Periodontology, Clinical Trials Unit, Bristol Dental School, Lower Maudlin Street, Bristol, UK.
Prosthodontics, Kings College London Dental School, London, UK.
J Dent. 2018 Sep;76:58-67. doi: 10.1016/j.jdent.2018.06.005. Epub 2018 Jun 19.
To determine the prevalence of gingival recession (GR) and associations with dentine hypersensitivity (DH), erosive toothwear (BEWE), gingival bleeding (BOP) and periodontal pocketing (PPD) in young European adults.
This is a secondary analysis using data collected from 350 UK participants enrolled in a European cross sectional study of 3187 young adults. GR, BOP, PPD, DH (participant and clinician assessment) and BEWE were recorded. A questionnaire assessed demographics, oral hygiene and lifestyle habits.
349 participants completed the study. GR, BOP and PPD showed the same pattern of distribution, prevalence increasing from incisors to molars in upper and lower arches for buccal and palatal scores. Every participant exhibited recession affecting at least 1 tooth, 42% having a maximum recession of 4-8 mm. There was a significant and linear association demonstrating an increase in maximum recession with age. DH and BEWE produced a similar pattern to buccal periodontal indices, the premolars being most affected. Maximum recession correlated significantly with maximum DH (participant and Schiff), PPD, BOP, BEWE (scores of 2/3), BMI (≥25 kg/m) and unsystematic brushing motion. 94% of the study population exhibited some BOP at one or more sites. 5% of the population had periodontal pocketing ≥4 mm, 46% had DH and 80% BEWE 2/3.
Widespread recession and gingivitis with minimal periodontal disease was observed. Every participant exhibited at least one tooth with recession. Many teeth did not exhibit DH despite prevalent recession and severe erosive toothwear. Recession correlates to a number of oral and lifestyle variables.
Recession in young adults is multifactorial and highly prevalent. It can result in DH and consequential increase in demand for treatment relating to both pain and aesthetics. Further research is needed to understand the underlying aetiology to prevent recession occurring.
确定欧洲年轻成年人中牙龈退缩（GR）的流行率及其与牙本质敏感（DH）、侵蚀性牙磨损（BEWE）、牙龈出血（BOP）和牙周袋（PPD）的关联。
这是一项使用来自参加欧洲横断面研究的 3187 名年轻成年人的 350 名英国参与者的数据进行的二次分析。记录了 GR、BOP、PPD、DH（参与者和临床医生评估）和 BEWE。问卷评估了人口统计学、口腔卫生和生活方式习惯。
349 名参与者完成了研究。GR、BOP 和 PPD 的分布模式相同，在上颌和下颌弓的切牙到磨牙中，颊侧和腭侧评分的患病率增加。每个参与者都有至少一颗牙齿出现退缩，42%的人最大退缩为 4-8mm。有一个显著的线性关联表明，最大退缩与年龄呈正相关。DH 和 BEWE 的表现与颊部牙周指数相似，前磨牙受影响最大。最大退缩与最大 DH（参与者和 Schiff）、PPD、BOP、BEWE（2/3 评分）、BMI（≥25kg/m）和非系统性刷牙运动显著相关。研究人群中有 94%在一个或多个部位存在 BOP。5%的人群有牙周袋≥4mm，46%的人群有 DH，80%的人群有 BEWE 2/3。
观察到广泛的退缩和牙龈炎，牙周病很少见。每个参与者都有至少一颗牙齿出现退缩。尽管存在广泛的退缩和严重的侵蚀性牙磨损，但许多牙齿并没有出现 DH。退缩与许多口腔和生活方式变量相关。
年轻成年人的退缩是多因素的，且非常普遍。它可能导致 DH，并因此增加与疼痛和美观相关的治疗需求。需要进一步研究以了解潜在的病因，以防止退缩发生。
