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[中国城市成年人牙本质敏感症的患病率及相关因素]

[Prevalence of dentinal hypersensitivity and related factors in Chinese urban adults].

作者信息

Wang Z Y, Rong W S, Zhong Y S, Tian J G, Chen X, Zhao M, Cui L H, Du M Q, Li J B, Hu D Y

机构信息

Department of Stomatology, Peking University Third Hospital, Beijing 100191, China.

Department of Preventive Dentistry, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2024 Sep 9;59(9):927-934. doi: 10.3760/cma.j.cn112144-20231229-00312.

Abstract

To assess the prevalence of dentinal hypersensitivity (DH) and related factors in urban adults in China. The study was designed as an observational, cross-sectional epidemiological study carried out in adults aged 18-69 years old in seven cities (Beijing, Shanghai, Wuhan, Chengdu, Xi'an, Guangzhou, and Harbin) of China. The study was conducted from March 2021 to May 2023. Patients were required to complete a questionnaire regarding the subjects' socio-economic factors, dietary behavior, oral health behavior and personal antecedent factors. DH was clinically diagnosed by judging whether the tooth cold air stimulation provoked DH or not, and recorded by investigator pain rating Schiff score. Compare the findings of six cities (Harbin excluded) with a similar study conducted in 2008. In total, 11 622 subjects from seven cities in China participated the study. Fifty two point two percent (6 072/11 622) of subjects reported DH in questionnaire, 36.7% (4 266/11 622) of subjects reported experiencing DH in response to cold air stimulation for at least one study tooth. Risk factors including age, sex, city, toothbrush method and acid reflux showed marked associations with DH (<0.05). The prevalence of DH of urban residents in six cities (Harbin excluded) was 33.7% (3 335/9 882), higher than that in 2008 [29.7%(2 354/7 939)]. Overall, DH was common among urban adults in China and the prevalence increased in recent years. Better understanding of DH and its associated factors should be considered in its prevention and management by dental professionals.

摘要

评估中国城市成年人牙本质敏感症(DH)的患病率及相关因素。本研究设计为一项观察性横断面流行病学研究,在中国七个城市(北京、上海、武汉、成都、西安、广州和哈尔滨)的18至69岁成年人中开展。研究于2021年3月至2023年5月进行。要求患者完成一份关于受试者社会经济因素、饮食行为、口腔健康行为和个人既往因素的问卷。通过判断牙齿冷空气刺激是否引发DH进行DH的临床诊断,并由研究者用疼痛评分希夫量表记录。将六个城市(不包括哈尔滨)的研究结果与2008年进行的一项类似研究进行比较。共有来自中国七个城市的11622名受试者参与了本研究。52.2%(6072/11622)的受试者在问卷中报告有DH,36.7%(4266/11622)的受试者报告至少有一颗研究牙齿对冷空气刺激有DH反应。年龄、性别、城市、刷牙方法和胃酸反流等危险因素与DH有显著关联(<0.05)。六个城市(不包括哈尔滨)城市居民的DH患病率为33.7%(3335/9882),高于2008年[29.7%(2354/7939)]。总体而言,DH在中国城市成年人中很常见,且近年来患病率有所上升。牙科专业人员在其预防和管理中应更好地了解DH及其相关因素。

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