Gillam D G, Bulman J S, Eijkman M A J, Newman H N
Department of Periodontology, Eastman Dental Institute for Oral Health Care Sciences, University of London, London, UK.
J Oral Rehabil. 2002 Mar;29(3):219-25. doi: 10.1046/j.1365-2842.2002.00812.x.
The aim of the present investigation was to determine by questionnaire, UK dentists' perception of Dentine Hypersensitivity (DH) and knowledge of its treatment. A total of 403 questionnaires were sent to a selected group of UK dentists who had either inquired about further postgraduate education or had attended a course at the Eastman Dental Institute/Hospital. A total of 181 of 403 dentists (44.9%) (118M; 36F, 17 no response, mean age 38.2 years [s.d. 8.97]) returned the questionnaire. About 92.8% (n=168) of responding dentists claimed to see patients with DH in their practice. According to the dentists' replies at least one of four of their patients suffered from the complaint. About 71.8% (n=130) of dentists reported that DH was a severe problem in at least 10% of their patients and that pain from DH lasted no more than 4 weeks. Most of responding dentists claimed to be asked about DH by their patients and stated that they offered advice or treatment to their patients. Nearly 87.3% (n=158) of responding dentists provided a wide range of treatment options/advice which included both in-office and over-the-counter (OTC) products. Popular responses included desensitizing pastes/gels, Topical F(-) varnishes and toothpastes/rinses/gels, advice on atraumatic tooth brushing, dentine bonding agents (DBA), glass-ionomer cements (GIC) and other unspecified restorations. Of the various in-office treatments Duraphat was the most cited choice of varnish/primer options. Sensodyne toothpaste was the most popular of the specified OTC products. Most dentists appeared to understand the aetiological features associated with DH and provided a wide range of factors including the effects of incorrect tooth brushing, dietary acids as well as the possible influence on non-dental topics such as stress. Most responding dentists believed that their advice on DH was generally effective although they did highlight that certain aspects on the condition were lacking such as appropriate scientific information including the prevention of DH and its treatment. The results from the present study highlight several discrepancies in the perception and knowledge of the treatment of DH between dentists and their patients. The results from this study are, however, reasonably consistent with those previously reported by Dutch investigators. The results from this study also highlighted a need for guidelines on the aetiology, prevention and treatment of DH for both dentists and their patients. The reported average frequency and duration of discomfort from DH by the responding dentists appeared to be consistent with the available literature.
本调查的目的是通过问卷调查确定英国牙医对牙本质敏感症（DH）的认知及其治疗知识。总共向一组选定的英国牙医发送了403份问卷，这些牙医要么咨询过进一步的研究生教育，要么参加过伊斯特曼牙科研究所/医院的课程。403名牙医中有181名（44.9%）（118名男性；36名女性，17名未回复，平均年龄38.2岁[s.d. 8.97]）返回了问卷。约92.8%（n = 168）的回复牙医称在其临床工作中会诊治牙本质敏感症患者。根据牙医的回复，他们至少四分之一的患者患有该病症。约71.8%（n = 130）的牙医报告称，牙本质敏感症在至少10%的患者中是严重问题，且牙本质敏感症引起的疼痛持续不超过4周。大多数回复牙医称患者会向他们咨询牙本质敏感症，并且表示他们会为患者提供建议或治疗。近87.3%（n = 158）的回复牙医提供了广泛的治疗选择/建议，包括诊所内使用的产品和非处方（OTC）产品。常见的回复包括脱敏糊剂/凝胶、局部用氟化物漆以及牙膏/漱口水/凝胶，关于轻柔刷牙的建议、牙本质粘结剂（DBA）、玻璃离子水门汀（GIC）和其他未指明的修复材料。在各种诊所内治疗中，Duraphat是被提及最多的漆/底漆选择。舒适达牙膏是最受欢迎的特定非处方产品。大多数牙医似乎了解与牙本质敏感症相关的病因特征，并列举了多种因素，包括不正确刷牙的影响、饮食中的酸以及压力等非牙科因素可能产生的影响。大多数回复牙医认为他们关于牙本质敏感症的建议总体上是有效的，不过他们也强调在该病症的某些方面存在不足，比如缺乏包括牙本质敏感症预防和治疗在内的适当科学信息。本研究结果突出了牙医及其患者在牙本质敏感症认知和治疗知识方面存在一些差异。然而，本研究结果与荷兰研究人员先前报告的结果相当一致。本研究结果还凸显了为牙医及其患者制定牙本质敏感症病因、预防和治疗指南的必要性。回复牙医报告的牙本质敏感症不适的平均发生频率和持续时间似乎与现有文献一致。
