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首页> 外文期刊>European Journal of Dentistry >Dentine sensitivity risk factors: A case–control study
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Dentine sensitivity risk factors: A case–control study

机译：牙本质敏感性危险因素：病例对照研究

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Objective: To identify the clinical and psychological risk factors associated with dentine hypersensitivity (DH) in order to provide an early diagnosis and preventive therapy. Materials and Methods: A nested case–control study was design between 2011 and 2012. A total of 61 DH cases and 122 controls participated in this investigation. Cases and controls were matched for sex, group of age and socioeconomic status in a ratio of 1:2. DH to different stimuli such as cold, heat, acid, and sweet was asked in patient interviews, and dental examinations were used to detect DH. Clinical and psychological risk factors such as dental hygiene, periodontal disease, acid diet, alcohol consumption, psychological stress, and psychopathological symptoms were inquired. Psychological stress was measured through the PSS-10 and psychopathological symptoms were evaluated by SCL-90-R in Spanish. Descriptive and univariate binary logistic regression analysis were performed to estimate the association between clinical and psychological risk factors and the presence of DH. Results: Toothpaste abrasivity (odds ratio [OR] 1.881, 95% confidence interval [CI] 1.010–3.502, P = 0.045), gingival recession (OR 2.196, 95% CI 1.020–4.728, P = 0.041), and periodontal therapy (OR 5.357, 95% CI 2.051–13.993, P P = 0.658), obsessive-compulsive (OR 1.266, 95%, CI 0.494–3.240, P = 0.623) and hostility (OR 1.235, 95%, CI 0.507–3.007, P = 0.642) symptoms had a clinical greater odd of DH. Conclusion: Oral hygiene products and periodontal conditions are important risk factors for DH. Individuals with perceived stress, obsessive-compulsive, and hostility symptoms may increase a clinical risk for this entity. Targeting to dental counseling focused on oral hygiene products, periodontal therapy and a psychological evaluation may be promising in DH prevention.
机译：目的：确定与牙本质过敏（DH）有关的临床和心理危险因素，以提供早期诊断和预防治疗。材料和方法：2011年至2012年间设计了一项嵌套病例对照研究。总共61例DH病例和122例对照参加了这项调查。病例和对照的性别，年龄组和社会经济状况的比例为1：2。在患者访谈中询问了对不同刺激（例如冷，热，酸和甜味）的DH，并通过牙科检查检测DH。询问临床和心理风险因素，例如牙齿卫生，牙周疾病，酸性饮食，饮酒，心理压力和心理病理症状。通过PSS-10测量了心理压力，并通过SCL-90-R用西班牙语评估了心理病理症状。进行描述性和单变量二元logistic回归分析以估计临床和心理风险因素与DH的存在之间的关联。结果：牙膏磨蚀性（比值[OR] 1.881，95％置信区间[CI] 1.010-3.502，P = 0.045），牙龈退缩（OR 2.196，95％CI 1.020-4.728，P = 0.041）和牙周治疗（ OR 5.357、95％CI 2.051–13.993，PP = 0.658），强迫性（OR 1.266、95％，CI 0.494–3.240，P = 0.623）和敌意（OR 1.235、95％，CI 0.507–3.007，P = 0.642）的症状在临床上具有更大的DH可能性。结论：口腔卫生产品和牙周状况是DH的重要危险因素。具有压力感，强迫症和敌意症状的个体可能会增加该实体的临床风险。针对以口腔卫生产品，牙周治疗和心理评估为重点的牙科咨询可能对预防DH很有帮助。

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