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DENTİN HİPERSENSİTİVİTESİ VE ŞİDDETİYLE İLİŞKİLİ ETİYOLOJİK FAKTÖRLERİN İNCELENMESİ

AN ANALYSIS OF AETIOLOGICAL FACTORS RELATED TO DENTIN HYPERSENSITIVITY AND SEVERITY

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Abstract (2. Language): 
Purpose: In management strategies of dentinal hypersensitivity, aetiological and predisposing factors should be taken into account rather than the treatment alone. The aim of this study was to determine the prevelance and aetiological factors of dentinal hypersensitivity and evaluate relationship to severity. Material and Methods: The subject population was consisted of 173 patients. All patients were evaluated in respect to aetiological factors related with or without hypersensitivity. Also severity of dentinal hypersensitivity was recorded by using Visual Analoque Scale. Result: In the survey population, dentinal hypersensitivity was observed as 40,4 % of which was 13,3 % gingival recession, 9,2 % attrision, 5,8 % periodontal disease, 5,2 % abrasion 4,6 % erosion and 2,3 % abfraction. Mean values of Visual Analoque Scale of the factors leading to the dentinal hypersensitivity were observed 4,28 in erosion, 4,25 in abrasion, 3,70 in gingival recession, 3,45 in abfraction, 2,94 in periodontal disease and finally 2,65 in attrision. Conclusion: This study showed that although attrision followed by gingival recession was the most common aetiologic factor of dentinal hypersensitivity, patients were more affected by non-carious cervical lesions in respect of severity of dentin hypersensitivity.
Abstract (Original Language): 
Amaç: Dentin hipersensitivitesinin tedavi stratejisinde tek başına tedaviden ziyade predispozan ve etiyolojik faktörler göz önünde bulundurulmalıdır. Bu çalışmanın amacı dentin hipersensitivitesinin prevelansı ve etiyolojik faktörlerini belirlemek, bu faktörlerle dentin hipersensitivitesinin şiddeti arasındaki ilişkileri değerlendirmektir. Gereç ve yöntem: Çalışma populasyonu 173 hastadan oluştu. Tüm hastalar dentin hipersensitivitesi ile ilişkili olan ya da olmayan etiyolojik faktörler açısından değerlendirildi. Dentin hipersensitivitesinin şiddeti ise Visual Anolog Skalası kullanılarak kaydedildi. Bulgular: Populasyonda, % 13,3 dişeti çekilmesi, % 9,2 atrizyon, % 5,8 periodontal hastalık, % 5,2 abrazyon, % 4,6 erozyon ve % 2,3 abfraksiyondan kaynaklanan toplam % 40,4 oranında dentin hipersensitivitesi gözlendi. Dentin hipersensitivitesine neden olan VAS değerleri ortalaması erozyonda 4,8, abrazyonda 4,25, dişeti çekilmesinde 3,70, abfraksiyonda 3,45, periodontal hastalıkta 2,94 ve son olarak atrizyonda 2,65 olarak saptandı. Sonuç: Bu çalışma, dentin hipersensitivitesinin en yaygın nedenini dişeti çekilmesinden sonra atrizyonun oluşturduğunu, buna rağmen hastaların çürük olmayan servikal lezyonlardan daha çok etkilendiklerini göstermiştir.
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