Gbadebo Shakeerah O, Ajayi Deborah Mojirade
Faculty of Dentistry, College of Medicine, University of Ibadan.
J West Afr Coll Surg. 2015 Jul-Sep;5(3):66-77.
Tooth discoloration is an aesthetic problem that is linked to a variety of causes and it could be a source of embarrassment, leading to reduced self-esteem.
To determine the prevalence of self reported tooth discoloration and the distribution of the different intrinsic tooth discolorations.
A retrospective study that reviewed the distribution of tooth discoloration reported by patients that presented for treatment of tooth discoloration at conservation clinic of the dental centre University College Hospital, Ibadan between December 2011 and December 2014. Data collected from patients' case files included patients' demographics, type of tooth discoloration as diagnosed by attending consultant and treatment offered. Data were analyzed using SPSS version 20. Frequencies and means were used for continuous variables while chi square was used to compare the categorical variables. P value was set at ≤ 0.05.
One hundred and thirty six patients reported tooth discoloration as their major reason for presentation at the clinic. The patients were between age 16-75 years with mean age of 35.62±14.31 years and male to female ratio of 1:1.13. Prevalence of reported tooth discolouration during the study period was 9.8%. Pulpal necrosis was the most reported cause of (86.8%) tooth discolouration, while fluorosis was the least (0.7%) reported. Non vital tooth bleaching was the most common treatment (72.1%) offered for tooth discoloration. No significant comparison was observed between gender and type of tooth discoloration, p=0.088.
Pulpal necrosis is a major cause of discoloration which leads to reduced self esteem. There is need to improve on dental awareness on causes of tooth discoloration for prevention and early presentation for management.
牙齿变色是一个美学问题,与多种原因相关,可能会令人尴尬,导致自尊下降。
确定自我报告的牙齿变色患病率以及不同类型的牙齿内源性变色的分布情况。
一项回顾性研究,回顾了2011年12月至2014年12月期间在伊巴丹大学学院医院牙科中心保守治疗诊所就诊的牙齿变色患者报告的牙齿变色分布情况。从患者病历中收集的数据包括患者的人口统计学信息、主治顾问诊断的牙齿变色类型以及提供的治疗方法。使用SPSS 20版进行数据分析。连续变量使用频率和均值,分类变量使用卡方检验进行比较。P值设定为≤0.05。
136名患者报告牙齿变色是他们到诊所就诊的主要原因。患者年龄在16 - 75岁之间,平均年龄为35.62±14.31岁,男女比例为1:1.13。研究期间报告的牙齿变色患病率为9.8%。牙髓坏死是报告最多的牙齿变色原因(86.8%),而氟斑牙是报告最少的(0.7%)。非活髓牙漂白是治疗牙齿变色最常用的方法(72.1%)。性别与牙齿变色类型之间未观察到显著差异,p = 0.088。
牙髓坏死是导致牙齿变色进而导致自尊下降的主要原因。有必要提高对牙齿变色原因的牙科认识,以进行预防和早期就诊治疗。