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评估不同治疗方法对非龋性颈病变牙本质过敏症的口腔健康影响量表(OHIP-14)改善情况的随机临床研究。

Assessment of the Oral Health Impact Profile (OHIP-14) improvement of different treatments for dentin hypersensitivity in noncarious cervical lesions-a randomized clinical study.

机构信息

Department of Dentistry, School of Health Sciences, Federal District, University of Brasilia (UnB), Campus Asa Norte, Brasília, 70904-970, Brazil.

Institute of Higher Education of Brasilia (IESB), Brasília, Brazil.

出版信息

Clin Oral Investig. 2022 Nov;26(11):6583-6591. doi: 10.1007/s00784-022-04610-x. Epub 2022 Jul 7.

Abstract

OBJECTIVES

To assess the improvement on oral health-related quality of life (OHRQoL) of individuals with cervical dentin hypersensitivity (CDH) with the noncarious cervical lesion (NCCLs) subjected to different treatments.

MATERIAL AND METHODS

A single-blind randomized clinical trial was conducted with patients (n = 74) randomly allocated into three groups according to the treatment performed: PO, potassium oxalate (Oxa-Gel BF); LL, low-power laser irradiation; and POLL, potassium oxalate (Oxa-Gel BF) associated with low-power laser irradiation. The treatments were applied in four steps, weekly. The questionnaire Oral Health Impact Profile (OHIP-14) was applied before initiating and immediately after the fourth session. The greater the sum of the score, the smaller the measurement of OHRQoL.

RESULTS

The total mean values of the variables at the final moment were significantly lower than the initial one for all dimensions (p value ranging from < 0.001 to 0.006). Furthermore, the OHIP-14 scores final analysis between the groups indicated that the POLL group compared to LL had a significantly lower final score for the functional limitation (p = 0.009), physical pain (p = 0.049), and psychological discomfort (p = 0.035) dimensions and that group PO compared to group LL had a significantly lower final score for the functional limitation dimension (p = 0.024).

CONCLUSIONS

There was a reduction in the OHIP-14 score for all dimensions, indicating an improvement in patients' quality of life after the use of desensitizing therapies. Patients in group LL had a higher functional limitation, physical pain, and psychological discomfort.

CLINICAL RELEVANCE

This study indicated improvement of desensitizing therapies for CDH to improve patients' OHRQoL.

TRIAL REGISTRATION

This trial was registered in the Brazilian Clinical Trials Registry Platform (REBEC protocol number RBR-4ybjmt).

摘要

目的

评估针对非龋性颈缘缺损(NCCLs)伴牙本质过敏症(CDH)的个体,采用不同治疗方法后,口腔健康相关生活质量(OHRQoL)的改善情况。

材料与方法

进行了一项单盲随机临床试验,将患者(n=74)根据所接受的治疗随机分为三组:PO,草酸钾(Oxa-Gel BF);LL,低功率激光照射;以及 POLL,草酸钾(Oxa-Gel BF)联合低功率激光照射。每周治疗一次,共进行四步。在开始治疗前和第四次治疗后立即应用口腔健康影响简表(OHIP-14)进行问卷调查。得分总和越高,OHRQoL 的测量值越低。

结果

所有维度的变量最终总和的平均值均显著低于初始值(p 值范围从<0.001 至 0.006)。此外,对组间 OHIP-14 评分的最终分析表明,与 LL 组相比,POLL 组在功能受限(p=0.009)、身体疼痛(p=0.049)和心理不适(p=0.035)维度的最终评分显著更低,而 PO 组与 LL 组相比,在功能受限维度的最终评分显著更低(p=0.024)。

结论

所有维度的 OHIP-14 评分均降低,表明使用脱敏疗法后患者生活质量得到改善。LL 组患者的功能受限、身体疼痛和心理不适更为严重。

临床意义

本研究表明脱敏疗法可改善 CDH 患者的 OHRQoL。

试验注册

本试验在巴西临床试验注册平台(REBEC 方案编号 RBR-4ybjmt)注册。

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