牙本质过敏症的知识、诊断和管理：对尼日利亚牙医的全国调查。

Knowledge, diagnosis and management of dentine hypersensitivity: a national survey of dentists in Nigeria.

机构信息

Department of Restorative Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Lagos, Nigeria.

Department of Restorative Dentistry, School of Dentistry, University of Benin, Benin City, Nigeria.

出版信息

Int Dent J. 2017 Oct;67(5):287-293. doi: 10.1111/idj.12302. Epub 2017 May 20.

DOI:10.1111/idj.12302

PMID:28542892

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9378911/

Abstract

AIM

To assess the knowledge of Nigerian dentists regarding dentine hypersensitivity (DH) and their methods of diagnosis and management.

METHODS

A cross-sectional questionnaire-based study of dentists practicing in all six geopolitical zones of Nigeria was conducted. The questionnaire focussed on participant's demography, exposure to patients with DH, knowledge-based questions, diagnosis and management of DH. Data analysis using EPI Info statistical software determined frequencies and proportions. Associations between discrete variables were assessed using the chi-square test (P ≤ 0.05).

RESULTS

A total of 1,057 dentists responded; the majority (83.8%) had practiced for up to 15 years, and 92.0% reported that, on average, between one and 10 of their patients each week complained of DH. The majority (92.8%) of dentists described DH as stimulated brief pain from the tooth; 24.2% expressed that DH can be treated by altering the number of dentinal tubules. A diagnosis of DH is made by tapping (20.6%) or scratching (73.4%) the tooth. Although radical treatments, such as extraction (24.7%) and root canal therapy (34.5%), were mentioned by some, the majority identified aetiological and predisposing factors (98.8%) and provided diet (95.1%) and oral hygiene (95%) counselling as part of the management of DH. Evaluation of 36 knowledge-based questions revealed that only 1.8% of the respondents provided at least 25 correct answers. Knowledge was significantly associated with respondent age and number of years in practice (P ≤ 0.05) but was not associated with the number of patients with DH seen per week (P = 0.46).

CONCLUSION

Dentists practicing in Nigeria exhibited knowledge gaps concerning DH and its diagnosis and management.

摘要

目的

评估尼日利亚牙医对牙本质敏感（DH）的认识及其诊断和管理方法。

方法

对尼日利亚六个地理政治区域的所有牙医进行了基于横断面问卷的研究。该问卷侧重于参与者的人口统计学特征、接触 DH 患者的情况、基于知识的问题、DH 的诊断和管理。使用 EPI Info 统计软件进行数据分析，确定频率和比例。使用卡方检验（P≤0.05）评估离散变量之间的关联。

结果

共有 1057 名牙医做出回应；大多数（83.8%）的牙医从业时间长达 15 年，92.0%的牙医报告说，每周平均有 1 到 10 名患者抱怨 DH。大多数（92.8%）的牙医将 DH 描述为牙齿刺激短暂疼痛；24.2%的牙医表示，DH 可以通过改变牙本质小管的数量来治疗。DH 的诊断是通过敲击（20.6%）或刮擦（73.4%）牙齿来进行的。虽然一些牙医提到了根治性治疗，如拔牙（24.7%）和根管治疗（34.5%），但大多数牙医确定了病因和诱发因素（98.8%），并提供了饮食（95.1%）和口腔卫生（95%）咨询作为 DH 管理的一部分。对 36 个基于知识的问题进行评估后发现，只有 1.8%的受访者提供了至少 25 个正确答案。知识与受访者的年龄和从业年限显著相关（P≤0.05），但与每周看 DH 患者的数量无关（P=0.46）。