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若年成人における非う蝕性頸部病変、象牙質知覚過敏症および不安の関連性：横断的研究
Association between non-carious cervical lesions, dentin hypersensitivity and anxiety in young adults: A cross-sectional study.
PMID: 39793751
抄録
目的:
象牙質知覚過敏症（DH）および非う蝕性頸部病変（NCCL）の有病率と関連因子を調査すること。
OBJECTIVES: To investigate the prevalence and factors associated with dentin hypersensitivity (DH) and non-carious cervical lesions (NCCLs).
方法:
この分析的横断研究は、18歳から45歳までの157名の参加者を対象とし、臨床検査を受け、生活習慣および日常生活習慣（食事、副次的機能習慣、顎関節症、一般および口腔の健康状態）に関する質問票とBeck Anxiety Inventoryに回答してもらった。DHおよびNCCLの有病率について、個人レベルおよび歯牙間の分布を考慮した記述的分析を行った。ポアソン回帰モデルを用いて知覚過敏と関連する因子を調査した。
METHODS: The analytical cross-sectional study included 157 participants aged between 18 and 45 years, who were clinically examined and answered a questionnaire related to their lifestyle and daily habits (diet, parafunctional habits, temporomandibular disorders, general and oral health) and the Beck Anxiety Inventory. A descriptive analysis of the prevalence of DH and NCCL was performed, both at the individual level and considering the distribution among the teeth. Poisson regression models were used to investigate factors associated with hypersensitivity.
結果:
DHの有病率は84.7％、NCCLの有病率は49.7％であった。ホワイトニング歯磨き粉の使用と食後すぐの歯磨きは、少なくとも1本のDHの有無に関係し、NCCLと不安因子は、1人あたり少なくとも1本と4本以上のDHの有無に関係した。一方、柔らかい歯ブラシや超柔らかい歯ブラシを使用している人、および口腔衛生に関する知識を持っている人は、DHの有病率が低かった。
RESULTS: The prevalence of DH and NCCL was 84.7 % and 49.7 %, respectively. The use of whitening toothpaste and brushing teeth immediately after meals were related to the presence of at least one tooth with DH, while the NCCL and anxiety factors were related to the presence of DH in both at least one tooth and more than four teeth per individual. On the other hand, individuals who used soft and extra soft toothbrushes, as well as those who had knowledge about oral health, had a lower prevalence of DH.
結論:
DHとNCCLは人口に高い有病率を示し、互いに関連し、個人のライフスタイルや習慣と関連している。
CONCLUSIONS: DH and NCCL have a high prevalence in the population and are associated with each other and with the individual's lifestyle and habits.
臨床的意義:
不安の徴候を有する人はDHの有病率が高く、一方、病因論的因子に関する知識を有する人は有病率が低かった。
CLINICAL SIGNIFICANCE: Individuals with signs of anxiety had a higher prevalence of DH, while individuals with knowledge about the etiological factors had a lower prevalence of the disease.