楊麗秋Li-Chiu Yang沈詩雅Shih-Ya牙醫學系碩士班2026-03-179999-12-312009https://handle.ncl.edu.tw/11296/4mu9y6https://scholars.csmu.edu.tw/handle/123456789/5577敏感性牙齒是國人口腔問題中最常出現的症狀之一，它的特徵是牙齒受到外來的物理性或化學性刺激下，如溫度變化、摩擦接觸、滲透壓的改變或是接觸酸、甜食物或飲料，會產生一陣短暫性的酸軟痛或尖銳痛，在臨床上稱為敏感性牙齒。本研究利用疼痛視覺類比量表(Visual Analog Scale,簡稱VAS)來探討使用抗敏感性牙膏(高露潔抗敏多重保護牙膏Colgate Sensitive Multi Protection)對於敏感性牙齒是否有所改善。本研究於中山醫學大學附設醫院牙周病科進行，參與的對象總共有172位，年齡分布範圍20至50歲，每位測試者皆有填寫同意書，經過VAS檢測後有65位VAS分數大於0，其中40位VAS分數介於30至80分為本研究之實驗組，參與研究實驗組的測試者皆有填寫敏感性牙齒問卷調查表，問卷結果反應刷牙次數平均一天刷兩次的比例有72.5 %，一般常使用軟毛牙刷且刷牙態度常屬匆忙型，在敏感性牙的疼痛經驗中，對於冷刺激的反應最為明顯，如冰冷食物或飲料。本研究採用單盲設計，給予每個測試者含檸檬酸鉀抗敏感性牙膏，並教導正確的口腔潔牙方式，連續早晚使用一個月後回診再檢測VAS，結果顯示在40位測試者中34位有明顯改善，改善百分比為85 %，使用前 VAS平均值為50.72±14.39，使用後VAS平均值為30.68±15.50，利用Wilcoxon Signed Rank Test統計分析發現在統計學上有顯著差異(p<0.001)，因此敏感性牙齒經過正確的口腔衛教並配合抗敏感性牙膏的使用，臨床上可以有效改善敏感性牙齒的症狀。Sensitive teeth are one of the most common symptoms among the oral health problems that the Chinese people face. Its characteristic is that when the teeth are sensitive to cold and/or hot, it results in tenderness and pain, and the clinical term for this condition is dentin hypersensitivity. The present study uses a Visual Analog Scale (VAS) to investigate whether the use of a desensitizing toothpaste containing potassium citrate (Colgate Sensitive Multi Protection) makes any improvement to sensitive teeth conditions. This study was carried out at the Periodontic Department of Chung Shan Medical University Hospital. There were altogether 172 participants in this study, whose age range was between 20 and 50 years old. Every test subject completed a informed consent. Following a VAS examination, there were 65 participants with a VAS score that was greater than 10, of which, 40 who filled out the questionnaire got VAS scores between 30 and 80 and formed the experimental group for this study. The present study adopts a single blind approach. Each test subject was given desensitizing toothpaste and taught the correct way to brush their teeth. After using the desensitizing toothpaste in the morning and evening continuously for one month, they then came back for VAS examination again. The response of the questionnaire is that 72.5 % of subjects said they were able to brush their teeth two times a day. Most of them brush their teeth by hard rush. Most participants reported that cold food caused the worst discomfort. The results of the study showed that there was a significant improvement in 34 out of the 40 test subjects, with the improvement reaching up to 85 %. The mean value of the VAS score prior to the use of this type of toothpaste was 50.72±14.39, while the mean value of the VAS score after use was 30.68±15.50. The Wilcoxon Signed Rank Test was used to carry out a statistical analysis of the results, and statistically there was a significant difference (p<0.001). Therefore, by combining the teaching of the correct way to maintain oral hygiene and the use of desensitizing toothpaste, it is possible to clinically and effectively improve the condition of sensitive teeth.thesis