Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
Department of Dentistry, School of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
Am J Orthod Dentofacial Orthop. 2023 Sep;164(3):431-440. doi: 10.1016/j.ajodo.2023.02.018. Epub 2023 Apr 21.
The prevalence of cervical dentin hypersensitivity in patients after corrective orthodontic treatment has been poorly studied, although such hypersensitivity is very common. This study aimed to assess the prevalence of dentin hypersensitivity in patients who received corrective orthodontic treatment, the impact of general oral problems on quality of life, and the impact of hypersensitivity on the quality of life of this population.
This observational, cross-sectional study evaluated 232 patients who finished orthodontic treatment between 2000 and 2020 for self-reported hypersensitivity and clinically diagnosed hypersensitivity. The following tests were used: tactile, evaporative (bellows), evaporative (triple syringe), and thermal. The patients were also evaluated regarding their quality of life using questionnaires (Oral Health Impact Profile-14 and Dentine Hypersensitivity Experience Questionnaire). We evaluated data with nonparametric statistics.
The prevalence of hypersensitivity was higher in women and in those aged <30 years; the most affected teeth were the mandibular incisors and premolars; different diagnostic tests for hypersensitivity may indicate different prevalence values; patients with hypersensitivity had a lower quality of life in most of the domains of both of the tests that were used.
The prevalence of hypersensitivity among patients after orthodontic treatment may be higher than in the general population. Further investigation is needed to indicate the possible factors associated with orthodontic tooth movement.
尽管牙本质过敏症在接受正畸矫正治疗的患者中非常常见,但此类过敏症的患病率却研究甚少。本研究旨在评估接受正畸矫正治疗的患者中牙本质过敏症的患病率、一般口腔问题对生活质量的影响,以及过敏症对该人群生活质量的影响。
本观察性、横断面研究评估了 232 名于 2000 年至 2020 年期间完成正畸治疗的患者,评估其是否有自述过敏症和临床诊断的过敏症。使用了以下测试:触觉、蒸发(风箱)、蒸发(三注射器)和热测试。还使用问卷调查(口腔健康影响程度量表-14 和牙本质过敏症体验问卷)评估了患者的生活质量。我们使用非参数统计数据评估了数据。
女性和年龄<30 岁的患者中过敏症的患病率更高;受影响最严重的牙齿是下颌切牙和前磨牙;不同的过敏症诊断测试可能会表明不同的患病率;有过敏症的患者在使用的两项测试的大多数领域的生活质量都较低。
正畸治疗后患者的过敏症患病率可能高于一般人群。需要进一步调查以确定与正畸牙齿移动相关的可能因素。