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来自一个西非国家的牙医对牙本质过敏的了解及管理态度。

Knowledge of and management attitude regarding dentin hypersensitivity among dentists from a West African country.

作者信息

Benoist Fatou Leye, Ndiaye Fatou Gaye, Faye Babacar, Bane Khaly, Ngom Papa Ibrahima, Ndong Pierre Marie Koumakh

机构信息

Assistant Professor, Department of Odontology, Conservative Dentistry, Université Cheikh Anta Diop de Dakar, Senegal.

Professor, Department of Odontology, Conservative Dentistry, Université Cheikh Anta Diop de Dakar, Senegal.

出版信息

J Contemp Dent Pract. 2014 Jan 1;15(1):86-91. doi: 10.5005/jp-journals-10024-1493.

Abstract

AIM

The aim of the present study was to assess knowledge of, and management attitude of dentists regarding dentin hypersensitivity.

MATERIALS AND METHODS

The study involved all the dentists from private and public sectors, exerting in Senegal. The following data were requested from the surveyed dentists using an anonymous questionnaire; sociodemographics (i.e. age, gender, area of activity, etc.) and knowledge on triggering factor, type of pain, diagnosis, preventive and curative procedures.

RESULTS

Out of the 238 dentists who received the questionnaire, 68.9% returned properly filled forms. They were 116 males and 48 females with a mean age of 41.99 ± 8.50 years. Eighty three percent of the participants had a good understanding of the characteristics of pain related to DH and 92% recognized chemical and thermal stimuli as triggering factor while mechanical stimulus was not evoked. Many responders (90.9%) did not have any idea of the mechanism for pain transmission across the dentin. Regarding diagnosis technique, 68% use mechanical stimuli to elicit DH pain. Regarding management procedure, the use of desensitizing tooth paste is the mostly chosen option followed by professional topical application of fluoride. More than 1/3rd of the surveyed dentists confess resorting to root canal to manage DH.

CONCLUSION

We recommend incorporation of basic science knowledge on orofacial pain and competencies to manage painful conditions like dentin hypersensitivity. Also, health regulatory institutions should make continuing dental education a requirement to preserve the dental licensure.

摘要

目的

本研究旨在评估牙医对牙本质敏感症的了解程度及管理态度。

材料与方法

该研究涵盖了塞内加尔公私部门的所有牙医。通过匿名问卷向参与调查的牙医询问以下数据:社会人口统计学信息(即年龄、性别、活动领域等)以及关于触发因素、疼痛类型、诊断、预防和治疗程序的知识。

结果

在收到问卷的238名牙医中,68.9%返还了填写完整的表格。其中男性116名,女性48名,平均年龄为41.99±8.50岁。83%的参与者对与牙本质敏感相关的疼痛特征有较好的理解,92%的人认为化学和热刺激是触发因素,而未提及机械刺激。许多受访者(90.9%)对疼痛通过牙本质传递的机制一无所知。关于诊断技术,68%的人使用机械刺激来引发牙本质敏感疼痛。关于管理程序,使用脱敏牙膏是最常选择的方法,其次是专业局部应用氟化物。超过三分之一的受访牙医承认采用根管治疗来处理牙本质敏感。

结论

我们建议纳入关于口腔面部疼痛的基础科学知识以及管理牙本质敏感等疼痛状况的能力。此外,卫生监管机构应将继续牙科教育作为保留牙科执照的一项要求。

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