A Survey of Dentists in the Management of Dentine Hypersensitivity: A Questionnaire-based Study

Chrysanthie Exarchou; Ioanna Betsani; Dimitra Sakellari; Dominiki Chatzopoulou; David Gillam

doi:10.1055/s-0039-1694306

European Journal of Dentistry, Table of Contents

CC BY · Eur J Dent 2019; 13(03): 383-390
DOI: 10.1055/s-0039-1694306

Original Article

Dental Investigation Society

A Survey of Dentists in the Management of Dentine Hypersensitivity: A Questionnaire-based Study

Chrysanthie Exarchou

¹Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece

,

Ioanna Betsani

¹Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece

,

Dimitra Sakellari

¹Department of Preventive Dentistry, Periodontology and Implant Biology, School of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece

,

Dominiki Chatzopoulou

²Institute of Dentistry, Barts and the London School of Medicine and Dentistry, Queen Mary University London, London, England

,

David Gillam

²Institute of Dentistry, Barts and the London School of Medicine and Dentistry, Queen Mary University London, London, England

› Author Affiliations

Abstract

Objective Previous studies have indicated that dentists may be uncertain about the etiology, diagnosis, and effective management of dentine sensitivity/dentine hypersensitivity (DH). The purpose of the present study was to evaluate the knowledge and understanding of Greece-based dental professionals in treating DH.

Materials and Methods A 26-item questionnaire was sent to a representative sample of Greek dentists.

Results Two hundred thirty questionnaires were originally provided to the participants and of the 210 questionnaires that were returned, 191 questionnaires (90 M; 86 F; mean age 36.26 years [standard deviation: 11.34]) were included for analysis, a response rate of 83% was observed. 39.8% of dentists indicated that 1 in 10 of their patients experienced discomfort from DH with 76.4% of dentists indicating that their patients initiated the conversation on DH. In contrast, 44% of the dentists indicated that they initiated the relevant conversation. 34.9% of dentists indicated that the duration of discomfort lasted up to 3 weeks and 76.4% indicated that DH had an impact on their patients’ quality of life. Incorrect tooth brushing was considered to be a major etiological factor (68.6%) with “air blast” (37.3%) and “probing” (15%) as the main methods for identification. 83.6% of dentists indicated that they were confident in recommending over-the-counter products for home use.

Conclusion The results of this study suggest that in terms of knowledge and understanding of DH, there is still confusion concerning some aspects of the diagnosis and management of the condition.

Keywords

etiological factors - dentine hypersensitivity - management - quality of life - questionnaire

Full Text

References

References
1 Canadian Advisory Board on Dentin Hypersensitivity. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc 2003; 69: 221-226
2 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 (01) 45-51
3 Gibson B, Boiko OV, Baker SR. et al. The everyday impact of dentine sensitivity: personal and functional aspects. Soc Sci Dent 2010; 1: 11-21
4 Gillam DG. Current diagnosis of dentin hypersensitivity in the dental office: an overview. Clin Oral Investig 2013; 17 (Suppl. 01) S21-S29
5 Pereira R, Gillam DG, Bapatla S, Satyamurthy P. Awareness of dentine hypersensitivity among general dental practitioners in Mumbai, India. J Odontol 2018; 2: 103
6 Cunha-Cruz J, Wataha JC. The burden of dentine hypersensitivity. In: Robinson PG. ed. Dentine Hypersensitivity: Developing a Person-Centred Approach to Oral Health. Oxford: Elsevier; 2014: 34-44
7 Schuurs AH, Wesselink PR, Eijkman MA, Duivenvoorden HJ. Dentists’ views on cervical hypersensitivity and their knowledge of its treatment. Endod Dent Traumatol 1995; 11 (05) 240-244
8 Gillam DG, Bulman JS, Eijkman MA, Newman HN. Dentists’ perceptions of dentine hypersensitivity and knowledge of its treatment. J Oral Rehabil 2002; 29 (03) 219-225
9 Orchardson R, Gillam DG. Managing dentin hypersensitivity. J Am Dent Assoc 2006; 137 (07) 990-998 , quiz1028–1029
10 Amarasena N, Spencer J, Ou Y, Brennan D. Dentine hypersensitivity - Australian dentists’ perspective. Aust Dent J 2010; 55 (02) 181-187
11 Cunha-Cruz J, Wataha JC, Heaton LJ. et al; Northwest Practice-based Research Collaborative in Evidence-based DENTistry. The prevalence of dentin hypersensitivity in general dental practices in the northwest United States. J Am Dent Assoc 2013; 144 (03) 288-296
12 Benoist FL, Ndiaye FG, Faye B, Bane K, Ngom PI, Ndong PM. Knowledge of and management attitude regarding dentin hypersensitivity among dentists from a West African country. J Contemp Dent Pract 2014; 15 (01) 86-91
13 Kopycka-Kedzierawski DT, Meyerowitz C, Litaker MS. et al; National Dental PBRN Collaborative Group. Management of dentin hypersensitivity by National Dental Practice-Based Research Network practitioners: results from a questionnaire administered prior to initiation of a clinical study on this topic. BMC Oral Health 2017; 17 (01) 41
14 Hatton J, Kumar K, Gillam DG. Knowledge of dental undergraduates and dentists in treating dentine hypersensitivity. J Dent Res. 2012 . doi: 10.5005/jp-journals-10024-1493
15 Francisconi L, Calabria M. et al. Knowledge of Brazilian Dentists and Students in Treating Dentine Hypersensitivity. J Dent Res [Spec Issue A] 2013; 92 : Abstract no. 2193
16 Dashti NAAA. A survey of the professional opinions of Kuwaiti dentists for the treatment and management of dentine hypersensitivity: questionnaire based study. D Clin Dent Research report. QMUL; London: 2018
17 Blanchard P, Wong Y, Matthews AG. et al. Restoration variables and postoperative hypersensitivity in Class I restorations: PEARL Network findings. Part 2. Compend Contin Educ Dent 2013; 34 (04) e62-e68
18 Gillam DG, Orchardson R. Advances in the treatment of root dentine sensitivity: mechanisms and treatment principles. Endod Topics 2006; 13: 13-33
19 Gillam DG. A new perspective on dentine hypersensitivity – guidelines for general dental practice. Dent Update 2017; 44 (01) 33-36 ,39–42
20 Gillam DG, Seo HS, Bulman JS, Newman HN. Perceptions of dentine hypersensitivity in a general practice population. J Oral Rehabil 1999; 26 (09) 710-714
21 Lin YH, Gillam DG. The prevalence of root sensitivity following periodontal therapy: a systematic review. Int J Dent 2012; 2012: 407023
22 Cunha-Cruz J, Wataha JC, Zhou L. et al. Treating dentin hypersensitivity: therapeutic choices made by dentists of the northwest PRECEDENT network. J Am Dent Assoc 2010; 141 (09) 1097-1105