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DİŞ AŞINMALARININ DERECELERİYLE DENTİN HASSASİYETİNİN ŞİDDETİ ARASINDAKİ İLİŞKİNİN İNCELENMESİ

EVALUATION OF RELATIONSHIPS BETWEEN SEVERITY OF DENTIN SENSITIVITY AND DEGREE OF TOOTH WEAR

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2010

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Dentin hypersensitivity (DH) has many etiologycal factors and seen widespreadly in population. Howewer, this etiologycal factors do not always cause DH. Severity of DH may change due to the different degrees of tooth wear. The aim of this study is to investigate the relationships between severity of dentin sensitivity and degree of the occlusal tooth wear that may induce DH. 42 patients and 150 teeth with occlusal tooth wear were investigated in study. Tooth Wear Index (TWI) was used to determine the degree of tooth wear. Acidic drinking habits of patients were recorded. DH condition or severity of DH in occlusal tooth wear was recorded by using Visual Analoque Scale (VAS). The mean value of VAS in respect of TWI in 2nd degree was found significantly higher than the mean value of VAS in respect of TWI in l.nd and 3.th degree (P<0.01). The mean value of VAS in respect of TWI in 3 nd degree was found significantly higher than the mean value of VAS in respect of TWI in l.nd degree (PO.01). At second degree tooth wear which includes dentin DH is at the highest level and the decrease of DH by wear increase show that time factor can be important for oblitering the dentin tubules by smear layer.
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Abstract (Original Language): 
Dentin hassasiyetinin (DH) birçok etyolojik faktörü vardır ve toplumda büyük oranda görülmektedir. Ancak bu etyolojik faktörler her zaman hassasiyete neden olmazlar. Dentin hassasiyetinin şiddeti bu etyolojik faktörlerin farklı derecelerinde değişiklik gösterebilir. Bu çalışmanın amacı dentin hassasiyetine neden olabilen okluzal diş aşınmalarının dereceleriyle dentin hassasiyetinin şiddeti arasındaki ilişkinin incelenmesidir. Çalışmada okluzal diş aşınması bulunan toplam 42 hasta olmak üzere, 150 diş incelendi. Diş aşınmalarının derecesi Tooth Wear indeks (TWI) kullanılarak tespit edildi. Hastaların asitli içecek alışkanlıkları kaydedildi. Okluzal diş aşınması bulunan dişlerdeki DH durumu ya da varsa şiddetim değerlendirmek amacıyla Visual Analog Scalası (VAS) kullanıldı. TWF ne göre 2. derece aşınmada görülen ortalama VAS değeri, 1 ve 3. derecede görülen ortalama VAS değerlerinden anlamlı seviyede yüksek bulundu (P<0.01). TWT ne göre 3. derece aşınmada görülen ortalama VAS değeri, 1. derecede görülen ortalama VAS değerinden anlamlı seviyede yüksek bulundu (P<0.01). Okluzal aşınmanın dentini içerdiği 2. derecede DH'nin en yüksek seviyede olması ve aşınma ilerlediğinde DH' nin azalması, smear tabakasının dentini tıkaması için zaman faktörünün önemli olabileceğini göstermiştir.
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