Analisis Hipersensitivitas Dentin: Dampaknya terhadap Kualitas Hidup Penderita melalui Pemeriksaan Subjektif dan Klinis

Abstract

Introduction: Dentin hypersensitivity (DH) manifests as a sharp pain elicited by external stimuli, typically associated with the exposure of dentin tubules. Gingival recession (GR) is also known to cause exposure of tooth roots and multiple studies suggest potential synergistic effects between the two conditions. DH also significantly influence individuals' well-being. There isn’t any specific validated questionnaire in Indonesia which could be used to measure their quality of life. Incorporating the Visual Analog Scale (VAS) to quantify pain intensity and the short version of Dentin Hypersensitivity Experience Questionnaire (DHEQ-15) to capture the impact on patients' lives, we aim to provide a deeper understanding by adapting the DHEQ-15. Objective: This study aims to adapt and validate DHEQ-15 into Indonesian version and analyze the relationship between DH with multiple aspects such as degree of GR, pain associated with DH quantified in VAS and to explore the impact of DH on patients' daily lives using the DHEQ-15. Methods: DHEQ-15 was translated into Indonesian language using forward-backward process and validated in a cross-sectional study consists of subjective and clinical examination. The reliability and validity of the adapted DHEQ-15 were evaluated through internal consistency, test-retest reliability and discriminant validity. Relation between DH and DHEQ-15, DH and VAS, GR and VAS and between VAS and DHEQ-15 were analyzed statistically. Results: 134 patients with DH were recruited to be examined and to complete the adapted questionnaire. The Indonesian DHEQ-15 demonstrated very good internal consistency (α = 0.936) and test-retest reliability revealed excellent reproducibility (ICC = 0.936). In terms of discriminant validity, DH levels measured in Schiff Scale (SS) are significantly different when compared to DHEQ-15 scores. Spearman test showed significant positive correlations detected between DH and multiple parameters (p<0.05). Conclusion: This study provides evidence supporting the reliability and validity of the Indonesian DHEQ-15 for use in Indonesia. GR and VAS proves to be a beneficial parameter for assessing pain intensity in DH patients, while the DHEQ-15 offers a comprehensive understanding of the impact of DH on patients' quality of life.