Yoshizaki K T, Francisconi-Dos-Rios L F, Sobral M A P, Aranha A C C, Mendes F M, Scaramucci T
Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, Brazil.
J Oral Rehabil. 2017 Feb;44(2):112-118. doi: 10.1111/joor.12469.
Determining the factors associated with NCCLs and DH in populations could guide the implementation of specific preventive measures. This study evaluated the clinical features and factors associated with non-carious cervical lesions (NCCLs) and dentin hypersensitivity (DH) in a Brazilian population. The participants were 118 patients at the Dentistry Clinic of our dental school. They completed an interview to obtain personal information and determine the possible factors associated with NCCLs and DH. Clinical examination was undertaken to record the NCCLs, shape of the lesion and certain occlusal factors. DH was diagnosed by air and probe tests. Data were analysed with the multilevel Poisson regression and prevalence ratios, and the respective 95% confidence intervals were calculated. The prevalence of NCCLs and DH among patients was 67·8% and 51·7%, respectively. Of a total number of 2902 teeth examined, 9·65% had NCCLs and 5·82% were sensitive to air. The most affected teeth for both conditions were the premolars. Most of the NCCLs were wedge-shaped and located in the maxilla. The factors associated with NCCLs and DH were age and presence of premature occlusal contacts. NCCLs were also significantly associated with consumption of wine and alcoholic beverages, and DH with consumption of acidic fruits and juices. NCCLs were a common finding, with higher frequency in more advanced age groups, the maxilla and premolars. A significant association occurred between NCCLs, premature contacts and consumption of wine and alcoholic beverages. DH was associated with NCCLs, premature contacts and with the consumption of acidic fruits and juices.
确定人群中与非龋性颈部病变(NCCLs)和牙本质过敏症(DH)相关的因素可指导具体预防措施的实施。本研究评估了巴西人群中与非龋性颈部病变(NCCLs)和牙本质过敏症(DH)相关的临床特征和因素。研究对象为我校牙科学院牙科诊所的118名患者。他们完成了一项访谈,以获取个人信息并确定与NCCLs和DH相关的可能因素。进行了临床检查,以记录NCCLs、病变形状和某些咬合因素。通过空气和探针测试诊断DH。使用多水平泊松回归和患病率比分析数据,并计算各自的95%置信区间。患者中NCCLs和DH的患病率分别为67.8%和51.7%。在总共检查的2902颗牙齿中,9.65%有NCCLs,5.82%对空气敏感。两种情况中受影响最严重的牙齿都是前磨牙。大多数NCCLs呈楔形,位于上颌。与NCCLs和DH相关的因素是年龄和过早的咬合接触。NCCLs还与葡萄酒和酒精饮料的消费显著相关,DH与酸性水果和果汁的消费相关。NCCLs是一个常见的发现,在年龄较大的人群、上颌和前磨牙中频率更高。NCCLs、过早接触以及葡萄酒和酒精饮料的消费之间存在显著关联。DH与NCCLs、过早接触以及酸性水果和果汁的消费相关。