Dentine Hypersensitivity: Developing a Person-centred Approach to Oral Health

334 Pages·2014·3.41 MB·English

by  Peter Glenn Robinson

Dentine Hypersensitivity
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Dentine Hypersensitivity
Developing a person-centred
approach to oral health
Edited by
Peter G. Robinson BDS, MSc, PhD,
FRACDS, FDSRCS, FHEA, FFPH
School of Clinical Dentistry, Claremont Crescent,
University of Sheffield, Sheffield, UK
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Dedication
David Locker would laugh at the idea of a book about
dentine hypersensitivity being dedicated in his name.
This is for him then.
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Contents
List of Contributors xv
Part One Introduction and Background 1
1 Introduction 3
Peter G. Robinson, Sarah R. Baker and Barry J. Gibson
Diseases, people, and society 3
The operation was a success, but the patient died 4
Biopsychosocial model of health 7
Health-related quality of life 8
Oral health-related quality of life 9
Applications of OHQoL 10
The value of theoretical models 12
This book 15
References 18
2 Clinical presentation and physiological mechanisms of dentine
hypersensitivity 21
Katrin Bekes
Introduction 21
Clinical presentation of DH 21
Definition 21
Differential diagnosis 22
Prevalence 23
Distribution 23
Etiology and risk factors 24
Physiological mechanisms of DH 27
Dentine 27
Mechanisms of DH 27
“Sensitive” versus “nonsensitive” dentine 28
Pain 29
Summary 29
References 30
viii Contents
3 The burden of dentine hypersensitivity 33
Joana Cunha-Cruz and John C. Wataha
Introduction 33
Diagnosis of dentine hypersensitivity 33
Prevalence of dentine hypersensitivity 37
Acknowledgment 41
References 41
4 The management of dentine hypersensitivity 45
David Gillam and Elena Talioti
Introduction/overview 45
Etiology, predisposing factors, and clinical features 48
Methods for product evaluation 50
In-office (professionally applied) treatment modalities 52
Toothpastes, mouth rinse formulations, and topically applied varnishes 55
Recent advances in the management of DH 58
Clinical management of DH 61
Specific DH management strategies 61
Gingival recession from mechanical trauma 63
DH and tooth wear lesions 63
DH and periodontal disease and treatment 63
Conclusion 64
Acknowledgment 64
References 64
5 The importance of subjective assessments of dentine hypersensitivity 77
Finbarr Allen
Introduction 77
Assessment of dental disease and health 78
How do we measure “health-related quality of life?” 79
Interpretation of OHQoL data and measurement of pain symptoms 82
How to capture clinically relevant change 83
Relevance for measurement of dentine hypersensitivity 84
Conclusion 85
References 85
Part Two The Subjective Experience
of Dentine Hypersensitivity 87
6 The everyday impact of dentine sensitivity: personal and functional
aspects 89
Barry J. Gibson, Olga V. Boiko, Sarah R. Baker, Peter G. Robinson,
Ashley P.S. Barlow, Tess Player and David Locker
Introduction 89
Materials and methods 91
Contents ix
Data analysis 92
Results 92
The impact of dentine sensitivity on everyday life 93
Predictability 95
Emotional impact 96
Functional impact 97
Social impact 98
Coping with dentine sensitivity 99
Illness beliefs 100
Conclusion 103
Acknowledgment 104
References 105
7 Construction and validation of the quality of life measure
for dentine hypersensitivity (DHEQ) 109
Olga V. Boiko, Sarah R. Baker, Barry J. Gibson, David Locker,
Farzana Sufi, Ashley P.S. Barlow and Peter G. Robinson
Introduction 109
Materials and methods 110
Stage 1: Theoretical model 110
Stage 2: Qualitative interviews 111
Stage 3: Questionnaire development 111
Stage 4: Focus groups 112
Stage 5: Cross-sectional validation 112
Analytical procedures 112
Stage 6: Follow-up interviews 113
Stage 7: Validation in a clinical population 113
Results 114
Validation in the general population sample 114
Clinical sample validation 121
Discussion 121
Acknowledgment 122
References 123
8 Ice cream-related quality of life: constructing
a questionnaire to capture changes in the impacts
of dentine hypersensitivity 125
Peter G. Robinson, Sarah R. Baker and Barry J. Gibson
Introduction 125
Our perspective 126
Explicitly determining the purpose of the measure 127
Selection of a model 128
The value of qualitative data 131
Selection of domains 132
Selection of descriptive system 134