Publication: Hipersensibilidad dentinaria, recesión gingival y factores de riesgo asociados: estudio epidemiológico observacional transversal
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2021
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Abstract
Objetivo:
El objetivo principal de este estudio es determinar la prevalencia de la hipersensibilidad dentinaria en pacientes mayores de 18 años, que acuden a la Facultad de Odontología de la Universidad Complutense de Madrid, así como relacionar la hipersensibilidad dentinaria con otras variables como la recesión gingival y factores de riesgo asociados a esta patología.
Material y métodos:
Este Trabajo Fin de Máster se trata de un estudio epidemiológico, observacional, transversal, que forma parte de un estudio multicéntrico. El método de selección de la muestra fue no probabilístico, de casos consecutivos. Las variables analizadas se obtuvieron del examen clínico periodontal de los participantes, realizado por investigadores calibrados que registraban el estado periodontal, la hipersensibilidad mediante el índice de Schiff e índice binario (presencia/ausencia) y de un cuestionario completado por el paciente, donde se le hacía una serie de preguntas en relación a sus hábitos alimenticios, estilo de vida y percepción de su salud oral.
Resultados:
Se evaluaron 125 pacientes, de los cuales 56 (44,8%) eran hombres y 69 (55,2%) eran mujeres. El 60,8% de la muestra estudiada presenta hipersensibilidad dentinaria determinada por el índice de Schiff ≥ 1 y el 62,4% presenta hipersensibilidad tras el estímulo determinada por el índice binario (Si/No HD). Del total de pacientes que presentan hipersensibilidad dentinaria (Schiff) 51 (67,1%) son mujeres; el 50% se cepilla los dientes 2 veces al día, y el 97,4% se cepilla con la mano derecha. Del total de pacientes que afirmaron tener hipersensibilidad en el cuestionario, el 57,9% tenía hipersensibilidad según el índice de Schiff, y el 59% según el índice binario. El 47,2% de los pacientes padecía periodontitis. La recesión gingival media fue de 0,79 (DE=0,925), y presentan recesión un 94,7% y 96,2% dentro del grupo de pacientes con hipersensibilidad según el índice de Schiff y binario, respectivamente.
Conclusiones:
La prevalencia de hipersensibilidad dentinaria en este estudio fue de un 60,8% de acuerdo con el índice de Schiff ≥ 1 y un 62,4% según el índice binario (Si HD referida por el paciente). Existe asociación estadísticamente significativa entre la hipersensibilidad y aquellos pacientes que se cepillan entre dos y tres veces al día, así como una mayor prevalencia de hipersensibilidad en mujeres (OR= 0,283)
Objective: The main objective of this study is to determine the prevalence of dentin hypersensitivity in patients over 18 years of age attending the Faculty of Dentistry of the Complutense University of Madrid, as well as to relate dentin hypersensitivity to other variables such as gingival recession and risk factors associated with this pathology. Material and methods: This Master´s thesis is an epidemiological, observational, crosssectional study that forms part of a multicenter study. The sample selection method was non-probabilistic, of consecutive cases. The variables analyzed were obtained from the clinical periodontal examination of the participants, carried out by calibrated researchers who recorded periodontal status, hypersensitivity using the Schiff Index and Binary Index (presence/absence) and a questionnaire completed by the patient, in which they were asked a series of questions regarding the dietary habits, lifestyle and perception of their oral health. Results: 125 patients were evaluated, of whom 56 (44,8%) were male and 69 (55,2%) were female. Of the sample studied, 60,8% showed dentin hypersensitivity as determined by the Schiff index ≥ 1 and 62,4% had post-stimulus hypersensitivity as determined by the binary index (Yes/No HD). Of the total number of patients with dentin hypersensitivity (Schiff) 51 (67,1%) were female; 50% brushed their teeth twice a day, and 97,4% brushed with the right hand. Of the total number of patients who reported hypersensitivity in the questionnaire, 57,9% had hypersensitivity according to the Schiff index, and 59% according to the binary index. Periodontitis was present in 47,2% of the patients. The mean gingival recession was 0,79 (SD: 0,925), with 94,7% and 96,2% recession in the group of patients with hypersensitivity according to the Schiff and binary index, respectively. Conclusions: The prevalence of dentin hypersensitivity in this study was 60,8% according to the Schiff index and 62,4% according to the binary index (Yes HD). There is a statistically significant association between hypersensitivity and those patients who brush two to three times a day, as well as higher prevalence of hypersensitivity in women (OR= 0,283).
Objective: The main objective of this study is to determine the prevalence of dentin hypersensitivity in patients over 18 years of age attending the Faculty of Dentistry of the Complutense University of Madrid, as well as to relate dentin hypersensitivity to other variables such as gingival recession and risk factors associated with this pathology. Material and methods: This Master´s thesis is an epidemiological, observational, crosssectional study that forms part of a multicenter study. The sample selection method was non-probabilistic, of consecutive cases. The variables analyzed were obtained from the clinical periodontal examination of the participants, carried out by calibrated researchers who recorded periodontal status, hypersensitivity using the Schiff Index and Binary Index (presence/absence) and a questionnaire completed by the patient, in which they were asked a series of questions regarding the dietary habits, lifestyle and perception of their oral health. Results: 125 patients were evaluated, of whom 56 (44,8%) were male and 69 (55,2%) were female. Of the sample studied, 60,8% showed dentin hypersensitivity as determined by the Schiff index ≥ 1 and 62,4% had post-stimulus hypersensitivity as determined by the binary index (Yes/No HD). Of the total number of patients with dentin hypersensitivity (Schiff) 51 (67,1%) were female; 50% brushed their teeth twice a day, and 97,4% brushed with the right hand. Of the total number of patients who reported hypersensitivity in the questionnaire, 57,9% had hypersensitivity according to the Schiff index, and 59% according to the binary index. Periodontitis was present in 47,2% of the patients. The mean gingival recession was 0,79 (SD: 0,925), with 94,7% and 96,2% recession in the group of patients with hypersensitivity according to the Schiff and binary index, respectively. Conclusions: The prevalence of dentin hypersensitivity in this study was 60,8% according to the Schiff index and 62,4% according to the binary index (Yes HD). There is a statistically significant association between hypersensitivity and those patients who brush two to three times a day, as well as higher prevalence of hypersensitivity in women (OR= 0,283).
Description
Trabajo de Fin de Máster en Ciencias Odontológicas, Facultad de Odontología UCM, Departamento de Especialidades Clínicas Odontológicas, Curso 2020/2021
UCM subjects
Unesco subjects
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Citation
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