CC BY-NC-ND 4.0 · Eur J Dent 2011; 05(03): 273-280
DOI: 10.1055/s-0039-1698892
Original Article
Dental Investigation Society

Tooth Sensitivity in Fluorotic Teeth

Mine Ozturk Tonguc
a   Suleyman Demirel University, Faculty of Dentistry, Department of Periodontology, Isparta, Turkey.
,
Yener Ozat
a   Suleyman Demirel University, Faculty of Dentistry, Department of Periodontology, Isparta, Turkey.
,
Tugba Sert
b   Private practice, Antalya, Turkey.
,
Yonca Sonmez
c   Suleyman Demirel University Faculty of Medicine Department of Public Health, Isparta, Turkey.
,
F Yesim Kirzioglu
a   Suleyman Demirel University, Faculty of Dentistry, Department of Periodontology, Isparta, Turkey.
› Author Affiliations
Further Information

Publication History

Publication Date:
30 September 2019 (online)

ABSTRACT

Objectives: The aim of this study was to compare the demographic and clinical features of tooth sensitivity (TS) in subjects with and without fluorosis. Methods: A total of 2249 subjects (378 subjects with fluorosis and 1871 subjects without fluorosis) were examined for TS during a study period of one year and TS was determined in 122 subjects. The level of TS was evaluated on a visual analogue scale (VAS). The sensitivity evaluation was made by applying tactile and cold air stimuli. In teeth sensitive to any stimuli, the plaque index (PI), gingival index (GI), gingival recession (GR) and periodontal pocket depth (PPD) were recorded. Fluorosis was assessed using the Dean Index. Results: One hundred and twenty-two participants were found to have TS (5.42%). The frequency of TS in subjects with fluorosis was 9.26%, while the frequency of TS in subjects without fluorosis was 4.65%. There was a statistically significant difference between the groups in terms of TS frequency (P=0.0003). In contrast, there were no significant differences between the groups for periodontal parameters except PI. Conclusions: The results of the study showed that the subjects with fluorosis may have been suffering from TS more than the subjects with normal dentition. Further studies are necessary to determine the factors that contribute to sensitivity of teeth with fluorosis. (Eur J Dent 2011;5:273-280)

 
  • REFERENCES

  • 1 Bissada NF. Symptomatology and clinical features of hypersensitive teeth. Archs Oral Biol 1994;39,Suppl:31S-32S.
  • 2 Vieira APGF, Hancock R, Dumitriu M, Limeback H, Grynpas MD. Fluoride’s effect on human dentin ultrasound velocity (elastic modulus) and tubule size. Eur J Oral Sci 2006;114:83-88.
  • 3 Jälevik B, Klingberg GA. Dental treatment, dental fear, and behavior management problems in children with severe enamel hypomineralization of their first permanent molars. Int J Pediatr Dent 2002;12:24-32.
  • 4 Rodd HD, Boissonade FM, Day PF. Pulpal status of hypomineralized permanent molars. Pediatr Dent 2007;29:514- 520.
  • 5 Wang R, Weiner S. Human root dentin: structural anisotropy and Vickers microhardness isotropy. Connect Tissue Res 1998;39:269-279.
  • 6 Watts DC, El Mowafy OM, Grant AA. Temperature dependence of compressive properties of human dentin. J Dent Res 1987;66:29-32.
  • 7 Mahoney E, Holta A, Swain M, Kilpatrick N. The hardness and modulus of elasticity of primary molar teeth: an ultramicro- indentation study. J Dent 2000;28:589-594.
  • 8 Kinney JH, Gladden JR, Marshall GW, Marshall SJ, So JH, Maynard JD. Resonant ultrasound spectroscopy measurements of the elastic constants of human dentin. J Biomech 2004;37:437-441.
  • 9 Kruzic JJ, Nalla RK, Kinney JH, Ritchie RO. Crack blunting, crack bridging and resistance-curve fracture mechanics in dentin: effect of hydration. Biomaterials 2003;24:5209-5221.
  • 10 Arola D, Reprogel RK. Effects of aging on the mechanical behavior of human dentin. Biomaterials 2005;26:4051-4061.
  • 11 Den Besten PK. Mechanism and timing of fluoride effects on developing enamel. J Public Health Dent 1999;59:247- 251.
  • 12 Fejerskov O, Richards A, DenBesten P. The effect of fluoride on tooth mineralization. In Fejerskov O, Ekstrand J, Burt BA. (Ed.) Fluoride in Dentistry Munksgaard, Copenhagen, 1996, 2nd ed., pp.112-146.
  • 13 Lyaruu DM, Bervoets TJM, Bronckers ALJJ. Short exposure to high levels of fluoride induces stage-dependent structural changes in ameloblasts and enamel mineralization. Eur J Oral Sci 2006;114(Suppl. 1):111-115.
  • 14 Fejerskov O, Larsen MJ, Richards A, Baelum V. Dental tissue effects of fluoride. Adv Dent Res 1994;8:15-31.
  • 15 Yıldız M, Oral B. Effects of menopause on bone mineral density in women with endemic fluorosis. Clin Nuc Med 2003;28:308-311.
  • 16 Dean H. T. The investigation of physiological effects by the epidemiological method. In Moulton FR (ed). Fluorine and dental health, Washington: AAAS; 1942. p. 23 17. Al-Wahadni A., Linden GJ. Dentine hypersensitivity in Jordanian dental attenders. A case control study. J Clin Periodontol 2002;29:688-693.
  • 18 Rees JS. The prevalence of dentine hypersensitivity in general dental practice in the UK. J Clin Periodontol 2000;27:860-865.
  • 19 Rees JS, Jin LJ, Lam S, Kudanowska I, Vowles R. The prevalence of dentin hypersensitivity in a hospital clinic population in Hong Kong. J Dent 2003;31:453-461.
  • 20 Silness J, Löe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand 1964;22:121-135.
  • 21 Löe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21:533-551.
  • 22 Medina-Solis CE, Pontigo-Loyola, Maupome G, Lamadrid- Figueroa H, Loyola-Rodriguez JP, Hernandez-Romano J, Villalobos-Rodelo JJ, Marquez-Corona ML. Dental fluorosis prevalence and severity using Dean’s index based on six teeth and on 28 teeth. Clin Oral Invest 2008;12:197-202.
  • 23 Fluorides and oral health. Geneva: World Health Organization; 1994. WHO Technical Report Series, No. 846
  • 24 Waidyasekera PG, Nikaido T, Weerasinghe DDS, Wettasinghe KA, Tagami J. Caries susceptibility of human fluorosed enamel and dentine. J Dent 2007;35:343-349.
  • 25 Rojas-Sanchez F. Dentin in severe fluorosis: a quantitative histochemical study. J Dent Res 2007;86:857-861.
  • 26 Fagrell TG, Lingström P, Olsson S, Steiniger F, Noren J. Bacterial invasion of dentinal tubules beneath apparently intact but hypomineralized enamel in molar teeth with molar incisor hypomineralization. Int J Paediatr Dent 2008;18:333-340.
  • 27 Dababneh RH, Khouri AT, Addy M. Dentine hypersensitivity an enigma? A review of terminology, epidemiology, mechanisms, aetiology and management. Br Dent J 1999;187:606- 611.
  • 28 Chabanski MB, Gilliam DG, Bulman JS, Newman HN. The prevalence, distribution and severity of cervical dentine sensitivity (CDS) in a population of patients referred to a specialist periodontology department. J Clin Periodontol 1996;23:989-992.
  • 29 Taani Q, Awartani F. Clinical evaluation of cervical dentin sensitivity (CDS) in patients attending general dental clinics (GDC) and periodontal specialty clinics (PSC). J Clin Periodontol 2002;29:118-122.
  • 30 Addy M, Mostafa P, Newcombe RG. Dentine hypersensitivity: the distribution of recession, sensitivity and plaque. J Dent 1987;15:242-248.
  • 31 Bamise CT, Olusile AO, Oginni AO, Dosumu OO. The prevalence of dentin hypersensitivity among adult patient attending Nigerian teaching hospital. Oral Health Prev Dent 2007;5:49-53.
  • 32 Rees JS, Addy M. A cross-sectional study of dentine hypersensitivity. J Clin Periodontol 2002;29:997-1003.
  • 33 Flynn J, Galloway R, Orchardson R. The incidence of ‘hypersensitive’ teeth in the West of Scotland. J Dent 1985;13:230- 236.
  • 34 Fisher C, Fischer G, Wennberg A. Prevalence and distribution of cervical dentine hypersensitivity in a population in Rio de Janeiro, Brazil. J Dent 1992;20:272-276.
  • 35 Gillam DG, Seo HS, Newman HN, Bulman JS. Comparison of dentine hypersensitivity in selected occidental and oriental populations. J Oral Rehabil 2001;28:20-25.
  • 36 Kanapka JA, Colucci SV. Clinical evaluation of dentinal hypersensitivity: a comparison of methods. Endod Dent Traumatol 1986;2:157-164.
  • 37 Bozkurt FY, Gürsel M, Erdemir E, Fentoğlu Ö, Kıran M, Güngör İ. The clinical evaluation of the effects of fluorosis on periodontal condition. AÜ Diş Hek Fak Derg 2000;27:215- 225. (Article in Turkish).
  • 38 Anuradha KP, Chadrashekar J, Ramesh N. Prevalence of periodontal disease in endemically fluorosed areas of Davangere Taluk, India. Indian J Dent Res 2002;13:15-19.
  • 39 Nordström A, Mystikos C, Ramberg P, Birkhed D. Effect on de novo plaque formation of rinsing with toothpaste slurries and water solutions with a high fluoride concentration (5,000 ppm). Eur J Oral Sci 2009;117:563-567.
  • 40 Van Loveren C. Antimicrobial activity of fluoride and its in vivo importance: identification of research questions. Caries Res 2001;35 suppl 1:65-70.
  • 41 Aspiras M, Stoodley P, Nistico L, Longwell M, de Jager M. Clinical implications of power toothbrushing on fluoride delivery: Effects on biofilm plaque metabolism and physiology. Int J Dent 2010; Article ID 651869, doi:10.1155/2010/651869.
  • 42 Rees JS, Addy M. A cross-sectional study of buccal cervical sensitivity in UK general dental practice and a summary review of prevalence studies. Int J Dent Hygiene 2004;2:64- 69.
  • 43 Que K, Ruan J, Fan X, Liang X, Hu DA. A multi-centre and cross-sectional study of dentine hypersensitivity in China. J Clin Periodontol 2010;37:631-637.