Taani D Q, Awartani F
Division of Periodontics, Department of Preventive Dentistry, PO Box 3030, Jordan University of Science & Technology, Irbid, Jordan.
Quintessence Int. 2001 May;32(5):372-6.
Dentin hypersensitivity (DH) is a commonly reported dental problem. Conflicting results on the degree of plaque accumulation at sites with DH have been reported. Therefore, the prevalence and distribution of DH and dental plaque were studied in a dental hospital population.
A total of 302 adult patients were examined for the presence of DH by means of a questionnaire and intraoral examinations. Oral hygiene was measured by Silness and Löe's Plaque Index.
The overall prevalence of DH was 52.6%. Significantly more women complained of DH than men. Dentin hypersensitivity and Plaque Index scores were found to be significantly higher in the older age group than in younger groups. Spearman's correlation test revealed no correlation for DH with plaque. About half of the patients reported DH for a duration of within 1 month, while 23% claimed that their DH lasted for 1 to 5 years. Approximately 64% of the patients reported that sensitivity did not interfere with their ability to eat, drink, or brush their teeth, with slight to moderate discomfort, while 11.4% had a severe concern, thereby avoiding these activities most of the time. Of the patients, 17% received professional treatment, while 25% used desensitizing toothpastes. Dentin hypersensitivity was found in all types of teeth, but was most common in first molars and mandibular incisors and canines.
Because there was no correlation for DH with plaque, a careful assessment of the etiologic or predisposing factors must be considered before attempting the management of patients complaining of hypersensitive teeth.
牙本质过敏症(DH)是一种常见的口腔问题。关于牙本质过敏症部位菌斑积聚程度的研究结果存在矛盾。因此,我们对一家牙科医院的患者群体进行了牙本质过敏症和牙菌斑的患病率及分布情况的研究。
通过问卷调查和口腔检查,对302名成年患者进行牙本质过敏症检查。采用Silness和Löe菌斑指数测量口腔卫生状况。
牙本质过敏症的总体患病率为52.6%。抱怨牙本质过敏症的女性明显多于男性。发现老年组的牙本质过敏症和菌斑指数得分显著高于年轻组。Spearman相关性检验显示牙本质过敏症与菌斑无相关性。约一半的患者报告牙本质过敏症持续时间在1个月以内,而23%的患者称其牙本质过敏症持续了1至5年。约64%的患者报告敏感度并未影响其进食、饮水或刷牙能力,仅有轻微至中度不适,而11.4%的患者对此深感担忧,因此大部分时间都避免这些活动。在这些患者中,17%接受了专业治疗,25%使用了脱敏牙膏。所有类型的牙齿均发现有牙本质过敏症,但最常见于第一磨牙、下颌切牙和尖牙。
由于牙本质过敏症与菌斑无相关性,在对主诉牙齿过敏的患者进行治疗前,必须仔细评估其病因或易感因素。