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Marschner F, Kanzow P, Wiegand A. Anamnestic risk factors for erosive tooth wear: Systematic review, mapping, and meta-analysis. J Dent 2024; 144:104962. [PMID: 38552999 DOI: 10.1016/j.jdent.2024.104962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 03/19/2024] [Accepted: 03/20/2024] [Indexed: 04/08/2024] Open
Abstract
OBJECTIVES Erosive tooth wear is a multifactorial condition. The aim of this systematic review and meta-analysis was to identify key risk factors for erosive tooth wear in permanent dentition. STUDY SELECTION Observational studies reporting anamnestic risk factors for erosive tooth wear. Methodological quality and risk of bias were assessed using the modified Newcastle-Ottawa scale for cross-sectional studies. Risk factors were visually presented in a heatmap, and where possible, random-effects meta-analyses were performed for the odds ratios (ORs) of risk factors. SOURCES Electronic databases (MEDLINE, Embase, Scopus, and Web of Science) and manual searches in February 2023. The protocol was registered in PROSPERO (CRD4202339776). DATA A total of 87 publications reporting on 71 studies were included in the systematic review. The studies examined a variety of anamnestic risk factors (n = 80) that were categorized into ten domains (socio-demographics, socio-economics, general health, oral diseases, medication, oral hygiene, food, beverages, dietary habits, and leisure-related risk factors). Meta-analyses revealed significant associations between erosive tooth wear and male gender (padj.<0.001; OR=1.30, 95 % CI: 1.16-1.44), regurgitation (padj.=0.033; OR=2.27, 95 % CI: 1.41-3.65), digestive disorders (padj.<0.001; OR=1.81, 95 % CI: 1.48-2.21), consumption of acidic foods (padj.=0.033; OR=2.40, 95 % CI: 1.44-4.00), seasoning sauces (padj.=0.003; OR=1.28, 95 % CI: 1.13-1.44), nutritional supplements (padj.=0.019; OR=1.73, 95 % CI: 1.28-2.35), and carbonated drinks (padj.=0.019; OR=1.43, 95 % CI: 1.17-1.75). Most included studies exhibited low bias risk. CONCLUSIONS Observational studies investigated a variety of anamnestic risk factors for erosive tooth wear. Future studies should employ validated questionnaires, particularly considering the most important risk factors. CLINICAL SIGNIFICANCE Erosive tooth wear is a prevalent condition. Clinicians should concentrate primarily on symptoms of gastroesophageal reflux disease and dietary factors when screening patients at risk for erosive tooth wear.
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Affiliation(s)
- Felix Marschner
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany.
| | - Philipp Kanzow
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany.
| | - Annette Wiegand
- Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Germany.
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Surarit R, Jiradethprapai K, Lertsatira K, Chanthongthiti J, Teanchai C, Horsophonphong S. Erosive potential of vitamin waters, herbal drinks, carbonated soft drinks, and fruit juices on human teeth: An in vitro investigation. J Dent Res Dent Clin Dent Prospects 2023; 17:129-135. [PMID: 38023803 PMCID: PMC10676538 DOI: 10.34172/joddd.2023.40413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 08/17/2023] [Indexed: 12/01/2023] Open
Abstract
Background Dental erosion is the loss of dental hard tissues through the acid dissolution of tooth minerals. One of the major factors that cause erosion is the consumption of acidic food and drinks. This study investigated and compared the effect of vitamin waters, herbal beverages, carbonated soft drinks, and fruit juices on the loss of human dental hard tissue. Methods Human tooth samples were immersed in various drinks: vitamin waters, herbal beverages, carbonated soft drinks, and fruit juices. The pH value of each drink was measured using a pH meter. The weight of each sample was determined before and after six days of immersion in the tested drink, and the weight loss percentage was calculated. The exposed tooth surfaces were also examined under a scanning electron microscope. Results Most of the tested drinks were acidic and displayed pH values lower than the critical pH for enamel erosion. Significant weight loss of the tooth samples was found in all tested drink groups. Additionally, the samples immersed in fruit juices and herbal beverages exhibited significantly greater weight loss than those immersed in carbonated soft drinks. Scanning electron micrographs showed samples immersed in the tested drinks to demonstrate structural disintegration with occasional void spaces, except for samples immersed in Doi Kham® Lemongrass drink. Conclusion Most of the tested drinks have the potential to cause dissolution and destruction of dental hard tissues. Consumers should be aware that prolonged exposure to these drinks could lead to permanent loss of tooth mineral and dental erosion.
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Affiliation(s)
- Rudee Surarit
- Department of Oral Biology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
- Faculty of Dentistry, Siam University, Bangkok, Thailand
| | | | - Kanyakorn Lertsatira
- Undergraduate Program, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | | | - Chayada Teanchai
- Research Office, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
| | - Sivaporn Horsophonphong
- Department of Pediatric Dentistry, Faculty of Dentistry, Mahidol University, Bangkok, Thailand
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Panda A, Rath H, Mahapatra S, Mishra M. Association between consumption of carbonated beverages and dental erosion – A systematic review. JOURNAL OF INDIAN ASSOCIATION OF PUBLIC HEALTH DENTISTRY 2021. [DOI: 10.4103/jiaphd.jiaphd_17_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Chan AS, Tran TTK, Hsu YH, Liu SYS, Kroon J. A systematic review of dietary acids and habits on dental erosion in adolescents. Int J Paediatr Dent 2020; 30:713-733. [PMID: 32246790 DOI: 10.1111/ipd.12643] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 03/02/2020] [Accepted: 03/22/2020] [Indexed: 12/22/2022]
Abstract
BACKGROUND Dental erosion is the dissolution of dental hard tissues caused by acids of a non-bacterial origin. Dietary acids are considered the predominant and most controllable factor. AIM To synthesise the literature on the effects of dietary acids and habits on dental erosion in the permanent dentition of 10- to 19-year-old adolescents. MATERIALS AND METHODS An electronic literature search was undertaken in Cochrane, MEDLINE, CINAHL, Dentistry & Oral Sciences Source via EBSCOhost, and Embase with no restriction on the date of publication. RESULTS The initial search identified 449 articles, and 338 remained after removal of duplicates. Seventy-seven articles remained after screening of titles and abstracts, and 52 were eligible for the full-text review. A considerable variety of beverages, food, and dietary habits were reported as risk factors for dental erosion. The most consistent findings implicated the erosive potential of carbonated beverages and the consumption of acidic drinks at bedtime. CONCLUSIONS Although results were not consistent between cohort and cross-sectional studies, this review suggests certain dietary risk factors may contribute to dental erosion in adolescents. There is a need for more high-quality cohort studies to establish more conclusive evidence on the role of dietary acids and habits on dental erosion.
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Affiliation(s)
- Alex Simon Chan
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
| | | | - Yi Hsuan Hsu
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
| | | | - Jeroen Kroon
- School of Dentistry and Oral Health, Griffith University, Southport, Qld, Australia
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Marshall TA. Dietary assessment and counseling for dental erosion. J Am Dent Assoc 2019; 149:148-152. [PMID: 29389338 DOI: 10.1016/j.adaj.2017.11.006] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Revised: 10/30/2017] [Accepted: 11/07/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND AND OVERVIEW Dental erosion occurs after exposure to intrinsic or extrinsic acids. Exposure to intrinsic gastrointestinal acids is associated with anorexia nervosa, bulimia nervosa, rumination syndrome, or gastroesophageal reflux. Extrinsic dietary acids from foods or beverages also can cause erosion, particularly when exposure is prolonged by holding or swishing behaviors. CONCLUSIONS Clinicians should screen patients exhibiting dental erosion for anorexia nervosa, bulimia nervosa, rumination syndrome, and gastroesophageal reflux disease. Clinicians should screen patients without a medical explanation for their erosion for exposure to acidic foods and beverages, particularly for habits that prolong exposure. PRACTICAL IMPLICATIONS Identification of intrinsic and extrinsic acid exposures and recommendations to minimize exposures are important to prevent erosion and maintain oral health.
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Murakami C, Tello G, Abanto J, Oliveira LB, Bonini GC, Bönecker M. Trends in the prevalence of erosive tooth wear in Brazilian preschool children. Int J Paediatr Dent 2016; 26:60-5. [PMID: 25726857 DOI: 10.1111/ipd.12159] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
OBJECTIVES To report trends in the prevalence of ETW in Brazilian preschool children. METHODS Three cross-sectional surveys were carried out on boys and girls aged 3-4 years living in Diadema, in the years 2008, 2010 and 2012 following the same criteria and methodology. A total of 2801 children were systematically examined during a National Day of Children's vaccination. Examiners were trained and calibrated to diagnose ETW using a modified version of the O'Brien index. RESULTS The prevalence of ETW was 51.6% (95% CI 48.4-55.0) in 2008, 53.9% (95% CI 50.7-57.0) in 2010 and 51.3% (95% CI 47.8-54.7) in 2012. There was no significant association between prevalence of ETW from 2008 to 2012 (χ(2) for trend: P = 0.92). There was no significant association in the severity of ETW during this study's period. Most lesions were confined to enamel in all three studies. CONCLUSIONS A high prevalence of ETW was found in this sample of preschool children in 2008, 2010 and 2012. No trends of increase or decrease in the prevalence and severity of ETW during this study's period.
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Affiliation(s)
- Christiana Murakami
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Gustavo Tello
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Jenny Abanto
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
| | | | - Gabriela Cunha Bonini
- Department of Pediatric Dentistry, São Leopoldo Mandic, School, Campinas, SP, Brazil
| | - Marcelo Bönecker
- Department of Orthodontics and Pediatric Dentistry, School of Dentistry, Universidade de São Paulo, São Paulo, SP, Brazil
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Muller-Bolla M, Courson F, Smail-Faugeron V, Bernardin T, Lupi-Pégurier L. Dental erosion in French adolescents. BMC Oral Health 2015; 15:147. [PMID: 26585794 PMCID: PMC4653893 DOI: 10.1186/s12903-015-0133-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2015] [Accepted: 11/09/2015] [Indexed: 11/20/2022] Open
Abstract
Background Since the 2000s, different epidemiological studies focusing on the prevalence or the aetiology of DE in adolescents recognised them as an at-risk population due to their eating behaviours. None was carried out in French adolescents. The primary objective of this study was to assess the prevalence of dental erosion (DE) using the total BEWE score among adolescents in the department of Alpes Maritimes, France. The secondary objectives were to observe changes in prevalence estimates depending on both the cutoffvalue of total BEWE score with different teeth/dental surfaces examined, and to identify the related risk factors. Methods A cross-sectional study in a multistage random sample of 339 14-yr-old schoolchildren was carried out in 2014. The children completed a self-administered questionnaire concerning diet and oral habits. Caries was assessed with ICDAS-II (International Caries Detection and Assessment System-II) criteria and erosion with BEWE (Basic Erosive Wear Examination) index. The total BEWE score was calculated to assess the DE prevalence with two cutoff values (3 and 1). Data were analysed using descriptive statistics and logistic regression models. Results The 331 children were aged 14.4 ± 0.5 years. The DE prevalence was 39 % using a total BEWE score ≥ 3. With a cutoff total BEWE score of 1 (at least one affected tooth), the prevalence varied from 3.9 to 56.8 % depending on the teeth/surfaces that were used for the analysis. The DE prevalence, assessed with only first molars and maxillary incisors, was about 54 %. The risk factors for DE (total BEWE score ≥ 3) were daily consumption of acidic beverages (OR: 4.0; 95 % CI: 2.1–7.6) and acidic sweets (OR: 3.2; 95 % CI: 1.2–8.0), low socio economic category (OR: 2.4; 95 % CI: 1.1–5.0) and visible dental biofilm (OR: 2.0; 95 % CI: 1.2–3.4). Conclusion Depending on the method chosen, the prevalence varied from 3.9 to 56.8 % among these adolescents. Thus, a consensus on choice of index, teeth to examine and age at assessment is necessary to standardise measurement of DE prevalence.
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Affiliation(s)
- Michèle Muller-Bolla
- Dental Faculty, University Nice Sophia Antipolis. CHUN, Nice, France. .,URB2i - EA 4462, University Paris Descartes, Montrouge, France.
| | - Frédéric Courson
- URB2i - EA 4462, University Paris Descartes, Montrouge, France.,Dental Faculty, University Paris Descartes, Montrouge, France
| | - Violaine Smail-Faugeron
- URB2i - EA 4462, University Paris Descartes, Montrouge, France.,Dental Faculty, University Paris Descartes, Montrouge, France
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Al-Ashtal A, Johansson A, Omar R, Johansson AK. Awareness and knowledge of dental erosion among Yemeni dental professionals and students. BMC Oral Health 2015; 15:119. [PMID: 26449377 PMCID: PMC4599026 DOI: 10.1186/s12903-015-0103-x] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2015] [Accepted: 10/05/2015] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study explored Yemeni dentists' and dental students' knowledge about the associated factors, approaches to diagnosis and preventive methods of dental erosion (DE), as well as any associations between DE awareness and some potentially related variables. METHODS A self-administered questionnaire was distributed to general dental practitioners (n = 323) in Sanaa and to fifth year dental students (n = 97) at the University of Science and Technology, Sanaa, Yemen during the period from July to November 2013. Descriptive and logistic regression analyses were conducted. RESULTS Overall response rate was 79 %. Results indicated that 61 % of respondents learned about DE from dental school, 27 % from their own studies and the rest from continuing education courses and the media. DE was reportedly most frequently seen on incisors by 46 % of respondents and on premolars and molars by 24 %. While 48 % reported DE to be more common in male patients, no gender differences were reported by 20 % of respondents. Acidic drinks were believed to be causative factors for DE by 41 % of dentists and 52 % of students, while 90 % of respondents believed that patients' dietary history is important during DE diagnosis. As preventive measures for DE, reduction of acidic drink consumption was advised by 51 % of respondents while only 37 % advised their patients to use fluoridated toothpastes. Younger respondents (≤35 years) were more likely to identify the commonly-known causative factors for DE (P = 0.024). Twenty-seven percent of the respondents reportedly used an index to grade DE. Dental students were more likely than dentists to use such an index (P <0.001) and to more frequently advise their patients to reduce intake of acidic drinks (P = 0.02) compared to dentists. CONCLUSIONS In-depth knowledge about causative factors, diagnosis and preventive methods of DE was apparent among only half the respondents and approaches to early diagnosis were insufficient. There would appear to be an urgent need for enhancing awareness and knowledge about DE within the Yemeni dental community.
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Affiliation(s)
- Amin Al-Ashtal
- Department of Clinical Dentistry - Cariology, Faculty of Medicine and Dentistry, University of Bergen, Årstadveien 19, PO Box 7804, 5009, Bergen, Norway.
| | - Anders Johansson
- Department of Clinical Dentistry - Prosthodontics, Faculty of Medicine and Dentistry, University of Bergen, 5009, Bergen, Norway.
| | - Ridwaan Omar
- Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Safat, 13110, Kuwait.
| | - Ann-Katrin Johansson
- Department of Clinical Dentistry - Cariology, Faculty of Medicine and Dentistry, University of Bergen, Årstadveien 19, PO Box 7804, 5009, Bergen, Norway.
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Masoe AV, Blinkhorn AS, Taylor J, Blinkhorn FA. Factors that influence the preventive care offered to adolescents accessing Public Oral Health Services, NSW, Australia. ADOLESCENT HEALTH MEDICINE AND THERAPEUTICS 2015; 6:101-13. [PMID: 26124689 PMCID: PMC4476312 DOI: 10.2147/ahmt.s84332] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
BACKGROUND Many adolescents are at risk of dental caries and periodontal disease, which may be controlled through health education and clinical preventive interventions provided by oral health and dental therapists (therapists). Senior clinicians (SCs) can influence the focus of dental care in the New South Wales (NSW) Public Oral Health Services as their role is to provide clinical support and advice to therapists, advocate for their communities, and inform Local Health District (LHD) managers of areas for clinical quality improvement. The objective of this study was to record facilitating factors and strategies that are used by SCs to encourage therapists to provide preventive care and advice to adolescent patients. METHODS In-depth, semistructured interviews were undertaken with 16 SCs from all of the 15 NSW LHDs (nine rural and six metropolitan). A framework matrix was used to systematically code data and enable key themes to be identified for analysis. RESULTS All SCs from the 15 NSW Health LHDs participated in the study. Factors influencing SCs' ability to integrate preventive care into clinical practice were: 1) clinical leadership and administrative support, 2) professional support network, 3) clinical and educational resources, 4) the clinician's patient management aptitude, and 5) clinical governance processes. Clinical quality improvement and continuing professional development strategies equipped clinicians to manage and enhance adolescents' confidence toward self-care. CONCLUSION This study shows that SCs have a clear understanding of strategies to enhance the therapist's offer of scientific-based preventive care to adolescents. The problem they face is that currently, success is measured in terms of relief of pain activities, restorations placed, and extraction of teeth, which is an outdated concept. However, to improve clinical models of care will require the overarching administrative authority, NSW Health, to accept that the scientific evidence relating to dental care has changed and that management monitoring information should be incorporated into NSW Health reforms.
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Affiliation(s)
- Angela V Masoe
- School of Health Sciences, Faculty of Health and Medicine, Oral Health, University of Newcastle, Ourimbah, NSW, Australia
| | - Anthony S Blinkhorn
- Department of Population Oral Health, Faculty of Dentistry, University of Sydney, Westmead, NSW, Australia
| | - Jane Taylor
- School of Health Sciences, Faculty of Health and Medicine, Oral Health, University of Newcastle, Ourimbah, NSW, Australia
| | - Fiona A Blinkhorn
- School of Health Sciences, Faculty of Health and Medicine, Oral Health, University of Newcastle, Ourimbah, NSW, Australia
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Tao DY, Hao G, Lu HX, Tian Y, Feng XP. Dental erosion among children aged 3-6 years and its associated indicators. J Public Health Dent 2015; 75:291-7. [PMID: 25952403 DOI: 10.1111/jphd.12098] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2014] [Accepted: 03/07/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Dan-Ying Tao
- Department of Preventive and Pediatric Dentistry; Ninth People's Hospital; School of Medicine; Shanghai Key Basic Research Academic Discipline; Shanghai Jiao Tong University; Shanghai China
| | - Gu Hao
- Department of Preventive and Pediatric Dentistry; Ninth People's Hospital; School of Medicine; Shanghai Key Basic Research Academic Discipline; Shanghai Jiao Tong University; Shanghai China
| | - Hai-Xia Lu
- Department of Preventive and Pediatric Dentistry; Ninth People's Hospital; School of Medicine; Shanghai Key Basic Research Academic Discipline; Shanghai Jiao Tong University; Shanghai China
| | - Yu Tian
- Department of Preventive and Pediatric Dentistry; Ninth People's Hospital; School of Medicine; Shanghai Key Basic Research Academic Discipline; Shanghai Jiao Tong University; Shanghai China
| | - Xi-Ping Feng
- Department of Preventive and Pediatric Dentistry; Ninth People's Hospital; School of Medicine; Shanghai Key Basic Research Academic Discipline; Shanghai Jiao Tong University; Shanghai China
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Masoe AV, Blinkhorn AS, Taylor J, Blinkhorn FA. Preventive management plans recorded by dental therapists and oral health therapists using clinical vignettes for adolescents accessing public oral health services in New South Wales, Australia. Aust Dent J 2015; 61:21-28. [PMID: 25912297 DOI: 10.1111/adj.12336] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/20/2015] [Indexed: 02/05/2023]
Abstract
BACKGROUND The aim of this study was to investigate factors that influence dental therapists and oral health therapists (therapists) plan preventive oral health care for adolescents attending New South Wales public oral health services. METHODS A cross-sectional postal survey using two clinical vignettes was used to record the preventive care treatment plans offered by therapists working across 15 New South Wales local health districts. Data were tabulated and chi-square statistics used in the analysis. RESULTS One hundred and seventeen therapists returned questionnaires, giving a 64.6% response rate. The participants highlighted the importance of offering oral hygiene instruction (97.0%), dietary advice (95.0%) and topical fluoride applications (74.0%). Recommended home use products included fluoride toothpaste 5000 ppmF (59.0%) and casein phosphopeptide-amorphous calcium phosphate plus fluoride (CPP-ACPF) paste (57.7%). Over 50% used fissure sealants. More respondents (88%) would utilize motivational interviewing strategies for a patient with dental caries concerns; however, only 63% would use this technique for a patient in pain (p < 0.001). CONCLUSIONS Considerable variations were noted in therapists' recommendations for stabilizing and managing dental disease, suggesting a need for clinical directors to consider providing more advice to therapists on the scientific basis of preventing dental caries.
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Affiliation(s)
- A V Masoe
- School of Health Sciences, Faculty of Health and Medicine, Oral Health Discipline, The University of Newcastle, Ourimbah, New South Wales, Australia
| | - A S Blinkhorn
- Population Oral Health Unit, Faculty of Dentistry, The University of Sydney, Westmead, New South Wales, Australia
| | - J Taylor
- School of Health Sciences, Faculty of Health and Medicine, Oral Health Discipline, The University of Newcastle, Ourimbah, New South Wales, Australia
| | - F A Blinkhorn
- School of Health Sciences, Faculty of Health and Medicine, Oral Health Discipline, The University of Newcastle, Ourimbah, New South Wales, Australia
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Masoe AV, Blinkhorn AS, Taylor J, Blinkhorn FA. Preventive and clinical care provided to adolescents attending public oral health services New South Wales, Australia: a retrospective study. BMC Oral Health 2014; 14:142. [PMID: 25432193 PMCID: PMC4266880 DOI: 10.1186/1472-6831-14-142] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2014] [Accepted: 11/04/2014] [Indexed: 11/20/2022] Open
Abstract
Background Dental Therapists and Oral Health Therapists (Therapists) working in the New
South Wales (NSW) Public Oral Health Service are charged with providing clinical
dental treatment including preventive care for all children under 18 years of age.
Adolescents in particular are at risk of dental caries and periodontal disease
which may be controlled through health education and clinical preventive
interventions. However, there is a dearth of evidence about the type or the
proportion of clinical time allocated to preventive care. The aim of this study is to record the proportion and type of preventive care
and clinical treatment activities provided by Therapists to adolescents accessing
the NSW Public Oral Health Service. Methods Clinical dental activity data for adolescents was obtained from the NSW Health
electronic Information System for Oral Health (ISOH) for the year 2011. Clinical
activities of Therapists were examined in relation to the provision of different
types of preventive care for adolescents by interrogating state-wide public oral
health data stored on ISOH. Results Therapists were responsible for 79.7 percent of the preventive care and 83.0
percent of the restorative treatment offered to adolescents accessing Public Oral
Health Services over the one year period. Preventive care provided by Therapists
for adolescents varied across Local Health Districts ranging from 32.0 percent to
55.8 percent of their clinical activity. Conclusions Therapists provided the majority of clinical care to adolescents accessing NSW
Public Oral Health Services. The proportion of time spent undertaking prevention
varied widely between Local Health Districts. The reasons for this variation
require further investigation.
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Affiliation(s)
- Angela V Masoe
- Faculty of Health, School of Health Sciences, Oral Health, University of Newcastle, Ourimbah, NSW 2258, Australia.
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Salas MMS, Nascimento GG, Huysmans MC, Demarco FF. Estimated prevalence of erosive tooth wear in permanent teeth of children and adolescents: an epidemiological systematic review and meta-regression analysis. J Dent 2014; 43:42-50. [PMID: 25446243 DOI: 10.1016/j.jdent.2014.10.012] [Citation(s) in RCA: 138] [Impact Index Per Article: 13.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2014] [Revised: 10/23/2014] [Accepted: 10/30/2014] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVES The main purpose of this systematic review was to estimate the prevalence of dental erosion in permanent teeth of children and adolescents. METHODS An electronic search was performed up to and including March 2014. Eligibility criteria included population-based studies in permanent teeth of children and adolescents aged 8-19-year-old reporting the prevalence or data that allowed the calculation of prevalence rates of tooth erosion. Data collection assessed information regarding geographic location, type of index used for clinical examination, sample size, year of publication, age, examined teeth and tissue exposure. The estimated prevalence of erosive wear was determined, followed by a meta-regression analysis. RESULTS Twenty-two papers were included in the systematic review. The overall estimated prevalence of tooth erosion was 30.4% (95%IC 23.8-37.0). In the multivariate meta-regression model use of the Tooth Wear Index for clinical examination, studies with sample smaller than 1000 subjects and those conducted in the Middle East and Africa remained associated with higher dental erosion prevalence rates. CONCLUSIONS Our results demonstrated that the estimated prevalence of erosive wear in permanent teeth of children and adolescents is 30.4% with high heterogeneity between studies. Additionally, the correct choice of a clinical index for dental erosion detection and the geographic location play an important role for the large variability of erosive tooth wear in permanent teeth of children and adolescents. CLINICAL SIGNIFICANCE The prevalence of tooth erosion observed in permanent teeth of children and adolescents was considerable high. Our results demonstrated that prevalence rate of erosive wear was influenced by methodological and diagnosis factors. When tooth erosion is assessed, the clinical index should be considered.
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Affiliation(s)
- M M S Salas
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - G G Nascimento
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil
| | - M C Huysmans
- Department of Preventive and Restorative Dentistry, Radboud University Nijmegen Medical Centre, P.O. Box 9101, NL 6500 HB Nijmegen, The Netherlands
| | - F F Demarco
- Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, Brazil; Post-Graduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil.
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Ding M, Shin SW, Kim MS, Ryu JJ, Lee JY. The effect of a desensitizer and CO2 laser irradiation on bond performance between eroded dentin and resin composite. J Adv Prosthodont 2014; 6:165-70. [PMID: 25006379 PMCID: PMC4085239 DOI: 10.4047/jap.2014.6.3.165] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2013] [Revised: 03/12/2014] [Accepted: 03/14/2014] [Indexed: 11/28/2022] Open
Abstract
PURPOSE This study was aimed to evaluate effect of the desensitizing pretreatments on the micro-tensile bond strengths (µTBS) to eroded dentin and sound dentin. MATERIALS AND METHODS Forty-two extracted molars were prepared to form a flat dentin surface, and then they were divided into two groups. Group I was stored in distilled water while group II was subjected to a pH cycling. Each group was then subdivided into three subgroups according to desensitizing pretreatment used: a) pretreatment with desensitizer (Gluma); b) pretreatment with CO2 Laser (Ultra Dream Pluse); c) without any pretreatment. All prepared surfaces were bonded with Single Bond 2 and built up with resin composite (Filtek Z250). The micro-tensile bond test was performed. Fracture modes were evaluated by stereomicroscopy. Pretreated surfaces and bonded interfaces were characterized by scanning electron microscope (SEM). The data obtained was analyzed by two-way ANOVA (α=0.05). RESULTS For both sound and eroded dentin, samples treated with desensitizer showed the greatest µTBS, followed by samples without any treatment. And samples treated with CO2 laser showed the lowest µTBS. SEM study indicated that teeth with eroded dentin appeared prone to debonding, as demonstrated by existence of large gaps between adhesive layers and dentin. CONCLUSION Pretreatment with Gluma increased the µTBS of Single Bond 2 for eroded and sound teeth. CO2 laser irradiation weakened bond performance for sound teeth but had no effect on eroded teeth.
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Affiliation(s)
- Meng Ding
- Department of Esthetic Restorative Dentistry, Graduate School of Clinical Dentistry, Korea University, Seoul, Republic of Korea
| | - Sang-Wan Shin
- Department of Advanced Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University, Seoul, Republic of Korea
| | - Min-Soo Kim
- Department of Advanced Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University, Seoul, Republic of Korea
| | - Jae-Jun Ryu
- Department of Esthetic Restorative Dentistry, Graduate School of Clinical Dentistry, Korea University, Seoul, Republic of Korea
| | - Jeong-Yol Lee
- Department of Advanced Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University, Seoul, Republic of Korea
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Association between dental erosion and diet in Brazilian adolescents aged from 15 to 19: a population-based study. ScientificWorldJournal 2014; 2014:818167. [PMID: 24695943 PMCID: PMC3947812 DOI: 10.1155/2014/818167] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2013] [Accepted: 01/02/2014] [Indexed: 12/16/2022] Open
Abstract
Dental erosion is a pathological condition resulting from the irreversible dissolution of the mineralized portion of the teeth, being recognized in modern society as an important cause of loss of tooth structure. The aim of this study was to assess the prevalence and its association with diet in Brazilian adolescents of Campina Grande, PB, Brazil. A population-based study was conducted on a stratified sample of 675 adolescents aged from 15 to 19 of both sexes using the index proposed by O'Sullivan. Dental examinations were performed by two calibrated dentists (kappa = 0.82). The significance level adopted was 5%. The prevalence of dental erosion was 21%, and the upper central incisors and lateral incisors were the most affected elements, with 50.5% and 40.2%, respectively. The buccal surface showed greater impairment (51.4%) and 67.8% of teeth with dental erosion had more than half of the surface of affected area. Most damage was on the enamel (93.5%). There were no statistically significant differences between the occurrence of dental erosion and gender, age, socioeconomic status, self-reported ethnicity, and diet. There was high prevalence of dental erosion in its early stages among adolescents and there were no significant differences in the frequency of the consumption of foods and beverages and the presence of dental erosion.
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16
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An investigation into the dental health of children with obesity: an analysis of dental erosion and caries status. Eur Arch Paediatr Dent 2013; 15:203-10. [DOI: 10.1007/s40368-013-0100-1] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2013] [Accepted: 11/27/2013] [Indexed: 10/25/2022]
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Dental erosion and its association with diet in Libyan schoolchildren. Eur Arch Paediatr Dent 2012; 12:234-40. [DOI: 10.1007/bf03262814] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Armstrong LE, Barquera S, Duhamel JF, Hardinsyah R, Haslam D, Lafontan M. Recommendations for healthier hydration: addressing the public health issues of obesity and type 2 diabetes. Clin Obes 2012; 2:115-24. [PMID: 25586246 DOI: 10.1111/cob.12006] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2012] [Revised: 10/01/2012] [Accepted: 10/26/2012] [Indexed: 01/04/2023]
Abstract
Given the rapid increase in the prevalence of overweight, obesity, type 2 diabetes and other obesity-related conditions across the world, despite a plethora of evidence-based guidance for clinicians, innovative campaigns aimed at the general public and widespread government public health initiatives, it is clear that a novel approach is required. The importance of fluid intake has been overlooked in campaigns and guidelines and also in the clinical setting, where the question 'what do you drink?' is often omitted. It is a significant oversight that food pyramids and healthy-eating plates across the world omit fluids from their graphics and advice. While guidelines include recommendations on changes in physical activity and diet, often little or no advice is offered on the importance of healthier hydration practices, neglecting to highlight the contribution of beverages high in sugar, alcohol or additives. An interdisciplinary group of experts in medicine, nutrition, physiology and public health discussed issues surrounding healthy-hydration practices in March 2010 in Paris to create a consensus statement on hydration and gain of body weight and provide recommendations.
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Affiliation(s)
- L E Armstrong
- Departments of Kinesiology & Nutritional Sciences, University of Connecticut, Storrs, CT, USA
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19
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Li H, Zou Y, Ding G. Dietary factors associated with dental erosion: a meta-analysis. PLoS One 2012; 7:e42626. [PMID: 22952601 PMCID: PMC3432030 DOI: 10.1371/journal.pone.0042626] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2012] [Accepted: 07/09/2012] [Indexed: 12/17/2022] Open
Abstract
Background Some diet factors are risk factors for dental erosion. Methods We performed computer searches of PubMed, Cochrane Library, EBSCO, CALIS, et al., to search for studies investigating risk factors for dental erosion. For risk factors investigated in a comparative way, we computed pooled odds ratios (ORs) using the Mantel and Haenszel method. Results A total of 9 studies met the inclusion criteria, and 6 risk factors were considered, including soft drinks, sports drinks, juice, vitamin C, milk, and yoghourt. The following associations were found for soft drinks (OR = 2.41, 95%CI = 2.03–2.85) and vitamin C (OR = 1.16, 95%CI = 1.10–1.22). While juice (OR = 0.90, 95%CI = 0.25–3.24), sports drinks (OR = 1.58, 95%CI = 0.88–2.85), milk (OR = 0.67, 95%CI = 0.11–4.01), and yoghourt products (OR = 1.05, 95%CI = 0.28–3.96) were not associated with dental erosion. Conclusions This meta-analysis provides comprehensive evidence-based assessment of diet-related factors for dental erosion. Preventive strategies should be taken to reduce dental erosion.
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Affiliation(s)
- Haifeng Li
- Children’s Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Yan Zou
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
- * E-mail:
| | - Gangqiang Ding
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, China
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Gambon DL, Brand HS, Boutkabout C, Levie D, Veerman ECI. Patterns in consumption of potentially erosive beverages among adolescent school children in the Netherlands. Int Dent J 2011; 61:247-51. [PMID: 21995371 DOI: 10.1111/j.1875-595x.2011.00067.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
AIM To determine the frequency of intake and patterns in consumption of potentially erosive beverages in school children in the Netherlands. METHODS A cross-sectional, single centre study was performed among 502 school children in Rotterdam, in age varying between 12 and 19 years. Data on consumption of soft drinks, energy drinks, sports drinks and alcopops were obtained through a self-reported questionnaire. Gender- and age-related differences in consumption were analysed with Chi-square, Kruskal-Wallis and Mann-Whitney tests. Associations between variables were investigated with Chi-square tests and Spearman's rank order correlation analysis. RESULTS Boys consumed soft drinks, energy drinks and sports drinks more frequently than girls, and on average also consumed higher amounts of these drinks. No gender-related differences were observed in alcopop consumption. Consumption of all drinks was most frequent at 14- or 15-year of age, with the exception of alcopops which was most frequent by 16-year-old school children. Significant positive associations were observed between the consumption of soft drinks, energy drinks and/or sports drinks. Alcopop consumption was only associated with consumption of energy drinks. CONCLUSION Consumption of soft drinks, energy drinks, sports drinks and alcopops by school children is related to age and gender. The significant positive associations between the consumption of these drinks suggest that a subgroup of school children exists with a high cumulative intake of these potentially erosive drinks.
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Affiliation(s)
- Dien L Gambon
- Bambodino Paediatric Dental Clinic, Meerum Terwogtlaan, PP Rotterdam, The Netherlands.
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21
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Long-term bonding to eroded dentin requires superficial bur preparation. Clin Oral Investig 2011; 16:1451-61. [PMID: 22146968 PMCID: PMC3443345 DOI: 10.1007/s00784-011-0650-8] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2011] [Accepted: 11/21/2011] [Indexed: 11/17/2022]
Abstract
Objectives This study aims to evaluate the influence of different surface preparation techniques on long-term bonding effectiveness to eroded dentin. Materials and methods Dentin specimens were eroded by pH cycling or were left untreated as control, respectively. Five different “preparation” techniques were applied: (1) cleaning with pumice, (2) air abrasion, (3) silicon polisher, (4) proxo-shape, and (5) diamond bur. The three-step etch-and-rinse adhesive OptiBond FL (O-FL; Kerr) and the mild two-step self-etch adhesive Clearfil SE Bond (C-SE; Kuraray) were evaluated. Micro-tensile bond strength was measured after water storage for 24 h and 1 year. Fracture analysis was performed by stereomicroscopy and SEM. Interfaces were characterized by TEM. Differences were statistically analyzed with a linear mixed effects model (α = 0.05). Results Erosion reduced bond strength in all groups, but this effect was less prominent when eroded dentin was prepared by diamond bur. Storage lowered bond strength in almost all groups significantly, but this ageing effect was more prominent for the eroded surfaces than for non-eroded controls. Whereas after 1-year control specimens revealed superior bond strength with the three-step etch-and-rinse adhesive (O-FL), the mild two-step self-etch adhesive (C-SE) revealed a better 1-year bond strength to eroded dentin. The interface at eroded dentin appeared very prone to degradation as was shown by the increased amount of adhesive failures and by the silver infiltration detected by TEM. Conclusions and clinical relevance Although a minimally invasive approach should clinically always be strived for, superficial preparation (or minimal roughening) with a diamond bur is recommendable for long-term bonding to eroded dentin.
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Affiliation(s)
- Ana Paula Hermont
- Department of Pediatric Dentistry and Orthodontics; Universidade Federal de Minas Gerais; Brazil
| | - Patricia A.D. Oliveira
- Department of Pediatric Dentistry and Orthodontics; Universidade Federal de Minas Gerais; Brazil
| | - Sheyla M. Auad
- Department of Pediatric Dentistry and Orthodontics; Universidade Federal de Minas Gerais; Brazil
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Nahás Pires Corrêa MS, Nahás Pires Corrêa F, Nahás Pires Corrêa JP, Murakami C, Mendes FM. Prevalence and associated factors of dental erosion in children and adolescents of a private dental practice. Int J Paediatr Dent 2011; 21:451-8. [PMID: 21793955 DOI: 10.1111/j.1365-263x.2011.01150.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BaCKGROUND. The prevalence of dental erosion seems to be rising in young populations, particularly among individuals of higher socioeconomic status. AIM. To assess the prevalence and associated factors of dental erosion in children and adolescents of a private dental practice. DESIGN. A total of 232 participants, aged 2-20 years, were examined. Dietary habits, oral hygiene, and medical data were collected from dental records. Logistic regression analyses were conducted. RESULTS. Dental erosion prevalence was of 25.43% and was highest on the occlusal surfaces (76%). Associated factors were: frequent consumption of soft drinks (OR = 2.33; 95% CI = 1.01-5.38) and candies (OR = 3.23; 95% CI = 1.25-8.32); and interaction between these two factors (OR = 3.95; 95% CI = 1.60-9.75). On anterior teeth, associated factors were: frequent consumption of fruits (OR = 2.53; 95% CI = 1.09-5.91); and age (OR = 1.07 95% CI = 1.01-1.14). Milk consumption was associated with a lower prevalence of dental erosion (OR = 0.40; 95% CI = 0.17-0.94). CONCLUSIONS. A relatively high prevalence of erosion was found in association with frequent intake of soft drinks, candies, and fruits. The consumption of milk seemed to protect against dental erosion on anterior teeth.
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Wild YK, Heyman MB, Vittinghoff E, Dalal DH, Wojcicki JM, Clark AL, Rechmann B, Rechmann P. Gastroesophageal reflux is not associated with dental erosion in children. Gastroenterology 2011; 141:1605-11. [PMID: 21820389 PMCID: PMC3202657 DOI: 10.1053/j.gastro.2011.07.041] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2011] [Revised: 07/13/2011] [Accepted: 07/27/2011] [Indexed: 12/02/2022]
Abstract
BACKGROUND & AIMS Dental erosion is a complication of gastroesophageal reflux (GER) in adults; in children, it is not clear if GER has a role in dental pathologic conditions. Dietary intake, oral hygiene, high bacterial load, and decreased salivary flow might contribute independently to GER development or dental erosion, but their potential involvement in dental erosion from GER is not understood. We investigated the prevalence of dental erosion among children with and without GER symptoms, and whether salivary flow rate or bacterial load contribute to location-specific dental erosion. METHODS We performed a cross-sectional study of 59 children (ages, 9-17 y) with symptoms of GER and 20 asymptomatic children (controls); all completed a questionnaire on dietary exposure. Permanent teeth were examined for erosion into dentin, erosion locations, and affected surfaces. The dentist was not aware of GER status, and the gastroenterologist was not aware of dental status. Stimulated salivary flow was measured and salivary bacterial load was calculated for total bacteria, Streptococcus mutans, and Lactobacilli. RESULTS Controlling for age, dietary intake, and oral hygiene, there was no association between GER symptoms and dental erosion by tooth location or affected surface. Salivary flow did not correlate with GER symptoms or erosion. Erosion location and surface were independent of total bacteria and levels of Streptococcus mutans and Lactobacilli. CONCLUSIONS Location-specific dental erosion is not associated with GER, salivary flow, or bacterial load. Prospective studies are required to determine the pathogenesis of GER-associated dental erosion and the relationship between dental caries to GER and dental erosion.
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Affiliation(s)
- Yvette K. Wild
- Department of Pediatrics, University of California, San Francisco, CA, United States
| | - Melvin B. Heyman
- Department of Pediatrics, University of California, San Francisco, CA, United States
| | - Eric Vittinghoff
- Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, United States
| | - Deepal H. Dalal
- Department of Pediatrics, University of California, San Francisco, CA, United States
| | - Janet M. Wojcicki
- Department of Pediatrics, University of California, San Francisco, CA, United States
| | - Ann L. Clark
- Department of Pediatrics, University of California, San Francisco, CA, United States
| | - Beate Rechmann
- Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, CA, United States
| | - Peter Rechmann
- Department of Preventive and Restorative Dental Sciences, School of Dentistry, University of California, San Francisco, CA, United States
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Aidi HE, Bronkhorst EM, Huysmans MCDNJM, Truin GJ. Factors associated with the incidence of erosive wear in upper incisors and lower first molars: a multifactorial approach. J Dent 2011; 39:558-63. [PMID: 21704669 DOI: 10.1016/j.jdent.2011.06.001] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2010] [Revised: 05/28/2011] [Accepted: 06/01/2011] [Indexed: 10/18/2022] Open
Abstract
OBJECTIVES The aim was to investigate associations between factors and the incidence of erosive wear in lower first molars and upper incisors, and to investigate whether these associations differ between these locations. METHODS The study sample of this 3-year longitudinal study consisted of 572 children (mean age 11.9 years, SD=0.9). The permanent dentition was examined for erosive wear according to a modified Lussi-index (1996). Information on biological and behavioural factors was gathered by clinical examinations (at baseline, after 1.5 and 3 years) and by questionnaires (every six months). RESULTS The incidence of erosive wear in upper incisors over 3 years was 22.2%, for lower first molars the incidence was 14.8%. Multivariate logistic regression analysis showed that carbonated soft drink (OR=1.04) and tooth grinding (OR=2.93) were positively associated with the incidence of erosive wear in upper incisors and milk (OR=0.95) and yoghurt products (OR=0.88) were negatively associated. The incidence of erosive tooth wear in lower first molars was positively associated with alcoholic mixed drink (OR=1.45) and tooth grinding (OR=4.00) and was negatively associated with milk (OR=0.96) and yoghurt products (OR=0.84). The incidence of erosive wear in lower first molar was lower in girls than in boys (OR=0.51). t-Tests on the odds ratios of the factors showed that between the two incidence models only the odds ratios of anterior contact significantly differed. CONCLUSIONS In the present study, except for anterior contact, no substantial differences in risk factors between the incidence of erosive wear in lower first molars and upper incisors were found. This indicates that the aetiology of erosive wear for the two locations is similar.
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Affiliation(s)
- Halima El Aidi
- Department of Preventive and Restorative Dentistry, Radboud University Nijmegen Medical Centre, P.O. Box 9101, NL-6500 HB Nijmegen, Netherlands.
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Gurgel CV, Rios D, de Oliveira TM, Tessarolli V, Carvalho FP, Machado MADAM. Risk factors for dental erosion in a group of 12- and 16-year-old Brazilian schoolchildren. Int J Paediatr Dent 2011; 21:50-7. [PMID: 20738433 DOI: 10.1111/j.1365-263x.2010.01090.x] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Dental erosion is a multifactorial disease and is associated with dietary habits in infancy and adolescence. AIM To investigate possible associations among dental erosion and diet, medical history and lifestyle habits in Brazilian schoolchildren. DESIGN The sample consisted of a random single centre cluster of 414 adolescents (12- and 16-years old) of both genders from private and public schools in Bauru (Brazil). The O'Brien [Children's Dental Health in the United Kingdom, 1993 (1994) HMSO, London] index was used for dental erosion assessment. Data on medical history, rate and frequency of food and drinks consumption, and lifestyle habits were collected by a self-reported questionnaire. Odds ratios with 95% confidence intervals were used to assess the univariate relationships between variables. Analysis of questionnaire items was performed by multiple logistic regression analysis. The statistical significance level was set at 5%. RESULTS The erosion present group comprised 83 subjects and the erosion absent group 331. There were no statistically significant correlations among dental erosion and the consumption of food and drinks, medical history, or lifestyle habits. CONCLUSION The results indicate that there was no correlation between dental erosion and the risk factors analysed among adolescents in Bauru/Brazil and further investigations are necessary to clarify the multifactorial etiology of this condition.
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Affiliation(s)
- Carla Vecchione Gurgel
- Department of Pediatric Dentistry, Orthodontics and Public Health, Bauru School of Dentistry, USP - University of São Paulo, Bauru, Brazil.
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El Aidi H, Bronkhorst E, Huysmans M, Truin G. Multifactorial Analysis of Factors Associated with the Incidence and Progression of Erosive Tooth Wear. Caries Res 2011; 45:303-12. [DOI: 10.1159/000328671] [Citation(s) in RCA: 68] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2010] [Accepted: 04/06/2011] [Indexed: 11/19/2022] Open
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Vargas-Ferreira F, Praetzel JR, Ardenghi TM. Prevalence of tooth erosion and associated factors in 11-14-year-old Brazilian schoolchildren. J Public Health Dent 2010; 71:6-12. [DOI: 10.1111/j.1752-7325.2010.00194.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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The prevalence of dental erosion and associated risk factors in 12-13-year-old school children in Southern China. BMC Public Health 2010; 10:478. [PMID: 20704718 PMCID: PMC2927543 DOI: 10.1186/1471-2458-10-478] [Citation(s) in RCA: 54] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2010] [Accepted: 08/12/2010] [Indexed: 11/12/2022] Open
Abstract
Background Dental erosion has been investigated in developed and developing countries and the prevalence varies considerably in different countries, geographic locations, and age groups. With the lifestyle of the Chinese people changing significantly over the decades, dental erosion has begun to receive more attention. However, the information about dental erosion in China is scarce. The purpose of this study was to explore the prevalence of dental erosion and associated risk factors in 12-13-year-old school children in Guangzhou, Southern China. Methods This cross-sectional survey was performed by two trained, calibrated examiners. A stratified random sample of 12-13-year-old children (774 boys and 725 girls) from 10 schools was examined for dental erosion using the diagnostic criteria of Eccles and the index of O'Sullivan was applied to record the distribution, severity, and amount of the lesions. Data on the socio-economic status, health behaviours, and general health involved in the etiology of dental erosion were obtained from a self-completed questionnaire. The analyses were performed using SPSS software. Results At least one tooth surface with signs of erosion was found in 416 children (27.3%). The most frequently affected teeth were the central incisors (upper central incisors, 16.3% and 15.9%; lower central incisors, 17.4% and 14.8%). The most frequently affected surface was the incisal or occlusal edge (43.2%). The loss of enamel contour was present in 54.6% of the tooth surfaces with erosion. Of the affected tooth surfaces, 69.3% had greater than one-half of the tooth surface was affected. The results from logistic regression analysis demonstrated that the children who were female, consumed carbonated drinks once a week or more, and those whose mothers were educated to the primary level tended to have more dental erosion. Conclusions Dental erosion in 12-13-year-old Chinese school children is becoming a significant problem. A strategy of offering preventive care, including more campaigns promoting a healthier lifestyle for those at risk of dental erosion should be conducted in Chinese children and their parents.
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