Daniela Navarro Ribeiro Teixeira1, Livia Fávaro Zeola2, Alexandre Coelho Machado3, Rafaella Rodrigues Gomes4, Paola Gomes Souza5, Danilo Cangussu Mendes6, Paulo Vinícius Soares7. 1. School of Dentistry of Federal, University of Uberlandia, Brazil, Av. Pará, 1720, Umuarama, Uberlândia, Minas Gerais, 38400-902, Brazil; University Medical Center Groningen, Center for Dentistry and Oral Hygiene, The University of Groningen, Groningen, Netherlands. Electronic address: dnrteixeira@gmail.com. 2. School of Dentistry of Federal, University of Uberlandia, Brazil, Av. Pará, 1720, Umuarama, Uberlândia, Minas Gerais, 38400-902, Brazil. Electronic address: liviazeola@gmail.com. 3. School of Dentistry of Federal, University of Uberlandia, Brazil, Av. Pará, 1720, Umuarama, Uberlândia, Minas Gerais, 38400-902, Brazil. Electronic address: alexandrecoelhomachado@gmail.com. 4. School of Dentistry of Federal, University of Uberlandia, Brazil, Av. Pará, 1720, Umuarama, Uberlândia, Minas Gerais, 38400-902, Brazil. Electronic address: rafaella_rg@hotmail.com. 5. School of Dentistry of Federal, University of Uberlandia, Brazil, Av. Pará, 1720, Umuarama, Uberlândia, Minas Gerais, 38400-902, Brazil. Electronic address: paolagomessouza@gmail.com. 6. Department of Restorative Dentistry at the University of Montes Claros, Brazil, Av. Dr. Ruy Braga, s/n, Vila Mauriceia, Montes Claros, Minas Gerais, 39401-089, Brazil. Electronic address: danilocangussuodonto@yahoo.com.br. 7. Director of NCCL Research Group and Reference Center to Treatment NCCL and CDH, Department of Restorative Dentistry and Dental Materials at School of Dentistry of Federal University of Uberlandia, Brazil, Av. Pará, 1720, Umuarama, Uberlândia, Minas Gerais, 38400-902, Brazil. Electronic address: paulovsoares@yahoo.com.br.
Abstract
OBJECTIVES: The aim of this study was to evaluate the risk factors associated with noncarious cervical lesions (NCCLs), cervical dentin hypersensitivity (CDH), and gingival recession (GR), besides the relationship among these conditions in a specific Brazilian sample population. METHODS: 185 patients who attended the "Ambulatory Program for Rehabilitation of Patients with Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity" were evaluated, and 5180 teeth were analyzed. The subjects filled out a form and a calibrated examiner performed the clinical exams to determine the presence of NCCLs, CDH, and GR. NCCLs were classified according to their morphology and depth, CDH levels were evaluated according to air stimuli response, and GRs were categorized according to Miller's classification. The association of the risk factors with NCCLs, CDH, and GR was determined with the Mann-Whitney U test and multiple linear regression. For the correlations, the Spearman test was used with a 95%-confidence level. RESULTS: The NCCLs, CDH, and GR distributions within the study were 88.1%, 89.1%, and 59.4%, respectively. Maxillary premolars were the most affected by all three conditions. A positive correlation was found between age, NCCLs, and GR; between NCCLs and CDH; CDH and GR; GR and NCCLs. Age, gender, oral hygiene, gastroesophageal diseases, and occlusal trauma were significantly associated with the presence of all three conditions. CONCLUSIONS: The NCCLs and GR distributions increased with age; NCCLs, CDH, and GR had positive correlation; the lesions' depth and morphology contributed to high levels of sensitivity and severity of recessions; age, gender, gastric disease, and occlusal trauma were relevant factors for the occurrence of NCCLs, CDH, and GR. CLINICAL SIGNIFICANCE: The increasing distribution of NCCLs, CDH, and GR is closely associated with people's lifestyles. Thus, it is important for the clinicians to recognize the etiological factors and their most relevant associations to prevent and control such alterations, in order to improve the population's quality of life.
OBJECTIVES: The aim of this study was to evaluate the risk factors associated with noncarious cervical lesions (NCCLs), cervical dentin hypersensitivity (CDH), and gingival recession (GR), besides the relationship among these conditions in a specific Brazilian sample population. METHODS: 185 patients who attended the "Ambulatory Program for Rehabilitation of Patients with Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity" were evaluated, and 5180 teeth were analyzed. The subjects filled out a form and a calibrated examiner performed the clinical exams to determine the presence of NCCLs, CDH, and GR. NCCLs were classified according to their morphology and depth, CDH levels were evaluated according to air stimuli response, and GRs were categorized according to Miller's classification. The association of the risk factors with NCCLs, CDH, and GR was determined with the Mann-Whitney U test and multiple linear regression. For the correlations, the Spearman test was used with a 95%-confidence level. RESULTS: The NCCLs, CDH, and GR distributions within the study were 88.1%, 89.1%, and 59.4%, respectively. Maxillary premolars were the most affected by all three conditions. A positive correlation was found between age, NCCLs, and GR; between NCCLs and CDH; CDH and GR; GR and NCCLs. Age, gender, oral hygiene, gastroesophageal diseases, and occlusal trauma were significantly associated with the presence of all three conditions. CONCLUSIONS: The NCCLs and GR distributions increased with age; NCCLs, CDH, and GR had positive correlation; the lesions' depth and morphology contributed to high levels of sensitivity and severity of recessions; age, gender, gastric disease, and occlusal trauma were relevant factors for the occurrence of NCCLs, CDH, and GR. CLINICAL SIGNIFICANCE: The increasing distribution of NCCLs, CDH, and GR is closely associated with people's lifestyles. Thus, it is important for the clinicians to recognize the etiological factors and their most relevant associations to prevent and control such alterations, in order to improve the population's quality of life.
Authors: Fabio Vignoletti; Maria Di Martino; Marco Clementini; Giovanna Laura Di Domenico; Massimo de Sanctis Journal: Clin Oral Investig Date: 2019-07-05 Impact factor: 3.573
Authors: Caroline de F Charamba; James Needy; Peter S Ungar; Frederico B de Sousa; George J Eckert; Anderson T Hara Journal: Clin Oral Investig Date: 2021-01-19 Impact factor: 3.573