Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.05121
Revista de Odontologia da UNESP
Original Article

Prevalence of non-carious cervical lesions and cervical dentinary hypersensitivity in undergraduate students

Prevalência de lesão cervical não cariosa e hipersensibilidade dentinária cervical em estudantes de um curso de graduação

João Victor Dias CRISÓSTOMO; Bruna Oliveira BEZERRA; Mariana Garcia da Ponte MELO; Polyanna Maria ROCHA-NOVAIS; Maria Denise Rodrigues de MORAES

Downloads: 0
Views: 363

Abstract

Abstract: Introduction: The non-carious cervical lesion (NCCL) is currently a common oral disease.

Objective: This observational and descriptive study aimed to assess risk factors associated with non-carious cervical lesions, cervical dentin hypersensitivity (CDH), gingival recession (GR) and the relationship between these conditions in students in the last years of undergraduate dentistry.

Material and method: One hundred eighty-five dentistry students from a private college in Ceará with an average of 22.7 ± 2.3 years participated by filling out a google docs form. Two calibrated examiners performed the exams to verify the presence of NCCL, CDH and RG.

Result: The presence of NCCL was 22.7%, GR was 48.1% and cervical dentin hypersensitivity 8.6%. The chi-square test with p < 0.05% verified a correlation between the presence of NCCL and the presence of GR and CDH. 25% of students had NCCL and 14% considered themselves stressed. There was no association between the variables bruxism and stress (p=0.529), bruxism and year of graduation course (p=0.716), as well as no association between stress and year of course (p = 0.397) was observed. There were no correlations between NCCL and bruxism, muscle symptoms, parafunctional habits and temporomandibular dysfunction. 10.8% of students who reported using legal and illegal drugs had NCCL.

Conclusion: The NCCL, GR and CDH were correlated in the group of students in the last two years of an undergraduate dentistry course in Ceará.

Keywords

Excessive dental friction, dental abrasion, tooth erosion

Resumo

Resumo: Introdução: A lesão cervical não cariosa (LCNC) é uma doença bucal incidente na atualidade.

Objetivo: realizar um estudo observacional e descritivo para avaliar fatores de risco associados às lesões cervicais não cariosas, hipersensibilidade dentinária cervical (HDC), recessão gengival (RG) e a relação entre essas condições em estudantes nos últimos anos de graduação em odontologia.

Material e método: participaram 185 estudantes de odontologia do Ceará com média de 22,7 ± 2,3 anos de idade. Preencheram um formulário do google docs e dois examinadores calibrados realizaram os exames para verificar a presença de LCNC, HDC e RG.

Resultado: A presença de LCNC foi de 22,7%, a de RG foi de 48,1% e de hipersensibilidade dentinária cervical de 8,6%. O teste qui-quadrado com p < 0,05%, verificou correlação entre a presença de LCNC e a presença de recessão gengival e hipersensibilidade dentinária. Nos alunos do último ano, 25% apresentaram LCNC, dos quais 14% consideravam-se estressados. Não houve associação entre as variáveis bruxismo e estresse (p=0,529), bruxismo e ano do curso da graduação (p=0,716), bem como não foi observada associação de estresse e ano do curso (p = 0,397). Não houve correlação da LCNC e bruxismo, sintomatologia muscular, hábitos parafuncionais e disfunção temporo-mandibular (DTM). Dos alunos que relataram utilizar drogas lícitas e ilícitas, 10,8% apresentaram LCNC.

Conclusão: A LCNC, RG e HD apresentaram correlação no grupo de estudantes dos dois últimos anos de um curso de graduação em odontologia do Ceará.
 

Palavras-chave

Atrito dentário excessivo, abrasão dentária, erosão dentária

References

1 Teixeira DNR, Zeola LF, Machado AC, Gomes RR, Souza PG, Mendes DC, et al. Relationship between noncarious cervical lesions, cervical dentin hypersensitivity, gingival recession, and associated risk factors: a cross-sectional study. J Dent. 2018 Sep;76:93-7. http://dx.doi.org/10.1016/j.jdent.2018.06.017. PMid:29940290.

2 Telles D, Pegoraro LF, Pereira JC. Incidence of noncarious cervical lesions and their relation to the presence of wear facets. J Esthet Restor Dent. 2006;18(4):178-83. http://dx.doi.org/10.1111/j.1708-8240.2006.00015.x. PMid:16911416.

3 Grippo JO, Simring M, Schreiner S. Attrition, abrasion, corrosion and abfraction revisited: a new perspective on tooth surface lesions. J Am Dent Assoc. 2004 Aug;135(8):1109-18. http://dx.doi.org/10.14219/jada.archive.2004.0369. PMid:15387049.

4 Soares LG, Costa IR, Brum JS Jr, Cerqueira WSB, Oliveira ES, Oliveira DWD, et al. Prevalence of bruxism in undergraduate students. Cranio. 2017 Sep;35(5):298-303. http://dx.doi.org/10.1080/08869634.2016.1218671. PMid:27684574.

5 Brandini DA, Trevisan CL, Panzarini SR, Padrini D. Clinical evaluation of the association between noncarious cervical lesions and occlusal forces. J Prosthet Dent. 2012 Nov;108(5):298-303. http://dx.doi.org/10.1016/S0022-3913(12)60180-2. PMid:23107237.

6 Soares PV. Lesões cervicais não cariosas e hipersensibilidade dentinária: protocolos reabilitadores e estéticos. Uberlândia: FOUFU; 2014. 16p.

7 Grippo JO, Simring M, Coleman TA. Abfraction, abrasion, biocorrosion, and the enigma of noncarious cervical lesions: a 20‐year perspective. J Esthet Restor Dent. 2012 Feb;24(1):10-23. http://dx.doi.org/10.1111/j.1708-8240.2011.00487.x. PMid:22296690.

8 Nascimento M, Dilbone D, Pereira P, Geraldeli S, Delgado A, Duarte W. Abfraction lesions: etiology, diagnosis, and treatment options. Clin Cosmet Investig Dent. 2016 May;8:79-87. http://dx.doi.org/10.2147/CCIDE.S63465.

9 Teixeira DNR, Thomas RZ, Soares PV, Cune MS, Gresnigt MMM, Slot DE. Prevalence of noncarious cervical lesions among adults: a systematic review. J Dent. 2020 Apr;95:103285. http://dx.doi.org/10.1016/j.jdent.2020.103285. PMid:32006668.

10 Serra-Negra JM, Aquino MS, Silva MES, Abreu MH, Silveira RR. Tooth wear and sleep quality: a study of police officers and non-police officers. Cranio. 2018 Jan;36(1):6-10. http://dx.doi.org/10.1080/08869634.2016.1263275. PMid:27927084.

11 Nguyen C, Ranjitkar S, Kaidonis JA, Townsend GC. A qualitative assessment of non-carious cervical lesions in extracted human teeth. Aust Dent J. 2008 Mar;53(1):46-51. http://dx.doi.org/10.1111/j.1834-7819.2007.00009.x. PMid:18304241.

12 Wada I, Shimada Y, Ikeda M, Sadr A, Nakashima S, Tagami J, et al. Clinical assessment of non carious cervical lesion using swept‐source optical coherence tomography. J Biophotonics. 2015 Oct;8(10):846-54. http://dx.doi.org/10.1002/jbio.201400113. PMid:25504772.

13 Soares PV, Machado AC, Zeola LF, Souza PG, Galvão AM, Montes TC, et al. Loading and composite restoration assessment of various non-carious cervical lesions morphologies - 3D finite element analysis. Aust Dent J. 2015 Sep;60(3):309-16. http://dx.doi.org/10.1111/adj.12233. PMid:25312697.

14 Sugita I, Nakashima S, Ikeda A, Burrow MF, Nikaido T, Kubo S, et al. A pilot study to assess the morphology and progression of non-carious cervical lesions. J Dent. 2017 Feb;57:51-6. http://dx.doi.org/10.1016/j.jdent.2016.12.004. PMid:27956017.

15 Igarashi Y, Yoshida S, Kanazawa E. The prevalence and morphological types of non-carious cervical lesions (NCCL) in a contemporary sample of people. Odontology. 2017 Oct;105(4):443-52. http://dx.doi.org/10.1007/s10266-017-0300-y. PMid:28275876.

16 Zeola LF, Pereira F, Galvão AM, Montes T, Sousa SC, Teixeira DNR, et al. Influence of non carious cervical lesions depth, loading point application and restoration on stress distribution pattern in lower remolars: a 2d finite element analysis. Biosci J. 2015 Mar;31(2):648-56. http://dx.doi.org/10.14393/BJ-v31n2a2015-27837.

17 Borcic J, Anic I, Urek MM, Ferreri S. The prevalence of non‐carious cervical lesions in permanent dentition. J Oral Rehabil. 2004 Feb;31(2):117-23. http://dx.doi.org/10.1046/j.0305-182X.2003.01223.x. PMid:15009594.

18 Cunha-Cruz J, Wataha JC, Heaton LJ, Rothen M, Sobieraj M, Scott J, et al. The prevalence of dentin hypersensitivity in general dental practices in the northwest United States. J Am Dent Assoc. 2013 Mar;144(3):288-96. http://dx.doi.org/10.14219/jada.archive.2013.0116. PMid:23449905.

19 Zucchelli G, Gori G, Mele M, Stefanini M, Mazzotti C, Marzadori M, et al. Non-carious cervical lesions associated with gingival recessions: a decision-making process. J Periodontol. 2011 Dec;82(12):1713-24. http://dx.doi.org/10.1902/jop.2011.110080. PMid:21542735.

20 Pintado MR, Delong R, Ko CC, Sakaguchi RL, Douglas WH. Correlation of noncarious cervical lesion size and occlusal wear in a single adult over a 14-year time span. J Prosthet Dent. 2000 Oct;84(4):436-43. http://dx.doi.org/10.1067/mpr.2000.109477. PMid:11044852.

21 Teixeira L, Manso MC, Manarte-Monteiro P. Erosive tooth wear status of institutionalized alcoholic patients under rehabilitation therapy in the north of Portugal. Clin Oral Investig. 2017 Apr;21(3):809-19. http://dx.doi.org/10.1007/s00784-016-1823-2. PMid:27121798.
 

61d5a399a953950ae05a7e03 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections