Analysis of the dental history of young patients and its correlation with cervical dental pathology and oral health indicators
DOI:
https://doi.org/10.32782/2786-7684/2025-1-4Keywords:
whitening, dentine hypersensitivity, erosion, wedge-shaped defect, cervical cariesAbstract
Introduction. The features of the dental history can negatively affect oral health indicators including cervical dental pathology. Objectives. Determination of dental history of young patients, analysis of the correlation between it and cervical dental pathology and oral health indicators.Materials and methods. The examination of 272 people (174 women and 98 men) aged 18-44 included the collection of anamnesis data, a clinical examination, an index assessment of the condition of dental hard tissues and periodontium and identification of the level of oral hygiene filling out a questionnaire/survey. Depending on the type and presence of dental cervical pathology, the patients were divided into study groups.Results. Patients with enamel erosion had professional oral hygiene procedures in 2.7 and 2.3 times more frequent in their history than patients with cervical caries and without cervical dental pathology (χ2=4.10, р=0.02 and χ2=3.90, р=0.02, respectively). The number of subjects with cervical caries and orthopedic treatment was 8.0 and 6.2 times higher in dental histories, and with orthodontic constructions 8.0 and 8.8 times lower when compared with subjects with a wedge-shaped defect and without cervical dental lesions (p<0.05). The correlation was observed between orthopedic treatment and the development of cervical caries (inverse – χ2=4.98, p=0.02) and wedge-shaped defect (direct – χ2=16.32, p<0.001). The correlations were determined between the development of clinical symptoms of dentin hypersensitivity and tooth whitening (χ2=3.81, p<0.05) and orthopedic treatment in dental history (χ2=16.22, p<0.001). There were increased number of lesions (χ2=22.81, p<0.001) in the subjects with wedge-shaped dental defects and orthodontic structures, and complaints of pain and bleeding gums were more common (p>0.05). A direct medium-strength correlation was determined between complaints of unpleasant odor in the mouth and complaints of bleeding and pain in the gums (χ2=10.03, р<0.001 and χ2=3.98, р<0.05, respectively).Conclusions. We recommend to take into account the identified correlations between the considered data of the dental history and the state of oral health in order to improve the quality of treatment of cervical dental pathology.
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