Prevalence of Dentine Hypersensitivity in Vital Abutment Teeth being prepared for Fixed Partial Dentures or Crowns
DOI:
https://doi.org/10.51985/JBUMDC2024390Keywords:
Crown, Dentine Hypersensitivity, Fixed Partial Dentures, Vital abutment.Abstract
Objective: To determine the prevalence of dentine hypersensitivity during the preparation of vital abutment teeth for Fixed Partial Dentures or Crowns and its association with patient’s gender, age, and location of tooth.
Study Design & Setting: This is a descriptive cross-sectional study of patients with 150 abutments of either crown or fixed partial dentures, carried out in the department of Prosthodontics at Armed Forces Institute of Dentistry (AFID) Rawalpindi from June to December 2021.
Methodology: The Dentine Hypersensitivity was recorded on a VAS (Visual Analogue Scale) of 0-10 after the patient reported pain during exposure to thermal stimulus i.e. cold water from a 5cc syringe at 1cm distance during or just after the tooth preparation.
Results: In this study, the prevalence of Dentine Hypersensitivity was 13.3% with a mean dentine hypersensitivity score (VAS) for cold water test (Mean ± SD) of 0.61±1.756. Independent samples t-tests were used to determine the difference in hypersensitivity between genders, two age groups, and type of tooth (anterior/ posterior). It showed significant results with p-values of 0.002, 0.002, and 0.003 respectively.
Conclusion: Within the limitations of this study, it was highlighted that the preparation of vital teeth for conventional porcelain fused to metal (PFM) crown or fixed dental prosthesis results in dentine hypersensitivity in a considerable number of cases, with a higher incidence in women, younger patients, and vital anterior abutments.
References
. Davis GR, Tayeb RA, Seymour KG, Cherukara GP. Quantification of residual dentine thickness following crown preparation. J Dent. 2012 Jul;40(7):571-6. doi:10.1016/j. jdent.
03.006.
. West N, Seong J, Davies M. Dentine hypersensitivity. Monogr
Oral Sci. 2014;25:108-22. doi:10.1159/000360749.
. Yadav K, Sofat A, Gambhir RS, Galhotra V. Dentin hypersensitivity following tooth preparation: a clinical study in the
spectrum of gender. J Nat Sci Biol Med. 2014 Jan;5(1):21-4.
doi:10.4103/0976-9668.127277.
. Gumus HO, Kocaagaoglu HH, Aslan T, Albayrak H, Sagsen
B. Prevalence of pulp exposures during tooth preparation for
fixed prosthetics. Eur J Prosthodont. 2014;2:48-52. doi:10.4103
/2347-4610.131977.
. Glossary of Prosthodontic Terms. 9th ed. J Prosthet Dent.
;117(5s). doi:10.1016/j.prosdent.2016.12.001. PMID:
. Rosenstiel SF, Land MF, Walter R, editors. Contemporary
fixed prosthodontics. 6th ed. St. Louis: Elsevier; 2022. eBook
ISBN 9780323720908.
. Konekeri V, Bennadi D, Manjunath M, Kshetrimayum N,
Siluvai S, et al. A clinical study to assess the effectiveness of
CPP-ACP (casein phosphopeptide-amorphous calcium phosphate) versus potassium nitrate (KNO3) on cervical dentine
hypersensitivity. J Young Pharm. 2015;7:217-24. doi:10.5530
/jyp.2015.3.12.
. Blaizot A, Offner D, Trohel G, et al. Prevalence of sensitive
teeth and associated factors: a multicentre, cross-sectional
questionnaire survey in France. BMC Oral Health. 2020;20:
doi:10.1186/s12903-020-01216-1.
. Katirci G, Celik EU. The prevalence and predictive factors
of dentine hypersensitivity among adults in Turkey. BMC
Oral Health. 2023;23:474. doi:10.1186/s12903-023-03137-1.
0 . You TM. Tooth hypersensitivity associated with paresthesia
after inferior alveolar nerve injury: case report and related
neurophysiology. J Dent Anesth Pain Med. 2021;21(2):173-
doi:10.17245/jdapm.2021.21.2.173.
. Johar AO. Incidence of accidental pulp exposure during tooth
preparation by undergraduate students for fixed partial dentures.
J Contemp Dent Pract. 2019;20(2):258-62. PMID: 31058644.
2 . Bubteina N, Garoushi S. Dentine hypersensitivity: a review.
Dentistry. 2015;5(330):2161-1122. doi:10.4172/2161-1122.
3 . Davari A, Ataei E, Assarzadeh H. Dentin hypersensitivity:
etiology, diagnosis and treatment; a literature review. J Dent
(Shiraz). 2013 Sep;14(3):136-45. PMID: 24724135. PMCID:
PMC3927677.
4 . Brönnimann BVE, Hou MY, Zembic A, Parkinson CX, Meier
ML, Ettlin DA. Dentin hypersensitivity monitored by cold
air quantitative sensory testing. J Oral Rehabil. 2019;46(6):549-
doi:10.1111/joor.12781.
5 . Abisha V, Fiona R, Susila A, Veronica A, Sai S. Endodontically
treated vs. vital abutments in the success of fixed partial
dentures (FPDs) – a systematic review and meta analysis.
Med Res Arch. 2024;12(1). doi:10.18103/mra.v12i1.4392.
6 . Sharma N, Roy S, Kakar A, Greenspan DC, Scott R. A clinical
study comparing oral formulations containing 7.5% calcium
sodium phosphosilicate (NovaMin), 5% potassium nitrate,
and 0.4% stannous fluoride for the management of dentine
hypersensitivity. J Clin Dent. 2010;21:88-92. PMID: 21207920.
7 . Nanci A, editor. Ten Cate's oral histology: development,
structure, and function. 9th ed. St. Louis: Elsevier; 2017.
eBook ISBN 9780323485180
8 . Idon PI, Esan TA, Bamise CT, Mohammed ASA, Mohammed
A, et al. Dentine hypersensitivity: review of a common oral
health problem. J Dent Craniofac Res. 2017;2(2):16.
doi:10.21767/2576-392X.100016.
9 . Mantzourani M, Sharma D. Dentine sensitivity: past, present
and future. J Dent. 2013;41:3-17. doi:10.1016/S0300-5712(13)
-2.
0 . Hammad H, Azad AA, Omar N, Muhammad A, Javeria A,
Wasiq R. Post cementation sensitivity in vital abutments of
metal-ceramic fixed partial dentures. Pak Oral Dent J.
;31(1):210-3.
. Cheung GSP, Lai SCN, Ng RPY. Fate of vital pulps beneath
a metal-ceramic crown or a bridge retainer. Int Endod J.
;38:521-30. doi:10.1111/j.1365-2591.2005.00982.x.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Maria Komil Ghuuman, Miral Shad, Ammara Sharafat, Maira Afzal, Rida Anjum, Saira Ibrahim
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0 
