Abstract
Objectives
To assess the improvement on oral health-related quality of life (OHRQoL) of individuals with cervical dentin hypersensitivity (CDH) with the noncarious cervical lesion (NCCLs) subjected to different treatments.
Material and methods
A single-blind randomized clinical trial was conducted with patients (n = 74) randomly allocated into three groups according to the treatment performed: PO, potassium oxalate (Oxa-Gel BF); LL, low-power laser irradiation; and POLL, potassium oxalate (Oxa-Gel BF) associated with low-power laser irradiation. The treatments were applied in four steps, weekly. The questionnaire Oral Health Impact Profile (OHIP-14) was applied before initiating and immediately after the fourth session. The greater the sum of the score, the smaller the measurement of OHRQoL.
Results
The total mean values of the variables at the final moment were significantly lower than the initial one for all dimensions (p value ranging from < 0.001 to 0.006). Furthermore, the OHIP-14 scores final analysis between the groups indicated that the POLL group compared to LL had a significantly lower final score for the functional limitation (p = 0.009), physical pain (p = 0.049), and psychological discomfort (p = 0.035) dimensions and that group PO compared to group LL had a significantly lower final score for the functional limitation dimension (p = 0.024).
Conclusions
There was a reduction in the OHIP-14 score for all dimensions, indicating an improvement in patients’ quality of life after the use of desensitizing therapies. Patients in group LL had a higher functional limitation, physical pain, and psychological discomfort.
Clinical relevance
This study indicated improvement of desensitizing therapies for CDH to improve patients’ OHRQoL.
Trial registration: This trial was registered in the Brazilian Clinical Trials Registry Platform (REBEC protocol number RBR-4ybjmt).
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Abbreviations
- AsGaAl laser:
-
Arsenate Gallium Aluminum laser
- ANCOVA:
-
Analysis of covariance
- CDH:
-
Cervical dentin hypersensitivity
- DH:
-
Dentin hypersensitivity
- LL:
-
Low-power laser irradiation
- NCCLs:
-
Noncarious cervical lesion
- OHIP:
-
Oral Health Impact Profile
- OHRQoL:
-
Oral Health-Related Quality of Life
- PO:
-
Potassium oxalate
- POLL:
-
Potassium oxalate associated with low-power laser irradiation
- QoL:
-
Quality of Life
- REBEC:
-
Brazilian Clinical Trials Registry Platform
- WHO:
-
World Health Organization
References
Scaramucci T, de Almeida Anfe TE, da Silva FS et al (2014) Investigation of the prevalence, clinical features, and risk factors of dentin hypersensitivity in a selected Brazilian population. Clin Oral Investig 18:651–657. https://doi.org/10.1007/s00784-013-1008-1
West N, Seong J, Davies M (2014) Dentine hypersensitivity. Monogr Oral Sci 25:108–122. https://doi.org/10.1159/000360749
Favaro Zeola L, Soares PV, Cunha-Cruz J (2019) Prevalence of dentin hypersensitivity: systematic review and meta-analysis. J Dent 81:1–6. https://doi.org/10.1016/j.jdent.2018.12.015
Alcântara PM, Barroso NFF, Botelho AM et al (2018) Associated factors to cervical dentin hypersensitivity in adults: a transversal study. BMC Oral Health 18:155. https://doi.org/10.1186/s12903-018-0616-1
Dowell P, Addy M (1983) Dentine hypersensitivity - a review. Aetiology, symptoms and theories of pain production. J Clin Periodontol 10:341–350. https://doi.org/10.1111/j.1600-051X.1983.tb01283.x
Addy M, Urquhart E (1992) Dentine hypersensitivity: its prevalence, aetiology and clinical management. Dent Update 19:407–412
West NX, Lussi A, Seong J, Hellwig E (2013) Dentin hypersensitivity: pain mechanisms and aetiology of exposed cervical dentin. Clin Oral Investig 17:9–19. https://doi.org/10.1007/s00784-012-0887-x
O’Toole S, Bartlett D (2017) The relationship between dentine hypersensitivity, dietary acid intake and erosive tooth wear. J Dent 67:84–87. https://doi.org/10.1016/j.jdent.2017.10.002
Felix J, Ouanounou A (2019) Dentin hypersensitivity: etiology diagnosis and management. Compend Contin Educ Dent 40:653–657 quiz 658
Demirci M, Karabay F, Berkman M et al (2022) The prevalence clinical features and related factors of dentin hypersensitivity in the Turkish population. Clin Oral Investig 26:2719–2732. https://doi.org/10.1007/s00784-021-04245-4
Yoshizaki KT, Francisconi-Dos-Rios LF, Sobral MA et al (2017) Clinical features and factors associated with non-carious cervical lesions and dentin hypersensitivity. J Oral Rehabil 44:112–118. https://doi.org/10.1111/joor.12469
Teixeira DNR, Zeola LF, Machado AC et al (2018) Relationship between noncarious cervical lesions, cervical dentin hypersensitivity, gingival recession, and associated risk factors: a cross-sectional study. J Dent 76:93–97. https://doi.org/10.1016/j.jdent.2018.06.017
West NX, Sanz M, Lussi A et al (2013) Prevalence of dentine hypersensitivity and study of associated factors: a European population-based cross-sectional study. J Dent 41:841–851. https://doi.org/10.1016/j.jdent.2013.07.017
Costa RSA, Rios FS, Moura MS et al (2014) Prevalence and risk indicators of dentin hypersensitivity in adult and elderly populations from Porto Alegre, Brazil. J Periodontol 85:1247–1258. https://doi.org/10.1902/jop.2014.130728
Que K, Guo B, Jia Z et al (2013) A cross-sectional study: non-carious cervical lesions, cervical dentine hypersensitivity and related risk factors. J Oral Rehabil 40:24–32. https://doi.org/10.1111/j.1365-2842.2012.02342.x
Peumans M, Politano G, Van Meerbeek B (2020) Treatment of noncarious cervical lesions: when why and how. Int J Esthet Dent 15:16–42
Mantzourani M, Sharma D (2013) Dentine sensitivity: past, present and future. J Dent 41:S3–S17. https://doi.org/10.1016/S0300-5712(13)70002-2
Sgreccia PC, Barbosa RES, Damé-Teixeira N, Garcia FCP (2020) Low-power laser and potassium oxalate gel in the treatment of cervical dentin hypersensitivity—a randomized clinical trial. Clin Oral Investig 24:4463–4473. https://doi.org/10.1007/s00784-020-03311-7
Marto CM, Baptista Paula A, Nunes T et al (2019) Evaluation of the efficacy of dentin hypersensitivity treatments—a systematic review and follow-up analysis. J Oral Rehabil 46:952–990. https://doi.org/10.1111/joor.12842
Wang L, Magalhães AC, Francisconi-Dos-Rios LF et al (2016) Treatment of dentin hypersensitivity using nano-hydroxyapatite pastes: a randomized three-month clinical trial Oper Dent https://doi.org/10.2341/15-145-C
Machado AC, Viana ÍEL, Farias-Neto AM et al (2018) Is photobiomodulation (PBM) effective for the treatment of dentin hypersensitivity? A systematic review. Lasers Med Sci 33:745–753. https://doi.org/10.1007/s10103-017-2403-7
Femiano F, Femiano R, Femiano L et al (2020) A new combined protocol to treat the dentin hypersensitivity associated with non-carious cervical lesions: a randomized controlled trial. Appl Sci 11:187. https://doi.org/10.3390/app11010187
Moraschini V, da Costa LS, dos Santos GO (2018) Effectiveness for dentin hypersensitivity treatment of non-carious cervical lesions: a meta-analysis. Clin Oral Investig 22:617–631. https://doi.org/10.1007/s00784-017-2330-9
Porritt JM, Sufi F, Baker SR (2016) Utilising daily diaries to examine oral health experiences associated with dentine hypersensitivity. BMC Oral Health 16:97. https://doi.org/10.1186/s12903-016-0286-9
Lima TC, Vieira-Barbosa NM, de Sá G, Azevedo C et al (2017) Oral health-related quality of life before and after treatment of dentin hypersensitivity with cyanoacrylate and laser. J Periodontol 88:166–172. https://doi.org/10.1902/jop.2016.160216
Douglas de Oliveira DW, Marques DP, Aguiar-Cantuária IC et al (2013) Effect of surgical defect coverage on cervical dentin hypersensitivity and quality of life. J Periodontol 84:768–775. https://doi.org/10.1902/jop.2012.120479
Bekes K, Hirsch C (2013) What is known about the influence of dentine hypersensitivity on oral health-related quality of life? Clin Oral Investig 17:45–51. https://doi.org/10.1007/s00784-012-0888-9
Goh V, Corbet EF, Leung WK (2016) Impact of dentine hypersensitivity on oral health-related quality of life in individuals receiving supportive periodontal care. J Clin Periodontol 43:595–602. https://doi.org/10.1111/jcpe.12552
Douglas-de-Oliveira DW, Vitor GP, Silveira JO et al (2018) Effect of dentin hypersensitivity treatment on oral health related quality of life — a systematic review and meta-analysis. J Dent 71:1–8. https://doi.org/10.1016/j.jdent.2017.12.007
WHOQOL (1993) Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Qual Life Res 2:153–159
Daneshvar M, Devji TF, Davis AB, White MA (2015) Oral health related quality of life: a novel metric targeted to young adults. J Public Heal Dent 75:298–307. https://doi.org/10.1111/jphd.12099
Contaldo M, Della Vella F, Raimondo E et al (2020) Early Childhood Oral Health Impact Scale (ECOHIS): literature review and Italian validation. Int J Dent Hyg 18:396–402. https://doi.org/10.1111/idh.12451
dos Santos CM, de Oliveira BH, Nadanovsky P et al (2013) The Oral Health Impact Profile-14: a unidimensional scale? Cad Saude Publica 29:749–757. https://doi.org/10.1590/S0102-311X2013000400012
Guerra MJC, Greco RM, Leite ICG et al (2014) Impact of oral health conditions on the quality of life of workers. Cien Saude Colet 19:4777–4786. https://doi.org/10.1590/1413-812320141912.21352013
Afonso A, Silva I, Meneses R, Frias-Bulhosa J (2017) Oral health-related quality of life Portuguese linguistic adaptation of OHIP-14. Psicol Saúde Doença 18:374–388. https://doi.org/10.15309/17psd180208
Gabardo MCL, Moysés ST, Moysés SJ (2013) Self-rating of oral health according to the Oral Health Impact Profile and associated factors: a systematic review. Rev Panam Salud Publica 33:439–445
GojkovVukelic M, Hadzic S, Zukanovic A et al (2016) Application of diode laser in the treatment of dentine hypersensitivity. Med Arch 70:466. https://doi.org/10.5455/medarh.2016.70.466-469
Mehta D, Gowda VS, Santosh A et al (2014) Randomized controlled clinical trial on the efficacy of dentin desensitizing agents. Acta Odontol Scand 72:936–941. https://doi.org/10.3109/00016357.2014.923112
Brislin RW (1970) Back-translation for cross-cultural research. J Cross Cult Psychol 1:185–216. https://doi.org/10.1177/135910457000100301
Minayo MCDS, Hartz ZMDA, Buss PM (2000) Quality of life and health: a necessary debate. Cien Saude Colet 5:7–18. https://doi.org/10.1590/S1413-81232000000100002
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All procedures performed were in accordance with the ethical standards of the Ethics Committee of the Health Sciences of the University of Brasilia (number 2.740.067) and registered in the Brazilian Clinical Trials Registration Platform under protocol number RBR-4ybjmt and with the 1964 Helsinki declaration and its later amendments.
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All subjects signed an informed consent form prior to the initiation of the study.
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This study was supported by the Postgraduate Program in Dentistry of the University of Brasilia and the Military Fire Department of the Federal District.
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Sgreccia, P.C., Damé-Teixeira, N., Barbosa, R.E.S. et al. Assessment of the Oral Health Impact Profile (OHIP-14) improvement of different treatments for dentin hypersensitivity in noncarious cervical lesions—a randomized clinical study. Clin Oral Invest 26, 6583–6591 (2022). https://doi.org/10.1007/s00784-022-04610-x
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DOI: https://doi.org/10.1007/s00784-022-04610-x