Peuchen, M.M. (Mariëlle) (2020) Pulpitisklachten, en occlusale aanpassingen met behulp van een digitale occlusie analyse: Een retrospectief dubbel cohort, experimenteel, patiëntgebonden onderzoek. thesis, Dentistry.
Full text available on request.Abstract
BACKGROUND Toothache is an unpleasant phenomenon which many people suffer from. The most common cause is a bacterial infection of the pulp. When the process turns out to be irreversible, the most obvious thing to do is an endodontic treatment or an extraction of the tooth. However, some people keep experiencing the pain after endodontic treatment. The cause of the pain has to be elsewhere. GOAL In this research, the effect of an occlusal adjustment treatment, guided by a digital occlusion analysis, on patients with unexplainable pulpitis complaints is analyzed. MATERIALS AND METHOD The research population contains patients formed into two groups who have (unexplainable) pulpitis complaints; a group with endodontic treated teeth and a group with vital teeth. The treatment contained occlusal adjustment, guided by the digital occlusion analysis (T-scan® III). Pain was measured using the NRS-score and the occlusion was measured by the digital occlusal analysis (T-scan® III) (occlusion time and force outliers). Normality was tested by the Shapiro-Wilk test. All variables were statistically evaluated using the Wilcoxon Signed Rank test. To determine the correlation between the variables, a Mann Whitney U was executed. RESULTS A total of 22 patients were included in this study. There was no normal distribution of data. A statistically significant difference was measured for all three variables (p < .05) with the exception of the variable force outliers for the endodontic treated group (p = .121). There appears to be no linear correlation between the pain and the occlusion time, nor the force outliers (p > .35) CONCLUSION toothache can be present, not only with vital teeth but also with endodontic treated teeth. An occlusal adjustment guided by a digital occlusion analysis seems to help in this case. A possible explanation can be found in the communication of the periodontal ligament and the nervous system who then send a signal to the jaw muscles who react on this. Within the limitations of this study, a conclusion can be drawn that the digital occlusion analysis has a significant contribution in the diagnosis of unexplainable toothache. Potentially the need for endodontic treatment (without a clear diagnosis) can be reduced by a measurement with the digital occlusion analysis.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Pelt, dr. H. van |
| Faculty: | Medical Sciences |
| Date Deposited: | 24 Nov 2021 10:37 |
| Last Modified: | 24 Nov 2021 10:37 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2873 |
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