Department of Restorative Dentistry, Faculty of Dentistry, Suleyman Demirel University, Isparta, Turkey.
Department of Restorative Dentistry, Faculty of Dentistry, İzmir Katip Celebi University, Izmir, Turkey.
BMC Oral Health. 2023 Jul 11;23(1):474. doi: 10.1186/s12903-023-03137-1.
This study sought to determine the prevalence of dentine hypersensitivity (DH) among adults in Turkey. Also, to ascertain the association between DH and both etiological predictors and demographic patient characteristics.
Using a questionnaire and thermal and evaporative tests, 259 women and 209 men in the age range of 18 to 72 were analyzed. Individually, a clinical evaluation of DH signs was conducted. The DMFT index, gingival index, and gingival bleeding were reported for each subject. The gingival recession and tooth wear of sensitive teeth were also evaluated. Pearson Chi-square test was used to compare categorical data. Logistic Regression Analysis was used to examine the risk factors of DH. Data with dependent categorical variables were compared using the McNemar-Browker test. The significance level was p < 0.05.
The average age of the population was 35.6 years. In the present study, a total of 12,048 teeth were analyzed. 1755 had thermal hypersensitivity (14.57%), while 470 experienced evaporative hypersensitivity (3.9%). The incisors were the teeth most impacted by DH, whereas the molars were the least affected. Exposure to cold air and sweet foods, gingival recession, and the presence of noncarious cervical lesions were all strongly linked to DH (Logistic regression analysis, p < 0.05). The cold stimulus increases sensitivity more than the evaporation stimulus.
Significant risk factors for both thermal and evaporative DH include cold air, consumption of sweet food, presence of noncarious cervical lesions, and gingival recession. More epidemiological research in this area is still required to fully characterize the risk factors and implement the most effective preventive interventions.
本研究旨在确定土耳其成年人牙本质敏感(DH)的患病率。并确定 DH 与病因预测因子和人口统计学患者特征之间的关系。
使用问卷和热和蒸发测试,分析了年龄在 18 至 72 岁之间的 259 名女性和 209 名男性。分别对 DH 体征进行临床评估。每位受试者均报告 DMFT 指数、牙龈指数和牙龈出血情况。还评估了敏感牙齿的牙龈退缩和牙齿磨损情况。使用 Pearson Chi-square 检验比较分类数据。使用逻辑回归分析检查 DH 的危险因素。使用 McNemar-Browker 检验比较具有依赖性分类变量的数据。显著性水平为 p<0.05。
人群的平均年龄为 35.6 岁。在本研究中,共分析了 12048 颗牙齿。1755 颗牙齿有热敏感(14.57%),470 颗牙齿有蒸发敏感(3.9%)。切牙是受 DH 影响最大的牙齿,而磨牙受影响最小。接触冷空气和甜食、牙龈退缩和非龋性颈前病变的存在都与 DH 密切相关(逻辑回归分析,p<0.05)。冷刺激比蒸发刺激更能增加敏感性。
冷热 DH 的显著危险因素包括冷空气、甜食摄入、非龋性颈前病变和牙龈退缩。需要在该领域进行更多的流行病学研究,以充分描述危险因素并实施最有效的预防干预措施。