin due to stimuli like thermal or chemical exposure. It often arises from factors like gingival recession, faulty brushing techniques, bruxism, and tooth wear from attrition or abrasion.

What demographic factors affect the prevalence of dentinal hypersensitivity?

In a study, it was found that more males report dentinal hypersensitivity compared to females. The mean age of patients with this condition was approximately 37.65 years, indicating increased prevalence with age.

How is dentinal hypersensitivity diagnosed in patients?

Diagnosis involves a questionnaire about personal habits, a clinical examination, and confirmation through stimuli like air blasts, paired with subjective pain assessment using a Visual Analogue Scale (VAS) to quantify pain.

What role do oral hygiene habits play in dentinal hypersensitivity?

Poor oral hygiene significantly contributes to dentinal hypersensitivity. Factors like infrequent brushing and using hard toothbrush bristles exacerbate the condition by leading to gingival recession and wear of tooth surfaces.

What habits are correlated with increased dentinal hypersensitivity?

Habits such as smoking, pan chewing, night grinding, and clenching have been statistically linked to higher incidences of dentinal hypersensitivity, likely due to their influence on oral tissue health and tooth wear.

What treatment options are available for dentinal hypersensitivity?

Treatment includes desensitizing therapies like fluoride varnishes and resin-based materials, along with newer methods like laser therapy. The treatment approach should be tailored based on individual assessments for optimal results.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Assessing variables causing dentinal hypersensitivity: a study”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Study (Studying):
The study is a crucial scientific effort aimed at investigating the variables responsible for dentinal hypersensitivity. It serves to gather data, analyze correlations, and provide insights into patient demographics and personal habits. Such studies help enhance understanding in dental practices, thereby contributing to better patient management and treatment strategies.

2) Table:
Tables in the research present organized data that includes demographic characteristics, clinical findings, and correlations among various factors influencing dentinal hypersensitivity. These visual representations make it easier to digest complex information and analyze relationships between variables. Tables support the study's findings and provide clear comparisons for better understanding.

3) Pain:
Pain is a significant symptom of dentinal hypersensitivity that can adversely affect patients’ quality of life. This study evaluates patient-reported pain levels through a Visual Analogue Scale, assisting in understanding the intensity of sensitivity and its correlations with other clinical parameters like gingival recession and tooth structure loss.

4) Hygiene (Hygienic):
Oral hygiene is a key factor influencing dental health, including dentinal hypersensitivity. The study assesses patients' oral hygiene status to explore its impact on sensitivity. Poor hygiene practices can lead to plaque accumulation, gingival recession, and ultimately increase the risk of dentinal hypersensitivity, making it a vital area of concern.

5) Male:
The gender distribution of subjects in the study shows a predominance of male participants experiencing dentinal hypersensitivity. This observation aligns with previous research indicating that men may have different oral habits or exposures. Such gender-based analytics help contextualize treatment approaches and understand varying susceptibility among demographics.

6) Surface:
The term surface refers to the outer layer of teeth, particularly enamel and cementum. Exposed dentinal surfaces can lead to increased sensitivity due to the prevalence of dentinal tubules. The study investigates how wear, recession, and other factors may affect these surfaces, ultimately contributing to patients' pain experiences.

7) Medicine:
Dentistry has a strong foundation in medicine, addressing diseases and disorders affecting oral health. This study highlights the importance of medical knowledge in understanding and treating dentinal hypersensitivity, which often involves comprehensive evaluations that consider systemic health, medications, and holistic patient care strategies.

8) Disease:
The study discusses various diseases, particularly periodontal diseases that can lead to gingival recession and exposed dentin. Understanding the link between these diseases and dentinal hypersensitivity is essential for devising effective treatment plans and implementing preventive care to enhance patient outcomes.

9) Medium:
Medium refers to the type of toothbrush bristles used by participants, impacting oral hygiene and sensitivity. The study explores the relationship between medium bristles and the incidence of gingival recession, reinforcing the idea that toothbrush type and its stiffness are critical factors in dental care practices.

10) Pur:
The term poor is used to describe the oral hygiene status of certain study participants. Poor hygiene can lead to plaque buildup and deterioration of gum health, escalating the risk of gingival recession and consequently dentinal hypersensitivity. This parameter is essential for assessing the overall health of the subjects.

11) Tamilnadu (Tamil-nadu):
Tamil Nadu is a state in India where the study was conducted. Its significance lies in regional oral health demographics and potential cultural factors influencing dental care. Understanding local customs and practices is crucial for effective treatment approaches tailored to the population's specific needs.

12) Tamil:
As the primary language spoken in Tamil Nadu, Tamil cultural influences may affect health behaviors, including dental hygiene practices. The study’s relevance may be enriched by understanding linguistic and cultural dynamics that may influence how oral health information is disseminated and adopted in local communities.

13) Nadu:
Nadu is part of the name of Tamil Nadu, a significant region in India known for its distinct cultural heritage. Its relevance to the study contextuates the geographic and socio-economic factors contributing to dental health outcomes, emphasizing localized approaches in research and treatment strategies.

14) Perception:
Perception refers to how patients experience and report pain associated with dentinal hypersensitivity. The study assesses this subjective experience using a Visual Analogue Scale. Understanding perception is vital for devising effective communication methods and treatment plans that address patients' significant concerns regarding their discomfort.

15) Powder:
Powder in this context relates to oral hygiene practices, specifically the use of tooth powder as an alternative to toothpaste. The study surveys participants' methods for dental care, highlighting variations in practices, their effectiveness, and potential correlations to incidences of dentinal hypersensitivity.

16) Indian:
The term Indian emphasizes the study's context within India, focusing on the demographic specifics, regional health practices, and cultural attitudes towards oral hygiene. This aspect aids in understanding how national health policies and local dental practices influence the prevalence of dentinal hypersensitivity.

17) India:
As a country with diverse cultural, geographical, and socio-economic backgrounds, India has unique challenges related to oral health care. The findings of this study are pertinent to understanding and addressing dental issues like dentinal hypersensitivity within the Indian healthcare context.

18) Neem:
Neem represents a traditional oral hygiene alternative in India, often used for its antibacterial properties. The study examines its use alongside conventional toothpaste, highlighting its possible implications in dentinal hypersensitivity management and promoting more natural dental care approaches in specific communities.

19) Food:
Food relates to dietary habits that can influence dental health, including dietary choices that may promote enamel erosion or contribute to gingival recession. Understanding patients' eating habits helps evaluate risks for dentinal hypersensitivity, establishing a comprehensive view of contributors to the condition.

20) Kumar:
Kumar might reference a specific author's earlier research that contributes to the existing body of literature surrounding dentinal hypersensitivity. Acknowledging previous studies helps contextualize findings and identify continuities or divergences in research trends within the field of dental medicine.

21) Drug:
Drugs can impact oral health, either positively or negatively. The study considers the effect of medications on sensitivity and gingival health, indicating that understanding patients’ complete medical histories—including medications—is essential for effective diagnosis and tailored treatment in dental practices.

22) Discussion:
The discussion portion of the study integrates findings, interpretations, and implications regarding dentinal hypersensitivity. It synthesizes data to explore relationships among factors such as demographics, clinical measurements, and habits, providing critical insights and guides for future research and clinical practice.

23) Cleansing:
Cleansing relates to oral hygiene routines that encompass brushing and dental care practices. Effective cleansing is vital in preventing dental issues, including dentinal hypersensitivity, making it a relevant focus in evaluating participants’ habits and overall oral disease susceptibility throughout the study.

24) Suffering:
Suffering refers to the subjective experience of pain and discomfort linked to dentinal hypersensitivity. It underscores the importance of addressing patients' pain during dental treatment and the necessity for establishing effective communication frameworks to better recognize and manage their discomfort.

25) Stiffness:
Stiffness here pertains to the characteristics of toothbrush bristles. The study assesses how the stiffness of bristles—soft, medium, or hard—affects patients’ dental health, influencing levels of sensitivity and gingival health. This knowledge is crucial for guiding recommendations for appropriate dental care products.

26) Surendra (Sura-indra, Suremdra):
Surendra may reference a researcher or contributor to the study, emphasizing the collaborative nature of scientific endeavors. Recognition of researchers ensures transparency and credibility within the study, acknowledging the importance of collective efforts in advancing knowledge in dental health.

27) Pregnant:
Pregnant women are specifically excluded from the study, as hormonal changes during pregnancy can alter oral health significantly. This consideration highlights the need for tailored research protocols that accurately reflect patient populations and their unique health circumstances when examining dental hypersensitivity.

28) Chennai:
Chennai, a prominent city in Tamil Nadu, is relevant for understanding the urban population's oral health dynamics. The study could reflect regional oral hygiene practices, healthcare accessibility, and lifestyle factors specific to Chennai, allowing for localized strategies to address dentinal hypersensitivity.

29) Science (Scientific):
Science is the foundational basis for the study, emphasizing rigorous methodology, analysis, and evidence-based conclusions. It underlines the importance of scientific inquiry in improving comprehension and treatment strategies related to dentinal hypersensitivity, fostering advancements in oral healthcare practices and education.

30) Company:
The term company may relate to organizations involved in dental research or product development. This highlights industry collaborations that can influence the advancement of dental technologies and treatment modalities addressing issues like dentinal hypersensitivity in clinical settings.

31) Reason:
Reason pertains to the rationale behind conducting the study, which seeks to understand the factors contributing to dentinal hypersensitivity effectively. Establishing clear reasons for study methodologies promotes transparency and enhances trust in research findings among stakeholders in dental health.

32) Filling (Filled):
Filled might suggest the evaluation of teeth with dental fillings and their relevance to hypersensitivity assessments. Understanding the role of restorations and materials in the sensitivity spectrum is essential for dental practitioners managing patients with various restorative needs.

33) Vidya:
Vidya may refer to one of the authors involved in the study, indicating the collaborative nature of scientific research. This recognition upholds academic integrity and highlights the contributions of individuals in the field of dental research and its implications for clinical practices.

34) Cina:
China, mentioned within the context of dental hypersensitivity studies, serves to illustrate international perspectives on the condition. Comparative analyses across different populations can enhance understanding and provide insights into cultural influences on dental health and reaction to sensitivity treatments.

35) Babu:
Babu likely refers to a contributor to the research or a figure in related literature. Recognizing individuals’ contributions underscores the collective effort in the scientific study and furthers acknowledgment of collaborative initiatives in the broader context of dental health research.

36) Beta:
Beta may reference a type of statistical analysis or a specific variable in discussions of scientific research. In dental studies, understanding various statistical methodologies is crucial for interpreting results accurately and ensuring the credibility of outcomes related to patient sensitivity.

37) Hand:
Hand might refer to the techniques or methods employed during clinical examinations for dentinal hypersensitivity. The precision and approach of the clinician during these hands-on procedures are vital for achieving accurate assessments and reliable findings that contribute to the study's outcomes.

38) Sour:
Sour refers to a taste that can elicit sensitivity reactions in individuals with dentinal hypersensitivity. Understanding how certain foods and their acidity or flavor profiles affect dental pain is critical in comprehending the overall experience of patients and guiding dietary recommendations.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Assessing variables causing dentinal hypersensitivity: a study’. Further sources in the context of Science might help you critically compare this page with similair documents:

Causative factor, Clinical examination, Visual analogue scale, Cross-sectional study, Smoking habit, Gingival Recession, Laser therapy, Poor oral hygiene, Brushing habit, Subjective Pain, Dentinal hypersensitivity, Dental practice, Hard bristles, Dentin tubules, Histological classification.

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