Dentin hypersensitivity-like tooth pain seen in patients receiving steroid therapy: An exploratory study

To ascertain whether steroid therapy evokes dentin hypersensitivity (DH)-like tooth pain, we performed a study based on compelling evidence from patients receiving steroid therapy. An exploratory study was conducted using a questionnaire for 220 patients prescribed steroids who attended the Departme...

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Main Authors: Noriaki Shoji (Author), Yu Endo (Author), Masahiro Iikubo (Author), Tomonori Ishii (Author), Hideo Harigae (Author), Jun Aida (Author), Maya Sakamoto (Author), Takashi Sasano (Author)
Format: Book
Published: Elsevier, 2016-11-01T00:00:00Z.
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001 doaj_52c967c8b98a48f58ba6b6d5d4a4e55c
042 |a dc 
100 1 0 |a Noriaki Shoji  |e author 
700 1 0 |a Yu Endo  |e author 
700 1 0 |a Masahiro Iikubo  |e author 
700 1 0 |a Tomonori Ishii  |e author 
700 1 0 |a Hideo Harigae  |e author 
700 1 0 |a Jun Aida  |e author 
700 1 0 |a Maya Sakamoto  |e author 
700 1 0 |a Takashi Sasano  |e author 
245 0 0 |a Dentin hypersensitivity-like tooth pain seen in patients receiving steroid therapy: An exploratory study 
260 |b Elsevier,   |c 2016-11-01T00:00:00Z. 
500 |a 1347-8613 
500 |a 10.1016/j.jphs.2016.10.004 
520 |a To ascertain whether steroid therapy evokes dentin hypersensitivity (DH)-like tooth pain, we performed a study based on compelling evidence from patients receiving steroid therapy. An exploratory study was conducted using a questionnaire for 220 patients prescribed steroids who attended the Department of Hematology and Rheumatology of Tohoku University Hospital. Group comparisons between patients with and without steroid pulse therapy were analysed by statistical means. In this study, any DH-like tooth pain that commenced subsequent to steroid treatment was defined as steroid-derived (SD) tooth pain. The prevalence of SD tooth pain was 17.7% (39/220 patients). SD tooth pain was triggered in many vital teeth by cold and/or hot water (84.2% and 23.7%, respectively) with the pain characterised as continuous, in contrast to typical DH tooth pain. SD tooth pain was significantly more frequent in pulse therapy patients than in non-pulse therapy patients (p < 0.05). Logistic regression analysis adjusted for age and sex showed similar results (odds ratio = 3.74, p = 0.013). Moreover, a positive correlation was observed between the steroid dose and pain score (ρ = 0.642). Dose reduction or discontinuation of steroid therapy relieved SD tooth pain in all cases. Thus, steroid therapy can evoke DH-like tooth pain during treatment. 
546 |a EN 
690 |a Adrenocorticosteroid 
690 |a Steroid therapy 
690 |a Pulse therapy 
690 |a Dentin hypersensitivity (DH)-like tooth pain 
690 |a Steroid-derived (SD) tooth pain 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Journal of Pharmacological Sciences, Vol 132, Iss 3, Pp 187-191 (2016) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1347861316301359 
787 0 |n https://doaj.org/toc/1347-8613 
856 4 1 |u https://doaj.org/article/52c967c8b98a48f58ba6b6d5d4a4e55c  |z Connect to this object online.