Factors associated with dentine hypersensitivity severity in Colombian dental patients.

  • Luis López School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Nariño.
  • Paola Espana School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Nariño.
  • Ruth Bastidas School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Nariño.
  • Jeovanni Fuelagan School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Nariño.
  • Ana Cristina Mafla School of Dentistry, Universidad Cooperativa de Colombia, Pasto, Nariño.


Introduction: The aim of this study was to determine the prevalence of dentine hypersensitivity (DH) and examine associated etiological factors related to the severity of DH in dental clinic patients treated at the School of Dentistry at Universidad Cooperativa de Colombia, Pasto, Colombia. Materials and Methods: A cross-sectional study was designed in which three hundred and thirty three patients aged 15 to 44 years old were assessed for the presence and severity of DH. The dentine hypersensitivity diagnosis was based on self-reported sensitivity and a clinical examination. The questionnaire included socio-demographic information, data about oral health habits and acidic dietary intake. A descriptive analysis was performed and the association between DH severity and risk factors was determined using an ordinal logistic regression model. Results: Dentine hypersensitivity was detected in 88 out of 333 (26.4%) subjects (95% CI: 21.83-31.56). The pH of natural juices (OR=6.013; 95% CI: 0.995–36.319, p=0.051) and pH of alcohol beverages (OR= 7.800; 95% CI: 2.282–26.658, p=0.001) were significantly associated with the severity of dentine hypersensitivity. Conclusions: The results indicated that the prevalence of dentine hypersensitivity in these patients was consistent with previous reports. Furthermore, the severity of DH was influenced by acidic diet. These results suggest that dental counseling should be provided to all patients as well as to those with dentine hypersensitivity to prevent the occurrence of this oral health problem as well as the severity of symptoms.


1. Addy M, West NX. The role of toothpaste in the aetiology and treatment of dentine hypersensitivity. Monogr Oral Sci. 2013;23:75–87.
2. Splieth CH, Tachou A. Epidemiology of dentin hypersensitivity. Clin Oral Investig. 2013;17(Suppl 1):S3-8.
3. Naidu GM, Ram K C, Sirisha NR, Sree Y S, Kopuri RK, Satti NR, Thatimatla C. Prevalence of dentin hypersensitivity and related factors among adult patients visiting a dental school in andhra pradesh, southern India. J Clin Diagn Res. 2014;8(9):ZC48-51.
4. Que K, Ruan J, Fan X, Liang X, Hu D. A multi-centre and cross-sectional study of dentine hypersensitivity in China. J Clin Periodontol. 2010;37(7):631-7.
5. Dominiak M, Gedrange T. New perspectives in the diagnostic of gingival recession. Adv Clin Exp Med. 2014;23(6):857-63.
6. Tellefsen G, Liljeborg A, Johannsen A, Johannsen G. The role of the toothbrush in the abrasion process. Int J Dent Hyg. 2011;9(4):284-90.
7. West NX, A. Lussi, J. Seong, E. Hellwig. Dentin hypersensitivity: pain mechanisms and aetiology of exposed cervical dentin. Clin Oral Investig. 2013; 17(Suppl 1): 9–19.
8. Pace F, Pallotta S, Tonini M, Vakil N, Bianchi Porro G. Systematic review: gastro-oesophageal reflux disease and dental lesions. Aliment Pharmacol Ther. 2008;27(12):1179-86.
9. Prati C, Montebugnoli L, Suppa P, Valdrè G, Mongiorgi R. Permeability and morphology of dentin after erosion induced by acidic drinks. J Periodontol. 2003;74(4):428-36.
10. Dhaliwal Jagjit Singh, Palwankar Pooja, Khinda Paramjit K, Sodhi Sachinjeet K. Prevalence of dentine hypersensitivity: A cross-sectional study in rural Punjabi Indians. J Indian Soc Periodontol. 2012;16(3):426–9.
11. Kleinberg I, Kaufman HW, Confessore F. Methods of measuring tooth hypersensitivity. Dent Clin North Am. 1990;34(3):515-29.
12. Hefferren JJ. A laboratory method for assessment of dentrifrice abrasivity. J Dent Res. 1976;55(4):563-73.
13. Colak H, Demirer S, Hamidi M, Uzgur R, Köseoğlu S. Prevalence of dentine hypersensitivity among adult patients attending a dental hospital clinic in Turkey. West Indian Med J. 2012;61(2):174-9.
14. Costa RS, Rios FS, Moura MS, Jardim JJ, Maltz M, Haas AN. Prevalence and risk indicators of dentin hypersensitivity in adult and elderly populations from Porto Alegre, Brazil. J Periodontol. 2014;85(9):1247-58.
15. Rahiotis C, Polychronopoulou A, Tsiklakis K, Kakaboura A. Cervical dentin hypersensitivity: a cross-sectional investigation in Athens, Greece. J Oral Rehabil. 2013;40(12):948-57.
16. Koyama T, McHaffie JG, Laurienti PJ, Coghill RC. The subjective experience of pain: Where expectations become reality. PNAS. 2005;102 (36):12950–5.
17. Defrin R, Eli I, Pud D. Interactions among sex, ethnicity, religion, and gender role expectations of pain. Gend Med. 2011;8(3):172-83.
18. Vijaya V, Sanjay V, Varghese RK, Ravuri R, Agarwal A. Association of Dentine Hypersensitivity with Different Risk Factors – A Cross Sectional Study. J Int Oral Health. 2013;5(6):88-92 .
19. Brown RE, Edwards DL, Jakobi JM. Sex differences in force steadiness in three positions of the forearm. Eur J Appl Physiol. 2010;110(6):1251-7.
20. Amarasena N, Spencer J, Ou Y, Brennan D. Dentine hypersensitivity in a private practice patient population in Australia. J Oral Rehabil. 2011;38(1):52-60.
21. West NX, Sanz M, Lussi A, Bartlett D, Bouchard P, Bourgeois D. Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. J Dent. 2013;41(10):841-51.
22. Vanuspong W, Eisenburger M, Addy M. Cervical tooth wear and sensitivity: erosion, softening and rehardening of dentine; effects of pH, time and ultrasonication. J Clin Periodontol. 2002;29(4):351-7.
23. Lussi A, Jaeggi T. Erosion--diagnosis and risk factors. Clin Oral Investig. 2008;12 (Suppl 1):S5-S13.
24. Kwek SX, Mian M, Hall C, Xie Z, Yong R, Kaidonis J, Townsend GC, Ranjitkar S. Nanoscratch testing for the assessment of enamel demineralization under conditions simulating wine erosion. Aust Dent J. 2015;60(1):12-7.
25. Santosh Kumar T, Jyothi T, Harish T, Prabu D, Suhas K. A pilot study into the effect of whisky, wine and beer consumption on tooth surface dissolution. Oral Health Dent Manag. 2013 Sep;12(3):151-4.
26. Enberg N, Alho H, Loimaranta V, Lenander-Lumikari M. Saliva flow rate, amylase activity, and protein and electrolyte concentrations in saliva after acute alcohol consumption. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001; 92: 292-8.
27. Ye W, Feng XP, Li R. The prevalence of dentine hypersensitivity in Chinese adults. J Oral Rehabil. 2012;39(3):182-7.
28. Lin L, Que KH, Li X, Hu DY, Fu YY, Wang MH. Epidemiological survey of dentine hypersensitivity of 630 adults in rural of Sichuan province. Hua Xi Kou Qiang Yi Xue Za Zhi. 2011;29(2):157-60.
29. Wiesenfeld-Hallin Z. Sex differences in pain perception. Gend Med. 2005;2(3):137-45.
30. Engle K, Hara AT, Matis B, Eckert GJ, Zero DT. Erosion and abrasion of enamel and dentin associated with at-home bleaching: an in vitro study. J Am Dent Assoc. 2010;141(5):546-51.
31. Draenert ME, Jakob M, Kunzelmann KH, Hickel R. The prevalence of tooth hypersensitivity following periodontal therapy with special reference to root scaling. A systematic review of the literature. Am J Dent. 2013;26(1):21-7.
How to Cite
LÓPEZ, Luis et al. Factors associated with dentine hypersensitivity severity in Colombian dental patients.. Journal of Oral Research, [S.l.], v. 5, n. 2, p. 63-70, feb. 2016. ISSN 0719-2479. Available at: <http://www.joralres.com/index.php/JOR/article/view/joralres.2016.014>. Date accessed: 13 july 2020. doi: https://doi.org/10.17126/joralres.2016.014.


Dentine sensitivity; epidemiology; prevalence; risk factors; diet.